基于“虚气留滞”理论探讨膝骨关节炎的辨治  

Syndrome Differentiation and Treatment of Knee Osteoarthritis Based on Theory of"Qi Deficiency and Stagnation"

作　　者：俞岩生 林桦楠[2] 陈海鹏[2] 陈凯[2] YU Yansheng;LIN Huanan;CHEN Haipeng;CHEN Kai(Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Xiamen Hospital of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Xiamen 361009,China)

机构地区：[1]福建中医药大学,福建福州350122 [2]福建中医药大学附属厦门中医院,福建厦门361009

出　　处：《基层中医药》2025年第1期55-59,共5页Basic Traditional Chinese Medicine

基　　金：科技计划项目(福建省厦门市医疗卫生指导性项目)(3502Z20214ZD1147)。

摘　　要：膝骨关节炎作为一种关节退行性变,发病机制较为复杂。本文总结陈海鹏主任医师基于“虚气留滞”理论辨治膝骨关节炎的经验。其总结膝骨关节炎的病机为“虚气留滞”,脾胃虚弱、肝肾亏虚、气血亏虚是发病内在基础;风寒湿为外在之邪,内生湿热、气滞血瘀、痰浊痹阻为外邪、内因综合作用的结果,为病机关键。治疗以“补虚祛滞”为法。补虚应以健脾益肾柔肝、补养气血为要,祛滞应以活血化瘀为要,兼顾涤痰、祛风寒湿热。Knee osteoarthritis,as a form of joint degeneration,involves a complex pathogenesis.This paper gives a summary of Chief Physician Chen Haipeng's experience on syndrome differentiation and treatment of knee osteoarthritis based on the theory of"qi deficiency and stagnation".According to him,the pathogenesis of this disease is"qi deficiency and stagnation",where deficiency of the spleen and stomach,liver-kidney deficiency,and qi and blood deficiency constitute the intrinsic basis.Wind-cold dampness belongs to exogenous pathogenic factors.Endogenous damp-heat,qi stagnation and blood stasis,and phlegm turbidity and obstruction,which are induced by the combined effects of exogenous and endogenous factors,are key elements in the pathogenesis.The recommended treatment approach focuses on tonifying deficiencies through strengthening spleen-kidney-liverfunctions and tonifying qi and blood while eliminating stagnation with promoting qi-blood circulationfor stasis removal as the key along with clearing phlegm and dispelling wind-cold-dampness.

关 键 词：膝骨关节炎 “虚气留滞” 发病机制 补虚祛滞 

分 类 号：R68[医药卫生—骨科学]