[1]李彦,王向红,荆琳,等.张洪美运用温阳益髓方加减治疗早中期膝骨关节炎的经验[J].西部中医药,2023,36(11):61-64.[doi:10.12174/j.issn.2096-9600.2023.11.13]
　LI Yan,WANG Xianghong,JING Lin,et al.Professor Zhang Hongmei's Experience in Treating Early and Middle Knee Osteoarthritis with Modified Warming-Yang Benefiting-marrow Prescription[J].Western Journal of Traditional Chinese Medicine,2023,36(11):61-64.[doi:10.12174/j.issn.2096-9600.2023.11.13]
点击复制

张洪美运用温阳益髓方加减治疗早中期膝骨关节炎的经验
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年11期
页码:
61-64
栏目:
出版日期:
2023-11-15

文章信息/Info

Title:
Professor Zhang Hongmei's Experience in Treating Early and Middle Knee Osteoarthritis with Modified Warming-Yang Benefiting-marrow Prescription
作者:
李彦1,2, 王向红3, 荆琳1, 何名江1, 闫奇1, 王立锁1, 刘兴兴1, 赵传伟1, 张洪美1
1.中国中医科学院望京医院关节一科，北京 100102
2.中国中医科学院西苑医院，北京 100091
3.银川市中医医院外科，宁夏 银川 750001
Author(s):
LI Yan1,2, WANG Xianghong3, JING Lin1, HE Mingjiang1, YAN Qi1, WANG Lisuo1, LIU Xingxing1, ZHAO Chuanwei1, ZHANG Hongmei1
1.First Department of Joint, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China
2.Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
3.Surgical Department, Yinchuan Hospital of Traditional Chinese Medicine, Yinchuan 750001, China
关键词:
膝骨关节炎; 命门火衰; 温阳益髓方; 经验; 张洪美
Keywords:
knee osteoarthritis; fire decline of the gate of life; warming- benefiting-marrow prescription; experience
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2023.11.13
文献标志码:
A
摘要:
张洪美教授认为“命门火衰”是膝骨关节炎发生的始要病因，病性虚实夹杂，以肾虚精亏、气血不足为本，风寒湿侵袭为标，属本虚标实之证，治疗上以补肾温命门，填精益髓治本，兼祛风除湿、祛瘀通络治标，提出“温阳益髓”的中医辨证思路，拟温阳益髓方，体现了“筋骨并重”的中医治疗理念。
Abstract:
Professor Zhang Hongmei holds that "fire decline of the gate of life" is the first cause of knee osteoarthritis, the nature of the disease belongs to the mixture of deficiency and excess, with kidney deficiency and essence depletion, insufficiency of Qi and blood as the root cause, wind, cold and dampness invasion as the superficial cause, and the disease belongs to the pattern of deficiency as the root cause and excess as the superficial cause, the professor adopts invigorating kidney and warming the gate of life, supplementing essence and benefiting marrow as the treatment for the root cause, combining with dispelling wind and clearing damp, removing blood stasis and freeing collaterals as the therapy for superficial symptoms, raising TCM syndrome differentiation thinking of "warming Yang and benefiting marrow" and preparing warming-Yang benefiting marrow prescription, which embodies TCM therapeutic concept of "laying equal stress on tendon and bone".

相似文献/References:

[1]辛卓萍.针刺联合硫酸氨基葡萄糖治疗早中期膝骨关节炎临床观察[J].西部中医药,2018,31(07):102.
　XIN Zhuoping.Clinical Observation on Needling Combined with Glucosamine Sulfate in Treating Early and Moderate Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2018,31(11):102.
[2]李金溢,曾平,陈金龙,等.壮医莲花针拔罐逐瘀法治疗膝骨关节炎疗效观察[J].西部中医药,2020,33(07):73.[doi:10.12174/j.issn.1004-6852.2020.07.18]
　LI Jinyi,ZENG Ping,CHEN Jinlong,et al.Clinical Observation on Zhuang Medicine Lotus-needling， Cupping and Stasis-eliminating Method in the Treatment of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2020,33(11):73.[doi:10.12174/j.issn.1004-6852.2020.07.18]
[3]王文哲,瞿龙,张桂香.清利活血解毒汤治疗膝骨关节炎的疗效及对膝关节功能与血清CRP、MMP-1、SOD的影响[J].西部中医药,2022,35(09):107.[doi:10.12174/j.issn.2096-9600.2022.09.21]
　WANG Wenzhe,QU Long,ZHANG Guixiang.Clinical Effects of Qingli Huoxue Jiedu Tang in Treating Knee Osteoarthritis and Its Influence on Knee Joint Function, Serum CRP, MMP-1 and SOD[J].Western Journal of Traditional Chinese Medicine,2022,35(11):107.[doi:10.12174/j.issn.2096-9600.2022.09.21]
[4]李福民,李丰林,蒋自乐,等.自制“活血通络膏”联合玻璃酸钠治疗风寒湿痹型膝痹病（膝骨关节炎）的临床疗效[J].西部中医药,2021,34(07):108.[doi:10.12174/j.issn.2096-9600.2021.07.28]
　LI Fumin,LI Fenglin,JIANG Zile,et al.Clinical Effects of Selfmade “Blood-activating Collaterals-dredging Ointment” and Sodium Hyaluronate in Treating Knee Osteoarthritis of Wind-cold-damp Arthralgia Pattern[J].Western Journal of Traditional Chinese Medicine,2021,34(11):108.[doi:10.12174/j.issn.2096-9600.2021.07.28]
[5]刘晓蒙,薛明新.推拿结合针灸治疗膝骨关节炎研究进展[J].西部中医药,2021,34(03):153.[doi:10.12174/j.issn.2096-9600.2021.03.39]
　LIU Xiaomeng,XUE Mingxin.Research Progress of Massage Combined with Acupuncture in Treating Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2021,34(11):153.[doi:10.12174/j.issn.2096-9600.2021.03.39]
[6]高源洁,孙敬青,李彬,等.辅助检查在火针治疗膝骨关节炎疗效评价中的应用[J].西部中医药,2023,36(03):151.[doi:10.12174/j.issn.2096-9600.2023.03.31]
　GAO Yuanjie,SUN Jingqing,LI Bin,et al.Application of Auxiliary Examination in Efficacy Evaluation of Fire Needle Therapy in the Treatment of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2023,36(11):151.[doi:10.12174/j.issn.2096-9600.2023.03.31]
[7]崔丽,原理,马莹,等.温通针法联合补益肝肾方对急性加重期膝关节骨性关节炎患者骨代谢指标、炎症因子水平的影响[J].西部中医药,2024,37(05):16.[doi:10.12174/j.issn.2096-9600.2024.05.02]
　CUI Li,YUAN Li,MA Ying,et al.The Influence of Wentong Acupuncture Combined with Tonifying Liver and Kidney Formula on Bone Metabolism Indexes and Inflammatory Factor Levels in Patients with Acute Exacerbations of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2024,37(11):16.[doi:10.12174/j.issn.2096-9600.2024.05.02]

备注/Memo

备注/Memo:
李彦（1990—），男，在读博士研究生。研究方向：骨关节类疾病的中西医结合防治。北京市科技计划项目（Z201100005520058，Z191100006619023）；中国中医科学院科技创新工程（C12021A02005）；首都卫生发展科研专项项目（首发2020-2-4161）。
更新日期/Last Update: 2023-11-15