从太阳少阳合病论治手骨关节炎  

Treatment of Hand Osteoarthritis from Taiyang Shaoyang Combined Disease

作　　者：刘慧敏 师秀茹 吕新亮 马新童 李国华 LIU Huimin;SHI Xiuru;LYU Xinliang;MA Xintong;LI Guohua(Clinical College of Traditional Chinese Medicine,Inner Mongolia Medical University,Hohhot 010110,China;Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine,Hohhot 010020,China;Fangshan Hospital,Beijing University of Chinese Medicine,Beijing 102499,China)

机构地区：[1]内蒙古医科大学中医临床医学院,内蒙古呼和浩特010110 [2]内蒙古自治区中医医院,内蒙古呼和浩特010020 [3]北京中医药大学房山医院,北京102499

出　　处：《中国中医药信息杂志》2024年第11期171-174,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：第五批全国中医临床优秀人才研修项目(2022年);内蒙古自治区卫生健康科技计划(202201127);内蒙古医科大学联合项目(YKD2022LH042);内蒙古医学科学院公立医院科研联合基金(2023GLLH0108)。

摘　　要：手骨关节炎(HOA)主要表现为手部的指间关节和拇指腕掌关节疼痛、肿胀、晨僵、活动受限,甚至畸形,属中医学“骨痹”范畴。笔者认为,HOA多见太阳少阳合病,宜太阳少阳同治,予运转枢机、调和气血营卫、祛风散寒、除湿通痹,处方柴胡桂枝汤加味方,疗效显著。Hand osteoarthritis(HOA)is a disease of hand joint disorders,mainly manifested by hand interphalangeal joint and thumb carpal metacarpal joint pain,swelling,morning stiffness,limited movement,and even deformity,belonging to the category of TCM“bone arthralgia”.The authors believe that HOA is more common with Taiyang Shaoyang disease,suitable for simultaneous treatment for Taiyang and Shaoyang,to operate the cardinal,regulate qi,blood,nutritive and defensive levels,dispel wind and cold,remove dampness and arthralgia,using modified Chaihu Guizhi Decoction,with confirmed efficacy.

关 键 词：手骨关节炎 太阳 少阳 合病 柴胡桂枝汤 

分 类 号：R274.94[医药卫生—中西医结合]