[1]王俊峰,李鑫,刘元禄,等.苏继承教授治疗滑膜炎经验撷英[J].中国中医骨伤科杂志,2025,33(08):89-91+96.[doi:10.20085/j.cnki.issn1005-0205.250817]
　WANG Junfeng,LI Xin,LIU Yuanlu,et al.Professor Su Jicheng's Experience in Treating Synovitis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(08):89-91+96.[doi:10.20085/j.cnki.issn1005-0205.250817]
点击复制

苏继承教授治疗滑膜炎经验撷英()

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

卷:
第33卷
期数:
2025年08期
页码:
89-91+96
栏目:
名老中医传承
出版日期:
2025-08-15

文章信息/Info

Title:
Professor Su Jicheng's Experience in Treating Synovitis
文章编号:
1005-0205(2025)08-0089-03
作者:
王俊峰1; 李鑫1; 刘元禄2; 孟家宁3; 苑井宽1; 尚祖鹏1; 张雷1; 苏继承1△
1海城市正骨医院(辽宁 海城,114201)
2辽宁中医药大学附属医院
3海城市中医院
Author(s):
WANG Junfeng1; LI Xin1; LIU Yuanlu2; MENG Jianing3; YUAN Jingkuan1; SHANG Zupeng1; ZHANG Lei1; SU Jicheng1△
1Haicheng Orthopedic Hospital,Haicheng 114201,Liaoning China; 2Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032, China; 3Haicheng Traditional Chinese Medicine Hospital,Haicheng 114200,Liaoning China.
关键词:
四妙散;  滑膜炎;  特色治疗;  辨证论治
Keywords:
Simiao powder;  synovitis;  special treatment;  treatment based on syndrome differentiation
分类号:
R684
DOI:
10.20085/j.cnki.issn1005-0205.250817
文献标志码:
A
摘要:
总结苏继承教授治疗滑膜炎的临床经验,苏继承教授认为滑膜炎常与脾虚、肾虚、风寒湿热之邪、湿浊和血瘀有着密切关系,滑膜炎多由于机体内在脾虚、肾虚,复感于风寒湿等外在邪气,致使邪气乘虚而入,闭阻经络、阻滞气血,从而形成正虚、湿聚、瘀阻的病机特点。苏继承教授强调湿浊内生是滑膜炎的病理基础,应将“清热利湿”的治法贯穿疾病治疗的始终,并将滑膜炎分为二期四证,遣方中以四妙散为用药之根本,注重疾病的辨证论治,急性期“清热利湿,活血化瘀”,缓解期重以“补养脾胃,滋补肾阴”,凸显了中医“急则治其标,缓则治其本”的治疗思路。
Abstract:
Summarizing Professor Su Jicheng's clinical experience in treating synovitis,Professor Su Jicheng believes that synovitis is often closely related to spleen deficiency,kidney deficiency,wind cold dampness heat evil,dampness turbidity,and blood stasis.Synovitis is often caused by internal spleen deficiency and kidney deficiency in the body,and is resensed by external evil Qi such as wind cold dampness,leading to the invasion of evil Qi,blocking meridians,and obstructing Qi and blood,thus forming the pathological characteristics of positive deficiency,dampness accumulation,and blood stasis.Professor Su Jicheng emphasized that dampness and turbidity are the pathological basis of synovitis,and the treatment method of “clearing heat and removing dampness” should be integrated into the entire process of disease treatment.Synovitis should be divided into two stages and four syndromes,with Simiao powder as the fundamental medication in the prescription.Emphasis should be placed on the diagnosis and treatment of the disease.In the acute phase,the principle is to “clear heat and dampness,and promote blood circulation to remove blood stasis”.In the remission phase,the emphasis is on “nourishing the spleen and stomach,and replenishing kidney Yin”,highlighting the traditional Chinese medicine treatment philosophy of “treating the superficial symptoms in acute conditions and addressing the underlying cause in chronic conditions”.

