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基于《金匮要略》痹证论探讨骨关节炎的治疗
谢文俊1, 沈遨飞1, 杨锋1, 杨冯春1, 龙欢1, 邵敏2, 姜涛3
1.广州中医药大学第三临床医学院,广州 510080;2.广州中医药大学第三附属医院,广州 510145;3.广东省第二中医院,广州 510030
摘要:
骨关节炎属中医“痹证”范畴。痹证是骨科最常见的疾病之一,其发病率较高,但可防可控可治的一类疾病。《金匮要略》中多个章节可见关于痹证的描述,上承《黄帝内经》,下启后世,内容精深简要,辨证精确入微,立法方药严谨,至今对临床实践具有重要的指导意义。本文基于《金匮要略》痹证理论来探讨骨关节炎的起源、病因病机、治则治法及辨证分期治疗,以期对临床实践有所裨益。
关键词:  金匮要略  痹证  骨关节炎  病因病机  治疗
DOI:10.11656/j.issn.1673-9043.2022.04.05
分类号:R255.6
基金项目:广东省医学科学技术研究基金项目(A2021463);广东省基础与应用基础研究基金自然科学基金面上项目(2114050001164)
Discussion on the treatment of osteoarthritis based on the theory of arthralgia in the Synopsis of the Golden Chamber
XIE Wenjun1, SHEN Aofei1, YANG Feng1, YANG Fengchun1, LONG Huan1, SHAO Min2, JIANG Tao3
1.The Third School of Clinical Medicine, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510080, China;2.The Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510145, China;3.Guangdong Second Hospital of Traditional Chinese Medicine, Guangzhou 510030, China
Abstract:
Osteoarthritis belongs to the category of "arthralgia" in traditional Chinese medicine of the motherland. Arthralgia syndrome is one of the most common diseases in orthopedics, with a high incidence. In the Synopsis of the Golden Chamber, you can see the description of arthralgia syndrome in many chapters, inheriting the Yellow Emperor's Internal Classic, and enlightening later generations. The content is intensive and concise, the dialectical is precise, and the legislative prescriptions are rigorous. So far, it has important guiding significance for clinical practice. This article discussed the origin, etiology and pathogenesis of osteoarthritis based on the theory of arthritis in the Synopsis of the Golden Chamber, with a view to benefiting clinical practice.
Key words:  Synopsis of the Golden Chamber  arthralgia  osteoarthritis  etiology and pathogenesis  treatment
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