[1]熊子超,彭思琛,葛程,等.程少丹治疗难治性膝骨关节炎经验[J].中国中医骨伤科杂志,2024,32(07):82-84.[doi:10.20085/j.cnki.issn1005-0205.240715 ]
　XIONG Zichao,PENG Sichen,GE Cheng,et al.Cheng Shaodan's Experience in the Treatment of Refractory Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(07):82-84.[doi:10.20085/j.cnki.issn1005-0205.240715 ]
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程少丹治疗难治性膝骨关节炎经验()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年07期
页码:
82-84
栏目:
经验交流
出版日期:
2024-07-15

文章信息/Info

Title:
Cheng Shaodan's Experience in the Treatment of Refractory Knee Osteoarthritis
文章编号:
1005-0205(2024)07-0082-03
作者:
熊子超1; 2; 3; 彭思琛1; 2; 3; 葛程1; 3; 4; 张洋1; 3; 4; 王世辉1; 3; 4; 高韵文1; 3; 4; 庞海莉1; 3; 4; 刘璐1; 3; 4; 丁云媃1; 2; 3; 程少丹1; 3; 4△
1上海中医药大学附属光华医院(上海,200052)
2上海中医药大学
3上海市长宁区程少丹名中医工作室
4上海市中医药研究院中西医结合关节炎研究所
Author(s):
XIONG Zichao1; 2; 3; PENG Sichen1; 2; 3; GE Cheng1; 3; 4; ZHANG Yang1; 3; 4; WANG Shihui1; 3; 4; GAO Yunwen1; 3; 4; PANG Haili1; 3; 4; LIU Lu1; 3; 4; DING Yunrou1; 2; 3; CHENG Shaodan
1Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200052,China; 2Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China; 3Cheng Shaodan's Famous Traditional Chinese Medicine Studio,Changning District,Shanghai 200052,China; 4Institute of Integrated Traditional Chinese and Western Medicine for Arthritis Research,Shanghai Academy of Traditional Chinese Medicine,Shanghai 200052,China.
关键词:
难治性膝骨关节炎;  证治;  临床经验;  肾阳不足;  水液内停;  温阳利水
Keywords:
refractory knee osteoarthritis;  syndrome differentiation and treatment;  clinical experience;  deficiency of kidney Yang;  retention of body fluids;  warm Yang and promote diuresis
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.240715
文献标志码:
A
摘要:
程少丹认为难治性膝骨关节炎核心病机在于肾阳不足,推动无力,导致水液内停,宗筋瘛疭为患。治疗关键在于温阳利水,形成针药结合的温阳利水治法。针具继承上海伤科八大家之陆氏伤科银质针及芒针,针法强调辨证取穴、粗针重刺、长针深刺,温针灸助阳,泻机关之水; 遣方用药主以调身通痹方及温肾通痹方随证加减。
Abstract:
Cheng Shaodan believes that the core pathogenesis of refractory knee osteoarthritis lies in the deficiency of kidney Yang,resulting in insufficient driving force,which leads to the retention of body fluids and affliction of the sinew channels with spasmodic pain.The key to treatment is to warm Yang and promote diuresis,forming an integrated approach of acupuncture and pharmacotherapy to warm Yang and promote water metabolism.The acupuncture implements inherit the silver needles and elongated needles of the Lu-style orthopedics from the eight great Shanghai orthopedic schools.The acupuncture techniques emphasize syndrome differentiation in selecting acupoints,forceful pricking with thick needles,deep insertion with long needles,and warming moxibustion to support Yang,as well as draining pathogenic fluid from the joints.The prescribed medication primarily consists of body-regulating and obstruction-clearing formulas,as well as kidney-warming and obstruction-clearing formulas,with modifications according to the specific syndrome.

参考文献/References:

[1] 李博,何伟珍,孔卫红,等.关节腔内注射海兰G-F20对老年难治性重度膝骨关节炎的疗效观察[J].实用老年医学,2011,25(4):295-297.
[2] KELLGREN J H,LAWRENCE J S.Radiological assessment of osteoarthrosis[J].Ann Rheum Dis,1957,16(4):494-502.
[3] 王进,徐小青,史传岗.X线引导关节腔内脉冲射频联合玻璃酸钠注射对慢性难治性膝骨关节炎的疗效观察[J].介入放射学杂志,2021,30(2):145-148.
[4] 任凯,龚晓明,刘佳,等.输液式关节冲洗并玻璃质酸钠针治疗难治性膝骨关节炎的疗效观察[J].四川医学,2015,36(1):72-74.
[5] UEMATSU H,OSAKO S,HAKATA S,et al.A double-blind,placebo-controlled study of ultrasound-guided pulsed radiofrequency treatment of the saphenous nerve for refractory osteoarthritis-associated knee pain[J].Pain Physician,2021,24(6):E761-E769.
[6] UTAMAWATIN K,PHRUETTHIPHAT O A,APINYANKUL R,et al.The efficacy of intra-articular triamcinolone acetonide 10 mg vs 40 mg in patients with knee osteoarthritis:a non-inferiority,randomized,controlled,double-blind,multicenter study[J].BMC Musculoskelet Disord,2023,24(1):92.
[7] 程少丹.银质针疗法及其操作技术[J].实用疼痛学杂志,2012,8(5):374-377.
[8] 李晓锋,莫文,胡志俊,等.施杞诊治慢性筋骨病思路与方法[J].中医杂志,2017,58(17):1453-1457.
[9] 蔡明德.试论《素问·生气通天论》对阳气的认识[J].浙江中医学院学报,1998,22(3):16-17.
[10] 张馨尹,边致远,沈醉,等.张景岳温补法论治痹证浅析[J].浙江中医杂志,2021,56(5):318-319.
[11] 王冰.黄帝内经素问[M].北京:人民卫生出版社,1963.
[12] 胡飞,李晓锋,焦亚军,等.施杞教授“法宗调衡、少阳为枢”学术思想及其临床应用探讨[J].中国中医骨伤科杂志,2021,29(6):83-84.
[13] 张介宾.景岳全书[M].北京:中国中医药出版社,1994.
[14] 程少丹,陆念祖,张天伟,等.陆氏银质针及其在骨伤科的应用[J].中国中医骨伤科杂志,2010,18(4):62-64.
[15] 刘未艾,常小荣,章海凤,等.《灵枢经·九针十二原第一》学术思想探源[J].中医药学报,2014,42(3):203-204.

备注/Memo

备注/Memo:
基金项目:上海市科委课题(19401935000,20Y21901600)
上海市“十四五”中医特色专科建设项目(ZYTSZK2-2)
上海市长宁区科委课题(CNKW20185Y12)
上海市长宁区医学硕博士创新人才基地项目(RCJD2022S03)
上海市长宁区名中医建设项目(CNMZY-2021013)
上海市长宁区青年中医医师培养项目(2021CNQNZY002)
△通信作者 E-mail:chengshaodannew@126.com
更新日期/Last Update: 2024-07-05