[1]张一慧 王善庆 何星灵 张森强 熊浩△ 樊粤光 李悦.樊粤光教授基于《伤寒论》六经辨证理论治疗膝骨关节炎的经验[J].中国中医骨伤科杂志,2025,33(09):92-96.[doi:10.20085/j.cnki.issn1005-0205.250918]
 ZHANG Yihui WANG Shanqing HE Xingling ZHANG Senqiang XIONG Hao FAN Yueguang LI Yue.Professor Fan Yueguang's Experience in Treating Knee Osteoarthritis Based on the Theory of Syndrome Differentiation Six Meridians of the Shanghanlun[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(09):92-96.[doi:10.20085/j.cnki.issn1005-0205.250918]
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樊粤光教授基于《伤寒论》六经辨证理论治疗膝骨关节炎的经验()

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

卷:
第33卷
期数:
2025年09期
页码:
92-96
栏目:
经验交流
出版日期:
2025-09-15

文章信息/Info

Title:
Professor Fan Yueguang's Experience in Treating Knee Osteoarthritis Based on the Theory of Syndrome Differentiation Six Meridians of the Shanghanlun
文章编号:
1005-0205(2025)09-0092-05
作者:
张一慧1 王善庆1 何星灵2 张森强1 熊浩3△ 樊粤光3 李悦3
1广州中医药大学第一临床医学院(广州,510405)
2福建中医药大学附属第二人民医院
3广州中医药大学第一附属医院
Author(s):
ZHANG Yihui1 WANG Shanqing1 HE Xingling2 ZHANG Senqiang1 XIONG Hao3△ FAN Yueguang3 LI Yue3
1The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405,China; 2The Second People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China; 3The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China.
关键词:
膝骨关节炎 六经辨证 《伤寒论》 经方 名师经验
Keywords:
knee osteoarthritis syndrome differentiation six meridians Shanghanlun classical prescriptions experience of renowned teachers
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.250918
文献标志码:
B
摘要:
膝骨关节炎是中老年常见疾病,属中医“膝痹”范涛。樊粤光教授认为膝痹病属本虚标实,因素体正虚,外邪乘虚而入侵袭人体,内外相合凝聚于关节,导致局部经络气血运行不畅,以及整体六经系统功能失调,病情发展由表入里、动态变化,强调需动态掌握病机,法于三阴三阳,临证以补益为主,驱邪为辅,早期营卫不合,重在温中驱邪、调和营卫,病情发展至脾肾阳虚,重在温阳散寒、通络止痛,重视脏腑功能及卫气营血等病机的演变,及时调整用药和治疗思路,灵活运用经方。
Abstract:
Knee osteoarthritis(KOA)is a common disease in the middle-aged and the elderly,belonging to the Chinese medicine “knee paralysis”.Professor Fan Yueguang pointed out that knee paralysis disease is a deficiency of the standard,the factor body is weak,Wei Yang is not solid to cause the external evil to take advantage of the weakness of the invasion of the human body,internal and external cohesion in the joints,resulting in local meridians and Qi and blood run poorly,as well as six meridian system under the dysfunction of the disease,the condition develops from the surface into the inside,the dynamic changes,stressing the need to dynamically grasp the mechanism of the disease,the method of the Yin and Yang,the clinical evidence in order to tonic based on repellent and supplemented by the drive of the evil,the early Ying and Wei are not in line with the emphasis on warming the Yang.In the early stage of the disease,emphasis is placed on warming the Yang and dispelling the evil spirits and regulating the Yin and Yang,and when the disease develops into spleen and kidney Yang deficiency,emphasis is placed on warming the middle and dispersing the cold,and clearing the channels to alleviate the pain.

参考文献/References:

[1] 中华医学会风湿病学分会.骨关节炎诊疗规范[J].中华内科杂志,2022,61(10):1136-1143.
[2] HUNTER D J,BIERMA-ZEINSTRA S.Osteoarthritis[J].Lancet,2019,393(10182):1745-1759.
[3] 李满意,娄玉钤.骨痹的源流及相关历史文献复习[J].风湿病与关节炎,2014,3(12):59-68.
[4] 李姗姗,谭颖颖,赵星晨,等.论“十一灸经”到“六经辨证”经络演变过程[J].辽宁中医药大学学报,2020,22(4):75-78.
[5] 杨金亮,季然,齐文升.《伤寒论》六经实质与六经病[J].中医学报,2019,34(1):35-38.
[6] 刘江涛,臧云彩,谢秋利,等.《伤寒论》“六经”“六病”辨考[J].河南中医,2023,43(7):973-977.
[7] 夏聪敏,许波,陈帅,等.膝骨关节炎六经辨治思路探讨[J].山东中医杂志,2020,39(2):113-117.
[8] 曾建春,林梓凌,曾意荣,等.樊粤光应用虫类药物治疗退行性骨关节炎经验[J].广州中医药大学学报,2021,38(8):1718-1721.
[9] 李建军.孙呈祥教授治疗膝关节骨性关节炎经验介绍[J].现代中医临床,2017,24(5):40-43.
[10] 陈亦人.论《伤寒论》的特色与优势[J].国医论坛,1996,11(1):1-2.
[11] 杨雷,杨少锋.杨少锋教授应用桂枝新加汤治疗颈椎病验案举隅[J].亚太传统医药,2020,16(4):96-97.
[12] 时振声.对《伤寒论》174~178条的看法[J].北京中医,1984(2):47.
(收稿日期:2024-09-01)

备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目(81774336)
广东省中医药局科研项目(20231163,20231062)
通信作者 E-mail: 541553027@qq.com
更新日期/Last Update: 2025-09-15