[1]刘旺鑫,张起△,徐晨,等.古恩鹏教授从“中虚痿痹”论治膝骨关节炎的经验[J].中国中医骨伤科杂志,2025,33(10):89-92.[doi:10.20085/j.cnki.issn1005-0205.251018]
　LIU Wangxin,ZHANG Qi,XU Chen,et al.Professor Gu Enpeng's Experience in Treating Knee Osteoarthritis Based on the Perspective of “Middle Deficiency and Atrophy-Impediment”[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(10):89-92.[doi:10.20085/j.cnki.issn1005-0205.251018]
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古恩鹏教授从“中虚痿痹”论治膝骨关节炎的经验()

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

卷:
第33卷
期数:
2025年10期
页码:
89-92
栏目:
经验交流
出版日期:
2025-10-15

文章信息/Info

Title:
Professor Gu Enpeng's Experience in Treating Knee Osteoarthritis Based on the Perspective of “Middle Deficiency and Atrophy-Impediment”
文章编号:
1005-0205(2025)10-0089-04
作者:
刘旺鑫1; 张起2△; 徐晨1; 古恩鹏1; 赵鹏2
1天津中医药大学第二附属医院(天津,300150)
2天津市滨海新区中医医院(天津中医药大学第四附属医院)
Author(s):
LIU Wangxin1; ZHANG Qi2△; XU Chen1; GU Enpeng1; ZHAO Peng2
1The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China; 2Tianjin Binhai New Area Hospital of Traditional Chinese Medicine(Fourth Teaching Hospital of Tianjin University of Tradition
关键词:
膝骨关节炎;  中焦脾胃;  中虚痿痹;  临床经验
Keywords:
knee osteoarthritis;  spleen-stomach dysfunction of the middle Jiao;  weakness-induced arthralgia;  clinical experience
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.251018
文献标志码:
B
摘要:
总结古恩鹏教授治疗膝骨关节炎的临床经验,古恩鹏教授认为膝骨关节炎病机为“中虚痿痹”,中虚水谷不运,精气血不生,筋、骨、肉失养而痿; 气虚血少,气无血附,血无气固,气血不和,成湿、瘀、痰阻碍经络,又客于风寒湿外邪痹阻经脉,不通则痛痹证又生,终致痿痹共存,反复发作。治疗上重视调理中焦脾胃,健脾胃则精血生,水湿化,气机畅,忧思解,痿痹除。临床上重视脾之功用,分型论治,以补中益气汤灵活化裁内服为主,辅以练功和饮食调摄,治疗独到,疗效甚佳,可为中医药治疗膝骨关节炎提供参考。
Abstract:
This paper summarizes Professor Gu Enpeng's clinical experience in the treatment of knee osteoarthritis.Professor Gu Enpeng believes that the mechanism of knee osteoarthritis is due to impotence and paralysis in the deficiency,where water and grains cannot transport well,as a result,essence,gas and blood do not produce as much as they are usually needed enough,tendons,bones,flesh are becoming limpsier and limpsier because of loss of nourishment; gas deficiency causes blood to less and less,the gas cannot be attached to the blood and the blood is not fixed without the gas,gas and blood disharmony leads to the dampness,blood stasis,phlegm obstruction of the meridian,what's much more serious,the wind,cold,wet and evil including paralysis cause the blockage of the meridian,which finally causes the pain of paralysis so that our patients suffer from the illness of impotence and paralysis at the same time,and all these symptoms recurringly attacks over and over again.In the treatment,we should pay great attention to regulating the spleen and stomach of the middle energizer,strengthening the spleen and stomach can produces essence and blood while moistening water and smooth gas movement would make the feeling of sorrow catabatic,paralysis and impotence can be gradually eliminated.In clinical practice,the function of the spleen is emphasized,and the treatment is based on syndrome differentiation.Buzhongyiqi decoction is mainly used for oral administration,which is commomly supplemented by taking proper exercise and specially adjusting daily diets.The treatment is unique and the curative effect is very good,which provides a reference for the treatment of knee osteoarthritis with traditional Chinese medicine.

参考文献/References:

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(收稿日期:2025-04-16)

备注/Memo

备注/Memo:
基金项目:古恩鹏天津市名中医传承工作室建设项目
天津市教委科研计划项目(2024KJ049,2023KJ172)
天津中医药大学骨伤研究所开放课题(2024GSZ01,2024GSY03)
天津市卫生健康委员会科研课题(2023198)
天津市卫生健康科技项目(TJWJ2022QN107)
天津市卫健委中医中西医结合科研课题(2023192)
△通信作者 E-mail:qige19881117@163.com
更新日期/Last Update: 2025-10-10