王少山皮藤合用改善膝关节镜术后肿胀经验  

WANG Shaoshan’s Experience in Improving Postoperative Swelling of Knee Arthroscopy by Using Pi and Teng Chinese Medicinals in Combination

作　　者：燕文海 卲将 王少山(指导)[1] YAN Wenhai;SHAO Jiang;WANG Shaoshan(Mentor)(The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;不详)

机构地区：[1]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2025年第2期218-221,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省自然科学基金面上项目(编号:ZR2022MH147)。

摘　　要：膝关节镜术后肿胀可归属中医学痹病范畴。王少山教授认为,膝关节损伤后,患者肢体制动,加之手术过程带来的创伤,瘀血水湿阻滞经络贯穿病程的始终;病机以气滞血瘀、水湿内蕴、气虚血瘀、肝肾亏虚为主。王教授治疗膝关节镜术后肿胀遣方基于五皮五藤饮加减。基础方由桑白皮、冬瓜皮、牡丹皮、茯苓皮、忍冬藤、青风藤6味药组成,皮藤合用,以皮走皮,以藤通络,祛内外瘀痹。临床实践时,可基于膝关节镜术后肿胀的具体证型,加减治疗。Postoperative swelling after knee arthroscopy can be categorized as“paralysis”in traditional Chinese medicine.Prof.WANG Shaoshan holds that after knee joint injury,the patient’s limbs are forbidden to movement,coupled with the trauma caused by the surgical process,and therefore blood stasis and water dampness block the meridians and channels of the human body throughout the disease course.The disease mechanism mainly involves qi stagnation and blood stasis,internal accumulation of water dampness,qi deficiency and blood stasis,and deficiency of liver and kidneys.Prof.Wang’s formula for treating postoperative swelling after knee arthroscopy is based on the modification of Wupi Wuteng Decoction(五皮五藤饮),which consists of six Chinese medicinals,namely,the Sangbaipi(Cortex Mori),Dongguapi(Exocarpium Benincasae),Mudanpi(Cortex Moutan),Fulingpi(Cutis Poriae),Rendongteng(Caulis Lonicerae Japonicae),and Qingfengteng(Caulis Sinomenii).Pi medicinals and Teng medicinals are applied in combination.Pi medicinals could work on the skin while the Teng medicinals unblock collaterals.They work together to remove the stasis and stagnation internally and externally.In clinical practice,the formula can be modified based on the specific type of swelling observed after knee arthroscopy.

关 键 词：膝关节镜术后 肿胀 利水化瘀 皮藤合用 王少山 

分 类 号：R249[医药卫生—中医临床基础]