基于“久病入络”理论论治股骨头坏死

Treatment of Osteonecrosis of the Femoral Head Based on the Theory of "Pathogen Intruding into Collateral in Protracted Disease"

以叶天士“久病入络”理论为基石,以中医辨证论治为纲领,分析股骨头坏死的病因病机,认为肝脾肾亏虚为本,气滞血瘀痰阻为标“,久病入络”是股骨头坏死的中医病因病机。在此基础上,以络病理论为指导,分析“久病入络”理论在股骨头坏死中的应用,认为采用活血通络、络虚通补的治疗方法,可以为股骨头坏死的中医保守治疗提供新的探索角度。

Taking Ye Tianshi's"pathogen intruding into collateral in protracted disease"theory as the foundation,syndrome differentiation and treatment as the framework,the paper analyzes the cause and pathogenesis of osteonecrosis of the femoral head(ONFH),it is believed that the depletion of liver,spleen and kidney is the root cause,Qi stagnation,blood stasis and phlegm obstruction as the superficial one,"pathogen intruding into collateral in protracted disease"is the cause and pathogenesis of ONFH.On this basis,guided by collateral disease theory,the paper analyzes the application of the theory in ONFH,it is believed that activating blood and dredging collateral,purgation and tonifying because of deficiency of collateral adopted as therapeutic method,could provide new exploration perspectives for TCM conservative therapy of ONFH.