从“骨淤血证”论股骨头坏死

Discussion on Osteonecrosis of Femoral Head Based on Intraosseous Haemostasis Syndrome

股骨头坏死属"骨蚀""骨痹""骨痿"等范畴,以血瘀气虚为主要病机,早期病程进展快,漏诊率高,后期多需手术干预;近年来,中医药治疗股骨头坏死在理论认识、辨证论治、实验研究、临床观察等方面取得显著进步,涌现出一些新的理论和治疗策略,文章通过回顾近年来关于中医药治疗股骨头坏死最新研究进展,及多年来经验总结,提出"骨淤血证"——"郁血期""溢血期""凝血期"三期辨证理论,特作以下论述,以期为股骨头坏死的治疗提供新的方法及辨证策略。

Osteonecrosis of femoral head is bone erosion,bone rheumatism,atrophic debility of bones,qi deficiency with blood stasis is the main cause of the disease. The early development of the disease is rapid,the missed diagnosis rate is high,and the most patients need surgical operation in the later period. In recent years,many great achievements has been made in the treatment of ONFH with TCM,syndrome differentiation treatment,experiment clinical observation,some new theories and treatment strategies have been found,reviewed of the latest research progress and experience in the treatment of ONFH with TCM,we put forward 'enous stasis','venous stasis'and'coagulation'three phase of dialectical theory,providing a new method for the treatment of necrosis of the femoral head.