[1]刘科,赵浩茗,张乐,等.匡建军教授治疗膝骨关节炎经验[J].中国中医骨伤科杂志,2024,32(10):93-96.[doi:10.20085/j.cnki.issn1005-0205.241018]
　LIU Ke,ZHAO Haoming,ZHANG Le,et al.Professor Kuang Jianjun's Experience in Treating Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(10):93-96.[doi:10.20085/j.cnki.issn1005-0205.241018]
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匡建军教授治疗膝骨关节炎经验()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年10期
页码:
93-96
栏目:
经验交流
出版日期:
2024-10-15

文章信息/Info

Title:
Professor Kuang Jianjun's Experience in Treating Knee Osteoarthritis
文章编号:
1005-0205(2024)10-0093-04
作者:
刘科1; 赵浩茗1; 张乐1; 汤祖宇1; 华盛1; 熊逸啸1; 张子鸣1; 韦臻韬1; 马天翼1; 匡建军2; 3△
1湖南中医药大学(长沙,410208)
2湖南省中医药研究院
3湖南省中医药研究院附属医院
Author(s):
LIU Ke1; ZHAO Haoming1; ZHANG Le1; TANG Zuyu1; HUA Sheng1; XIONG Yixiao1; ZHANG Ziming1; WEI Zhentao1; MA Tianyi1; KUANG Jianjun2; 3△
1Hunan University of Chinese Medicine,Changsha 410208,China; 2Hunan Academy of Chinese Medicine,Changsha 410006,China; 3Affiliated Hospital of Hunan Academy of Chinese Medicine,Changsha 410006,China.
关键词:
膝骨关节炎;  痹证;  虚;  瘀;  毒;  分期论治;  名医经验
Keywords:
knee osteoarthritis;  Bi-disease;  deficiency;  static blood;  toxin;  staged treatment;  experience of renowned doctors
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.241018
文献标志码:
B
摘要:
总结匡建军教授治疗膝骨关节炎的临床经验,匡建军教授认为“虚、瘀、毒”是膝骨关节炎的关键病机。正气虚弱,邪气乘虚而入,流注于骨节,从而影响气血、阻滞经脉,使血液停滞为瘀,瘀久不通,邪气日渐累积,蕴结不解,进而产生内毒,腐蚀筋骨,使得正气更虚,瘀滞更深。匡建军教授重视气血在其中的重要作用,将益气养血贯穿治疗始终,临床依据虚、瘀、毒的不同疾病发展程度分为三期论治,早期重“调”、中期宜“通”、晚期当“清”,分别采用养气血、祛血瘀、拔邪毒的方法,应用四物汤、祛瘀通痹汤、五虎拔毒汤,同时结合患者症状特点,灵活加减用药,分期阻断、延缓病情发展。
Abstract:
This article summarizes the clinical experience of Professor Kuang Jianjun,who believes that “deficiency,static blood,toxin” is the key mechanism of knee osteoarthritis deficiency of vital Qi,pathogenic Qi takes advantage of the opportunity to enter and flow into the bones,thus affecting Qi and blood,resulting in channel blockage,stagnation of blood into stasis,stasis for a long time,pathogenic Qi accumulates and disperses,and then toxin is produced,corroding the muscles and bones.Toxin will make the vital Qi even more deficient and the stagnation even deeper.Professor Kuang Jianjun attaches importance to the role of Qi and blood,replenishing Qi and nourishing blood throughout the treatment,clinically based on the degree of development of deficiency,static blood,toxin,is divided into three phases of treatment,the early emphasis on the “adjustment”,the middle appropriate to “pass”,and in the late stage,it is necessary to “clear”,and it adopts the methods of promoting Qi and blood,removing blood stasis,and pulling out the evil toxins,and it applies the Siwu decoction and the Quyu Tongbi decoction,respectively,Wuhu Badu decoction,at the same time,combined with the characteristics of the patient's symptoms,the flexible addition and subtraction of drugs,blocking and delaying the development of the disease.

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备注/Memo

备注/Memo:
基金项目:湖南省自然科学基金项目(2023JJ60118)
贵州省科技厅基础研究项目(黔科合基础-ZK〔2022〕一般479)
中医药防治骨关节病研究中心项目(kh2201063)
△通信作者 E-mail:13786165656@163.com
更新日期/Last Update: 2024-10-05