健脾除湿法治疗膝骨性关节炎的理论探讨

Treating knee osteoarthritis by the Jianpi Chushi therapy

中医学一般认为膝骨性关节炎的主要病机为肝肾亏虚、痰瘀阻滞,治疗以补肾柔肝为主,兼以祛痰活血。结合文献研究及临床实践,通过对"脾与筋、肉、骨的关系理论"、"脾虚、湿盛与痹症的关系理论"以及"脾与骨质增生的关系理论"三方面探讨,本文提出脾脏功能失常是导致本病的重要原因及先决因素,远早于肝肾亏虚阶段,故而提出本病虽病在肾,但关乎于脾,健脾除湿是治疗骨性关节炎的重要方法,而非单纯补肾。

TCM believed that the main pathogenesis of knee osteoarthritis is related with liver and kidney deficiency, phlegm and blood stasis block, treatment should give priority to kidney and liver, and eliminating phlegm blood. Based on literature research and clinical practice, this paper supports the spleen dysfunction is one of the important causes leading to the disease and the predetermination element, far earlier in the stage of liver and kidney deficiency, and comes to the disease is at the kidney, but about the spleen, Jianpi Chushi therapy is an important approach in the treatment of osteoarthritis, rather than to simply kidney.