施杞诊治慢性筋骨病思路与方法

Methods of SHI Qi in Diagnosing and Treating Chronic Tendon and Bone Disease

总结施杞教授诊治慢性筋骨病的临床经验。归纳其具体诊治思路与方法为:慢性筋骨病分早、中、晚三期论治;辨病、辨型、辨证临证三辨;看清病人、看懂病情、看出门道的诊疗三看;注重将病变的靶点、围靶点和整体证候特点相结合辨证的三点辨证;治疗过程中强调中药、手法、功法三法并施、内外兼治;倡导防治策略为未病先防、既病防变、病愈防复的防治养一体化理念。

The authors summarize Professor SHI Qi＇s clinical experience in diagnosing and treating chronic tendon and bone disease. The specific diagnosing and treating thinking and methods could be summarized as follows： 1）Three stages,which means chronic tendon and bone disease could be treated according to early,medium and late stages. 2） Three differentiations,which include differentiating disease,type and syndrome. 3） Three examining,which include seeing patient clearly,reading the disease and getting the key point. In addition,Prof. SHI emphasizes threepoint syndrome differentiation which means the combination of the lesion＇ s target,peri-target and whole syndrome characteristics differentiation. In the process of treatment,Prof. SHI emphasizes three methods combination of herb,technique and breathing technique. Both internal and external treatments should be used. Prof. SHI advocates that the control strategy should be the prevention,treatment and recuperation integration concept,including preventing disease,early treatment to prevent deterioration and preventing reoccurrence after cure.