李慧英教授分期论治酒精性股骨头坏死经验探析  

Professor Li Huiying's Experience on Treating Alcoholic Femoral Head Necrosis

作　　者：张向北 李慧英 孟东方 余鹏[1] 刘洪飞 ZHANG Xiangbei;LI Huiying;MENG Dongfang;YU Peng;LIU Hongfei(Henan University of Chinese Medicine,Zhengzhou 450046,China;First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学,郑州450046 [2]河南中医药大学第一附属医院

出　　处：《中国中医骨伤科杂志》2024年第4期94-96,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：河南省中医药科学研究专项(2021JDZY009,2022JDZX123,2023ZY2029);河南中医药大学2022年度研究生科研创新类项目(2022KYCX084)。

摘　　要：李慧英教授将酒精性股骨头坏死分为急性期、缓解期、稳定期,三期论治,病机总结为气血肾俱虚为本,湿热瘀痹阻为标。急性期对应中医证型湿热痹阻,以治标防变,以清热祛湿、通痹止痛为治法,方用四妙散加味;缓解期对应中医证型肾虚血瘀,以标本兼治,以补肾活血为治法,方用骨坏死方内服,同时配合壮骨膏外用;稳定期为气血肾俱虚,以补肾益气养血为治法,方用“三补一活”方颗粒剂口服。Professor Li Huiying divided the alcoholic femoral head necrosis into acute stage,remission stage,stable stage,and three stages of treatment.The pathogenesis was summarized as deficiency of Qi,blood and kidney,and damp-heat stasis obstruction.The acute phase corresponds to the TCM syndrome type damp-heat arthralgia,to treat symptoms and prevent changes,to clear heat and remove dampness,Tongbi and relieve pain as treatment methods,with Simiao powder.The relief period corresponds to the TCM syndrome type of kidney deficiency and blood stasis,to treat both symptoms and root causes,tonifying kidney and promoting blood circulation as the treatment method,the osteonecrosis prescription is taken internally,and the Zhuanggu ointment is used externally.In the stable period,the deficiency of Qi,blood and kidney is taken as the treatment of tonifying kidney and Qi and nourishing blood.

关 键 词：酒精性股骨头坏死 分期论治 三补一活 

分 类 号：R681.8[医药卫生—骨科学]