基于“髓系骨病”理论论治膝骨关节炎

Treating knee osteoarthritis based on the ‘myeloid bone disease’ theory

浙派中医骨伤学家在中医经典理论"肾主骨生髓"的基础上,着重探讨了奇恒之腑"髓"对骨伤科疾病的影响;并通过一系列理论、基础及临床研究,创新性地提出"髓系骨病"概念;总结性得出"诸骨病萎,皆属于髓",同时创立了此类疾病调髓法的治疗原则。膝骨关节炎是一种常见的慢性退行性骨关节疾病,是该理论体系中重要的一类分支。文章阐述了"髓系骨病"理论的构建过程,运用此理论探讨了膝骨关节炎的病因病机及其辨证论治,以期为中医药治疗中医骨病提供一些新思路,为其理论发展和临床实践提供新方向。

Based on the classical theory that ‘the kidney dominates bone and produces marrow’, Zhejiang school orthopedics and traumatologists focused on the influence of extraordinary fu-viscera ‘marrow’ on orthopedic diseases. Through a series of theoretical, basic and clinical research, the concept of ‘myeloid bone disease’ was put forward innovatively. It was concluded that all bone diseases were caused by pathology of marrow, and the treatment principle of marrow regulating method for such diseases was established. Knee osteoarthritis is a common chronic degenerative bone and joint disease, and it is an important branch of the theoretical system. This article describes the construction process of the ‘myeloid bone disease’ theory, using this theory to explore the etiology, pathogenesis, syndrome differentiation and treatment of knee osteoarthritis, in order to provide some new ideas for the treatment of bone disease with traditional Chinese medicine and direction for the theoretical development and clinical practice.