董建文教授“平补”理论治疗骨折经验总结  

Professor DONG Jianwen’s experience in treating fracture based on the theory of Pingbu

作　　者：王磊[1] 李志超[2] 吕耐山 薛景才 温虎堂 王文波[2] WANG Lei

机构地区：[1]山东中医药大学,山东济南250000 [2]山东中医药大学第二附属医院,山东济南250000

出　　处：《中医临床研究》2024年第32期145-148,共4页Clinical Journal Of Chinese Medicine

基　　金：山东省自然科学基金面上项目(ZR2021MH298);山东省自然科学基金青年项目(ZR2022QH105)。

摘　　要：中医药治疗骨折历史悠久,积累了丰富的临床经验。自明清时期起,以薛己的《正体类要》为代表的“平补”理论,以及《证治准绳》中提出的损伤早、中、后期治疗理论,对后世影响深远。董建文教授总结前人理论和自身50余年临床实践经验,在骨折三期辨证基础上继承和发展了平补理论。董教授的“平补”理论源自明清时期的气血学说和脏腑学说,注重阴阳对立统一,强调补气行气结合、滋阴补阳兼顾,注重治病求本和未病先防。在临床治疗中,董教授特别强调调理脾胃和肝肾功能,认为脾胃作为后天之本,是气血生化之源,脾胃功能强健是骨折愈合的基础与保障,而骨的生长、发育及修复均依赖于肾中精气的滋养,结合患者的实际情况进行辨证施治,倡导整体辨证与按部位辨证相结合,因时、因地、因人制宜,达到阴平阳秘的状态。董教授独创了多种治疗骨折和软组织损伤的中药方剂,临床效果显著,还进行了中医药作用机制的创新性研究。董教授总结前人经验,提倡“辨证施治、气血同调、脾胃调和、阴阳平补、治病求本”的平补方法,这一方法在骨折治疗的各个阶段中均有所体现,展示了中医辨证论治的精髓。Traditional Chinese medicine(TCM)has a long history in treating fractures,accumulating a wealth of clinical Texperience.Especially since the Ming and Qing dynasties,the Pingbu(平补)theory represented by XUE Ji in Zhengti Leiyao(《正体类要》),and the theory of early,middle,and late-stage treatment of injury in Zhengzhi Zhunsheng(《证治准绳》),had a profound impact on later generations.Professor DONG Jianwen with over 50 years of clinical practice experience summarized the predecessors’theories and built upon the theory of Pingbu based on the three-phase syndrome differentiation of fractures.Professor DONG’s theory of Pingbu originates from the theory of Qi(气)and blood(血)and the theory of Zangfu organs(脏腑)in the Ming and Qing Dynasties,emphasizes the oppositeness unity of Yin(阴)and Yang(阳),the combination of Qi tonification and Qi movement,and the integration of nourishing Yin and strengthening Yang,and focuses on treating disease from the root cause and prevention before disease onset.In clinical practice,Professor DONG particularly emphasizes the regulation of the functions of spleen,stomach,liver,and kidney,believes that spleen and stomach,as the acquired basis,are the source of Qi and blood production,that their robust function is the basis and guarantee for fracture healing,and that the growth,development,and repair of bones depends on the nourishment of kidney essence and Qi.In treating fractures,Professor DONG combines syndrome differentiation with the patient’s actual condition,and advocates the combination of holistic syndrome differentiation and localized syndrome differentiation according to the time,location,and individual circumstances,so as to achieve the purpose of Yin and Yang in equilibrium.Professor DONG has created numerous TCM prescriptions for treating fractures and soft tissue injuries,with remarkable clinical effects,and has also conducted innovative research on the action mechanisms of TCM.Based on summarizing the experience of predecessors,Professor DONG advo

关 键 词：骨折 平补 经验总结 

分 类 号：R274[医药卫生—中医骨伤科学]