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经方四逆散加味治疗肝脾气郁型膝痹病验案一则

A case of Jiawei Sini San in the treatment of liver tantrum type of knee arthralgia
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摘要 膝关节骨性关节炎中医称为膝痹病,病机为风、寒、湿、热等邪气闭阻经络,影响血气运行,临床常见证型包括风寒湿痹,风湿热痹,瘀血痹阻及肝肾亏虚。然而因患者体质及发病诱因不同,也可见其他证型。若素体肝郁脾虚,经脉失于濡养,兼暴怒后肝气横逆,气滞痹阻经络诱发膝痹病,其症状可见膝痛难忍,但肿胀不明显。证属肝脾气郁证,治疗时可不用外治法,而予内服四逆散加味,以疏肝理脾,通利关节,可见速效。 Knee osteoarthritis is called knee arthralgia by traditional Chinese medicine,the pathogenesis is wind,cold,wet,hot and other evil qi blocking meridians,it influences blood gas operation,the clinical common witness type including anemofrigid-damp arthralgia,rheumatism heat arthralgia and deficiency of liver and kidney.However,because of the patients'physique and pathogenesis are different,other syndrome types can also be seen.If people usually stagnation of liver-qi with deficiency of the spleen,lost in nourishing the meridians and transverse invasion of hyperactiver liver-qi after the rage,qi stagnation obstruction of the meridian induces knee arthralgia.The symptoms are painful,but the swelling is not obvious.The syndrome belongs to the liver and spleen qi depression syndrome,the treatment may not need the external treatment method,to take Jiawei Sini San,soothing the liver and spleen,easing joint movement,the quick results can be seen.
作者 任毅 Ren Yi(Department of Traditional Chinese Medicine,Xia Wa Fang Street Community Health Service Centre of Hexi District,Tianjin City 300202)
出处 《中国社区医师》 2020年第11期108-108,110,共2页 Chinese Community Doctors
关键词 膝痹病 膝关节骨性关节炎 肝脾气郁证 四逆散 Knee arthralgia Osteoarthritis of knee joint Liver and spleen qi depression syndrome Sini San
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