中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
7期
14-17
,共4页
丁琼浩%敖亮%潘正刚%何昌栋
丁瓊浩%敖亮%潘正剛%何昌棟
정경호%오량%반정강%하창동
膝骨性关节炎%病因病机%“虚”%“邪”%“痰”%“瘀”%治法%用药特点%虫类药
膝骨性關節炎%病因病機%“虛”%“邪”%“痰”%“瘀”%治法%用藥特點%蟲類藥
슬골성관절염%병인병궤%“허”%“사”%“담”%“어”%치법%용약특점%충류약
Knee Osteoarthritis(KOA)%Pathogenesis%“Deficiency”%“Pathogen”%“Phlegm”%“Stasis”%Therapy%Medication Features%Insects drugs
目的：归纳、总结膝骨性关节炎的病因病机及临证用药特点。方法：查阅、分析近年来相关文献。结果与结论：本病的主要病因病机可概括为“虚”、“邪”、“痰”、“瘀”四字，临证时应兼顾四者，并有所侧重。治疗中，应充分把握各类常用药的功效特点及优势，灵活加减；用药时，注意补气养血，顾护脾胃，增强抗病能力。各类药物中必佐通利之品方可提高疗效，且非血肉有情、搜剔经络之品不能善功，而虫类药恰性善走窜，尤能透骨搜风、剔络除邪，不可不用。此外，因本病病程长，注意情志因素，酌加疏肝行气之品。
目的：歸納、總結膝骨性關節炎的病因病機及臨證用藥特點。方法：查閱、分析近年來相關文獻。結果與結論：本病的主要病因病機可概括為“虛”、“邪”、“痰”、“瘀”四字，臨證時應兼顧四者，併有所側重。治療中，應充分把握各類常用藥的功效特點及優勢，靈活加減；用藥時，註意補氣養血，顧護脾胃，增彊抗病能力。各類藥物中必佐通利之品方可提高療效，且非血肉有情、搜剔經絡之品不能善功，而蟲類藥恰性善走竄，尤能透骨搜風、剔絡除邪，不可不用。此外，因本病病程長，註意情誌因素，酌加疏肝行氣之品。
목적：귀납、총결슬골성관절염적병인병궤급림증용약특점。방법：사열、분석근년래상관문헌。결과여결론：본병적주요병인병궤가개괄위“허”、“사”、“담”、“어”사자，림증시응겸고사자，병유소측중。치료중，응충분파악각류상용약적공효특점급우세，령활가감；용약시，주의보기양혈，고호비위，증강항병능력。각류약물중필좌통리지품방가제고료효，차비혈육유정、수척경락지품불능선공，이충류약흡성선주찬，우능투골수풍、척락제사，불가불용。차외，인본병병정장，주의정지인소，작가소간행기지품。
Objective:Summarize pathogenesis and the clinical medication features of Knee Osteoarthritis(KOA), Review the best TCM therapy. Methods:Search and analyze relevant literature in recent years. Results and Conclusions:The main pathogenesis of disease is “deficiency”,“pathogen”,“ phlegm”, “stasis”, they all should be considered. The treatment should focus on the effect of features and advantages, flexible add and subtract. Qi and blood/spleen and stomach should be paid attention for enhancing the ability of resistance;Insects drugs also can help because such drugs characterized for its channeling away, especially adept at exploiting pathogens in bone, not only flesh and blood of sentient beings can be used. In addition, due to the long course of disease, some qi-regulating medication should be better for the emotional factors.
