CAJ | 학술논문

在我国，中老年人膝骨关节炎的发病有向老龄化发展的趋势，而膝重度骨关节炎患者中，老年人居多，因条件限制及各种因素影响，部分患者不能进行膝关节置换手术，保守疗法也能取得一定的疗效。胡荫奇教授辨治风湿病主张辨证施治与辨病用药相结合，而风湿病与骨病在病因病机、疾病的发展过程及治疗上都存在一定的共同点，通过学习借鉴胡荫奇教授病证结合思路，临床应用于治疗膝重度骨关节炎取得了一定的疗效。从辨证求因、分证论治，重视药对使用及现代药理研究，病证结合、综合治疗及案例举隅4个方面加以总结分析。
재아국，중노년인슬골관절염적발병유향노령화발전적추세，이슬중도골관절염환자중，노년인거다，인조건한제급각충인소영향，부분환자불능진행슬관절치환수술，보수요법야능취득일정적료효。호음기교수변치풍습병주장변증시치여변병용약상결합，이풍습병여골병재병인병궤、질병적발전과정급치료상도존재일정적공동점，통과학습차감호음기교수병증결합사로，림상응용우치료슬중도골관절염취득료일정적료효。종변증구인、분증론치，중시약대사용급현대약리연구，병증결합、종합치료급안례거우4개방면가이총결분석。
The incidence of knee osteoarthritis tends to occur in aging population in China.Among the patients with severe knee osteoarthritis,the elderly occupy the most.For those patients that cannot conduct knee arthroplasty because of their conditions and a variety of other reasons,conservative therapy can achieve certain curative effects.Professor Hu Yinqi advocates that treating TCMrheumatic disease should use syndrome differentiation with disease treatment combined.The etiology and pathogenesis,and development process and treatment of the disease between TCM rheumatology and othopedic disease share some common ground. Through learning the ideas from Professor Hu Yinqi on the combination of disease and syndrome,this study has received certain curative effects on the clinical application in the treatment of severe knee osteoarthritis.The paper is an analytical summary from the following aspects:1)Syndrome Differentiation and Treatment;2)the use of medicine and special attention on modern pharma-cological research;3)comprehensive treatment;4)cases analysis.