基于络病理论探讨膝痹病机与诊疗  

Pathogenesis and Treatment of Knee Osteoarthritis Based on Collaterals Theory

作　　者：宋鑫 彭佳华[1] 薛小虎[2] SONG Xin;PENG Jiahua;XUE Xiaohu(College of Traditional Chinese Medicine,Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330006,China;College of Acupuncture and Massage,Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学中医学院,江西南昌330006 [2]江西中医药大学针灸推拿学院,江西南昌330006

出　　处：《光明中医》2024年第16期3211-3214,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：江西中医药大学省级大学生创新创业训练计划项目(No.S202310412070);江西中医药大学省级研究生创新专项(No.YC2023-B220);中医药古籍文献和特色技术传承专项(No.GZY-KJS-2021-049)。

摘　　要：膝痹已日渐成为社会重点关注的公共卫生问题之一,此文基于中医“络病”理论,结合临床实践,将从“肝肾亏虚是根本,痰瘀伏络是关键,毒损经络是重点”3个方面深入探讨膝痹的病因病机,并在“络以通为用”的治疗原则指导下,根据膝痹的具体病因、不同病程,提出“补虚通络、袪瘀通络、解毒通络”三大治法,以供同道在辨证遣方施药过程中参考,并进一步丰富膝痹的临床诊疗思路和方法。Knee osteoarthritis has become one of the most important public health problems in society.Based on the theory of“collaterals disease”of traditional Chinese medicine,combined with clinical practice,this paper started from“deficiency of liver and kidney is fundamental,phlegm stasis and collaterals are key,and poison damage of meridians and collaterals is key”,the etiology mechanism of knee osteoarthritis was discussed,and in the“keeping collaterals unobstructed in function”treatment principle guidance,according to the specific cause of knee osteoarthritis,different course of disease,in order to propose“tonic deficiency and collaterals,stasis and detoxification and collaterals”three treatment methods,for the same way in the process of syndrome differentiation prescription for reference,and further enrich the clinical treatment methods and ideas of knee osteoarthritis.

关 键 词：膝痹 络病理论 病机 疾病诊疗 

分 类 号：R259[医药卫生—中西医结合]