周福贻教授从“血瘀致衰”辨治退行性膝骨关节炎经验  

Professor Zhou Fuyi’s Experience in Treating Degenerative Knee Osteoarthritis from the Perspective of“Blood Stasis Leading to Decline”

作　　者：谷远洋 梅伟[2] 殷松江[2,3] GU Yuanyang;MEI Wei;YIN Songjiang(Department of Orthopedics,Yancheng Third People’s Hospital,Yancheng 224001,China;Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;The First Clinical Medical College,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]盐城市第三人民医院骨科,江苏盐城224001 [2]南京中医药大学附属医院,江苏南京210029 [3]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《南京中医药大学学报》2025年第3期416-420,共5页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目(国中医药人教发〔2022〕76号)。

摘　　要：总结周福贻教授从“血瘀致衰”理论辨治退行性膝骨关节炎经验,认为退行性膝骨关节炎证属本虚标实、本痿标痹,以肝、脾、肾亏虚为本,正气亏虚抗邪能力减弱,风、寒、湿邪侵袭,邪恋瘀阻,久病入络,夹湿夹痰,血瘀血虚,互为因果。从瘀论治退行性膝骨关节炎,以祛瘀生新为其治疗大法,养血活血并重,临床应用时将其分为瘀前期、瘀滞期、瘀后期,分别以祛邪通络、行气活血、培补肝肾为治则治法,将活血化瘀贯穿疾病治疗始终,取得较好的临床疗效。This paper summarizes Professor Zhou Fuyi’s experience in treating degenerative knee osteoarthritis from the perspective of“blood stasis leading to decline”.He believes that degenerative knee osteoarthritis syndrome is characterized by deficiency of the root and excess of the superficial,decline of the root and paralysis of the superficial,with deficiency of the liver,spleen and kidney as the root.The deficiency of healthy qi weakens the ability to resist the evil,with the invasion of wind,cold,and dampness,the lingering of the evil and the obstruction of stasis,long-term illness entering the collaterals accompanied by dampness and phlegm,blood stasis and blood deficiency being mutually causal.He treats degenerative knee osteoarthritis from the perspective of stasis,with the removal of stasis and the promotion of new blood as the main treatment method,and both nourishing blood and activating blood circulation are given equal importance.In clinical application,it is divided into the early stage of stasis,the stasis stage and the late stage of stasis,with removing evil and unblocking collaterals,promoting qi and activating blood circulation,and nourishing liver and kidney as the treatment principles and methods,respectively.Activating blood circulation and removing stasis are carried out throughout the treatment of the disease,achieving good clinical efficacy.

关 键 词：血瘀致衰 退行性膝骨关节炎 骨痹 祛瘀生新 养血活血 周福贻 名医经验 

分 类 号：R249[医药卫生—中医临床基础]