[1]张向北,李慧英△,孟东方,等.李慧英教授分期论治酒精性股骨头坏死经验探析[J].中国中医骨伤科杂志,2024,32(04):94-96.[doi:10.20085/j.cnki.issn1005-0205.240419]
 ZHANG Xiangbei,LI Huiying,MENG Dongfang,et al.Professor Li Huiying's Experience on Treating Alcoholic Femoral Head Necrosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(04):94-96.[doi:10.20085/j.cnki.issn1005-0205.240419]
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李慧英教授分期论治酒精性股骨头坏死经验探析()
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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04期
页码:
94-96
栏目:
经验交流
出版日期:
2024-04-01

文章信息/Info

Title:
Professor Li Huiying's Experience on Treating Alcoholic Femoral Head Necrosis
文章编号:
1005-0205(2024)04-0094-03
作者:
张向北1李慧英2△孟东方2余鹏1刘洪飞1
1河南中医药大学(郑州,450046)
2河南中医药大学第一附属医院
Author(s):
ZHANG Xiangbei1LI Huiying2△MENG Dongfang2YU Peng1LIU Hongfei1
1Henan University of Chinese Medicine,Zhengzhou 450046,China; 2First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450046,China.
关键词:
酒精性股骨头坏死 分期论治 三补一活
Keywords:
alcoholic femoral head necrosis staged treatment Sanbuyihuo
分类号:
R681.8
DOI:
10.20085/j.cnki.issn1005-0205.240419
文献标志码:
A
摘要:
李慧英教授将酒精性股骨头坏死分为急性期、缓解期、稳定期,三期论治,病机总结为气血肾俱虚为本,湿热瘀痹阻为标。急性期对应中医证型湿热痹阻,以治标防变,以清热祛湿、通痹止痛为治法,方用四妙散加味; 缓解期对应中医证型肾虚血瘀,以标本兼治,以补肾活血为治法,方用骨坏死方内服,同时配合壮骨膏外用; 稳定期为气血肾俱虚,以补肾益气养血为治法,方用“三补一活”方颗粒剂口服。
Abstract:
Professor Li Huiying divided the alcoholic femoral head necrosis into acute stage,remission stage,stable stage,and three stages of treatment.The pathogenesis was summarized as deficiency of Qi,blood and kidney,and damp-heat stasis obstruction.The acute phase corresponds to the TCM syndrome type damp-heat arthralgia,to treat symptoms and prevent changes,to clear heat and remove dampness,Tongbi and relieve pain as treatment methods,with Simiao powder.The relief period corresponds to the TCM syndrome type of kidney deficiency and blood stasis,to treat both symptoms and root causes,tonifying kidney and promoting blood circulation as the treatment method,the osteonecrosis prescription is taken internally,and the Zhuanggu ointment is used externally.In the stable period,the deficiency of Qi,blood and kidney is taken as the treatment of tonifying kidney and Qi and nourishing blood.

参考文献/References:

[1] LAMB J N,HOLTON C,O'CONNOR P,et al.Avascular necrosis of the hip[J].British Med J,2019,365:2178.
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[9] 彭普基,龙林生,彭昊.酒精性股骨头坏死的发病机制及治疗进展[J].医学综述,2021,27(4):637-642.
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备注/Memo

备注/Memo:
基金项目:河南省中医药科学研究专项(2021JDZY009,2022JDZX123,2023ZY2029)
河南中医药大学2022年度研究生科研创新类项目(2022KYCX084)
通信作者 E-mail:lihuiying39@163.com
更新日期/Last Update: 2024-04-15