非创伤性股骨头坏死中医辨病相关古籍文献内容评析

Content Analysis of ancient literature on non-traumatic osteonecrosis of femoral head

目的通过对非创伤性股骨头坏死近现代辨证分型相关的中医古籍文献进行评价、分析,为中医治疗股骨头坏死的临床及科研决策提供可靠证据。方法采用内容分析法进行研究。结果纳入研究共143篇古籍文献,其中70篇(48.9%)提及病因病机,以肾虚寒滞、风寒湿邪、肾髓枯竭、瘀血内阻致病居多;26篇(18.2%)描述了自觉症状,骨重痛和肢节不举为主症;72篇(50.3%)涉及治疗方法,其中包括类属方药及针灸穴位。结论结合近现代辨证分型,从古文献中发掘临床辨治NONFH具有一定的规律,可用于指导临床实践。

Objective The research aims to evaluate ancient literature of Chinese medicine related with non-traumatic osteonecrosis of femoral head（ NONFH） and provide the evidences for decision-making of clinical practice. Method To study on ancient literatures of NONFH by using content analysis. Result 143 passages from Chinese ancient literatures were included in the research. Among them,70（ 48. 9%） passages prescribed the etiology and pathogenesis,like deficiency of the kidney and blood stasis. 26（ 18. 2%） passages mentioned the symptoms,like hip pain and limited range of movement; 72（ 50. 3%） passages mentioned therapies including formulas,herb and acupuncture. Conclusions Combining modern syndrome differential diagnoses,we found that the characteristics detected from ancient literature of Chinese medicine have its specific rules,which could be applied in clinical practice on NONFH.