从“肝肾-经筋”理论探讨骨性关节炎的综合治疗

To Discuss the Comprehensive Treatment of Osteoarthritis According to the "Liver and Kidney-Tendons" Theory

目的:依据"肝肾-经筋"理论,探讨骨性关节炎的中医分期综合治疗。方法:通过文献研究方法,以《内经》藏象、经筋理论为指导,根据"治未病"、"杂合以治"为依据,探讨骨性关节炎的分期综合治疗。结果与结论:骨性关节炎早期以局部经筋病变为主,中后期除经筋病变外,尚有脏腑病变尤其以肝、肾为主。辨证治疗在分期的基础上,采用经筋辨证和脏腑辨证,早期以外治推拿、针灸等方法为主,中后期当辨证论治内服汤药综合配合外治两种方法。通过分期综合治疗,提高治疗该病的临床疗效。

Objective：According to the “liver and kidney -tendon” theory, to discuss the TCM comprehensive treatment on prevention stages of osteoarthritis. Methods ：Through literature research methods, guided by viscera, tendons theories of Neijing,under the “disease prevention”,“ complex to cure” to discuss the basis of comprehensive staging of osteoartbritis treatment. Results and Conclusion ： Early osteoarthritis is mainly manifested by the partial tendon lesions. In the middle and advanced stage, besides the tendon lesions, there are organs diseases especially liver and kidney. The syndrome differentiation and treatment should apply tendon and zang - fu differentiation based on the stages. In the early stage, the external use of acupunction and massage showld be used as the main treatment. In the middle and advanced stage, the decoction for internal use combined with external treatment should be used. The clinical efficacy of the disease.