参考文献/References:

[1] 黄桂成,王拥军.中医骨伤科学[M].北京:中国中医药出版社,2018:89.
[2] PERRY T A,GAIT A,O'NEILL T W,et al.Measurement of synovial tissue volume in knee osteoarthritis using a semiautomated MRI-based quantitative approach[J].Magn Reson Med,2019,81(5):3056-3064.
[3] 马勇.辨证分型联合关节镜手术治疗膝关节滑膜炎68例临床观察[J].实用中医内科杂志,2014,28(3):71-73.
[4] 张宇鹏,关雪峰,刘元禄.刘元禄治疗膝骨性关节炎经验[J].辽宁中医杂志,2016,43(8):1607-1609.
[5] 范东华,王培民,梅伟.王培民教授运用温肾宣痹法治疗膝骨关节炎的经验[J].中国中医骨伤科杂志,2018,26(10):78-79.
[6] 党鹏,田杰祥,王钢,等.中医药对类风湿关节炎滑膜炎的作用机制[J].中国老年学杂志,2019,39(14):3590-3593.
[7] 刘健,万磊,黄传兵.脾虚致痹探讨[J].中华中医药杂志,2017,32(6):2440-2444.
[8] 李引刚,刘艳平,韩少锋,等.李彦民主任医师治疗膝关节滑膜炎临证用药经验拾粹[J].陕西中医,2015,36(8):1051-1053.
[9] 周学平,方樑,张硕,等.国医大师周仲瑛从肾虚络痹辨治骨关节炎经验述要[J].中华中医药杂志,2018,33(3):948-951.
[10] 沈高波,崔龙慷,张兵兵,等.骨痹饮治疗膝骨关节炎的临床疗效及对骨髓病变的影响[J].中国中医骨伤科杂志,2025,33(1):42-47.
[11] 李攀,胡志俊,唐占英,等.中药从肾论治骨质疏松症的研究进展[J].长春中医药大学学报,2022,38(4):461-466.
[12] 崔韵然,曹晓璇,苑艺,等.名老中医刘寿山治疗膝关节急性创伤性滑膜炎经验[J].中国中医骨伤科杂志,2023,31(8):75-77.
[13] 张智,张建华.中药外治法治疗膝关节滑膜炎研究进展[J].中医药临床杂志,2018,30(1):179-181.
[14] 赵瑞英,李晶,刘颖,等.湿热痹发病机制探讨[J].山东中医杂志,2016,35(7):581-583.
[15] 陈建锋,李浩,陈大伟,等.熊昌源教授治疗老年膝骨关节炎的学术经验[J].中国中医骨伤科杂志,2023,31(4):85-88.
[16] 孙贵香,郭艳幸,何清湖,等.平乐正骨动静互补平衡论:平乐正骨理论体系之平衡理论研究(三)[J].中医正骨,2012,24(11):65-69.
[17] 崔笑德,刘啸风.中药塌渍疗法治疗膝关节滑膜炎临床研究[J].中医学报,2017,32(9):1770-1773.
[18] 郭珈宜,李峰,沈素红,等.平乐正骨中药内服及外敷治疗湿热阻络型膝关节炎滑膜炎疗效观察[J].中华中医药杂志,2019,34(4):1799-1802.
[19] 张师侥,关雪峰,刘元禄.刘元禄治疗膝骨性关节炎经验撷英[J].辽宁中医杂志,2018,45(6):1159-1161.
[20] 李宁,李鼎鹏,谢兴文,等.中医外治法为主治疗膝关节滑膜炎研究概况[J].中国骨质疏松杂志,2017,23(9):1224-1231.

备注/Memo

备注/Memo:
基金项目:国家级非物质文化遗产代表性项目(IX-6中医正骨疗法(海城苏氏正骨))
“兴辽英才计划”医学名家项目(YXMJ-MZY-05)
辽派中医传承项目(辽中医药函〔2021〕1号)
2022年辽宁省应用基础研究计划项目(2022JH2/101300094)
△通信作者 E-mail:308409220@qq.com
更新日期/Last Update: 2025-08-15