毛以林治疗膝关节退行性病变验案举隅  

Examples of Mao Yilin’s experience in treating degenerative diseases of knee joint

作　　者：尹茜 冯艺超 毛以林[1] YIN Xi;FENG Yichao;MAO Yilin(Department of Geriatrics,the Second Affiliated Hospital of Hunan University of Chinese Medicine,Hunan,Changsha 410005,China;Department of Orthopedics,the First Affiliated Hospital of Hunan University of Chinese Medicine,Hunan,Changsha 410005,China)

机构地区：[1]湖南中医药大学第二附属医院老年病科,湖南长沙410005 [2]湖南中医药大学第一附属医院骨病科,湖南长沙410005

出　　处：《中国医药科学》2025年第1期116-119,127,共5页China Medicine And Pharmacy

基　　金：湖南省卫生健康委卫生科研课题(D202303017511);湖南中医药大学“一方制药”研究生创新项目(2024YF04);湖南中医药大学研究生创新课题项目(2023CX98)。

摘　　要：文章通过总结验案2则,分析毛以林教授治疗膝关节退行性病变辨证思路,以介绍毛以林教授临床经验。毛以林教授基于气血阴阳学说,认为中老年人膝关节退行性病变的基本病机应从肝肾论治,肾虚骨髓失于滋养,肝虚筋骨失于濡养,临床上以补益肝肾为主,灵活用药,从肝肾论治下肢痹痛,每取佳效。本文从病因病机、诊疗特色两个方面阐述临床经验,并举验案佐证,以此为膝关节退行性病变的中医治疗提供参考。This paper summarizes two cases and analyzes Professor Mao Yilin’s dialectical approach to treating knee joint degenerative diseases,in order to introduce Professor Mao Yilin’s clinical experience.Professor Mao Yilin,based on the theory of qi,blood,yin and yang,believes that the basic pathogenesis of degenerative knee joint disease in middle-aged and elderly people is treated from the perspective of liver and kidney.Kidney deficiency and bone marrow lack nourishment,while liver deficiency and muscle and bone lack nourishment.In clinical practice,the main approach is to nourish the liver and kidney,and flexible medication is used to treat lower limb pain from the perspective of liver and kidney,achieving optimal results.This article elaborates on clinical experience from two aspects:etiology,pathogenesis,and diagnosis and treatment characteristics,and provides empirical evidence to provide reference for the traditional Chinese medicine treatment of knee joint degenerative diseases.

关 键 词：膝关节退行性病变 骨痹 名医经验 毛以林 

分 类 号：R274.9[医药卫生—中西医结合]