从“少阳主骨”解析痹证发病机制

Analyzing the Pathogenesis of Bi Disease According the Theory of Shaoyang Governing Bones

痹证病机为经络阻滞,气血运行不畅。"少阳为枢",关系胆及三焦。十一脏取决于胆,胆气疏泄功能正常,肝气条达,脾胃气机通畅,三焦流畅,枢机通利,升降自如,气血功能正常。气机阻滞为"少阳主骨"致痹病机关键,气血功能失调为"少阳主骨"致痹病理基础。"少阳主骨"包括硬骨、软骨、关节、肌腱、关节囊、骨髓、脑髓、脊髓、骨膜、脑膜、椎间盘、半月板及经脉之"支"类等。临床实践证明,可以应用"少阳主骨"理论治疗痹证。

The pathogenesis of Bi disease is the blockage of meridians and Qi-blood circulation running not fluently. ＂Shaoyang pivot＂, involves bile and the Sanjiao （ triple energizer ）. According 11 viscera depending on bile, if gallbladder Qi regulates normally, liver Qi will run fluently, the functional activities of spleen and stomach will be unobstructed, Sanjiao （ triple energizer ） will be smooth, cardinal will conduce circulation, ketchup in a bottle, the function of Qi and blood will be normal. According the theory of ＂Shaoyang governing bones＂, the blockage of Qi function is the key of the pathogenesis of Bi disease, Qi-blood disharmony is the pathological basis of Bi disease. ＂Shaoyang governing bones＂ includes bones, joints, tendons, cartilage, joint capsule, bone man-ow, brain, spinal cord, periosteum, meninges, intervertebral disc, the meniscus and the class ＂branch＂ of meridians, etc. Clinical practice has proved that we can treat the syndrome of Bi disease according the theory of ＂Shaoyang governing bones＂ .