基于脾胃中心论论治膝关节退行性病变

Treatment of Knee Degenerative Disease Based on Spleen-Stomach Center Theory

膝关节退行性病变是以膝关节疼痛、膝关节功能下降、老年人多发为主要特点的骨关节病,对老年人的生命安全和生活质量造成了严重威胁。中医药滥觞于中国人民的长期实践,对膝关节退行性病变的治疗有独特的优势。目前,中医药对膝关节退行性病变的认识主要集中在肝肾不足、寒凝血瘀等方面,不可避免的忽视了脾胃在膝关节功能发挥中的重要作用。本文基于“脾胃中心论”,分别从理论基础、临床运用和医案实例3个方面论治膝关节退行性病变,以此为膝关节退行性病变的中医认识和治疗拓展思路。

Knee degenerative disease is characterized by knee pain,knee function decline and frequent occurrence in the elderly,which poses a serious threat to the life safety and quality of the elderly.Traditional Chinese medicine originated from the long-term practice of the Chinese people and has a unique advantage in the treatment of degenerative diseases of the knee.At present,understanding of knee degenerative diseases of traditional Chinese medicine mainly focuses on liver and kidney insufficiency,cold coagulation and blood stasis,and inevitably neglects the important role of spleen and stomach in the function of knee joint.Based on“spleen-stomach centrality theory”,this paper discusses the treatment of knee degenerative diseases from three aspects,including theoretical basis,clinical application and medical cases,so as to provide traditional Chinese medicine understanding and treatment extension ideas for knee degenerative diseases.