高希言透灸法辨证治疗膝关节骨性关节炎经验OA
Gao Xiyan's Experience in Practicing Toujiu for Knee Osteoarthritis with Syndrome Differentiation
膝关节骨性关节炎的基本病因病机为正气不足,风寒湿瘀等外邪侵袭,寒湿、瘀血、痰浊等有形之邪阻滞经络,气血不能畅达或日久阴血耗伤而发病,治以温经散寒、祛瘀通络、补益气血.根据机体感邪的深浅,辨证治疗:感邪轻微,病在卫肉分,用透灸法;病在营血,脉道瘀阻,经络不通,用刺营祛瘀法配合透灸法;病程日久者,肝脾肾亏虚,用温针透灸法.
The fundamental pathogenesis of knee osteoarthritis is due to deficiency of Zheng Qi and invasion of external Evil Factors such as Wind,Cold,Dampness,and blood stasis.Tangible Evil Factors like Cold-Dampness,blood stasis,and Phlegm-Dampness ob-struct the meridians,preventing the smooth flow of Qi and blood,or over time,the depletion of Yin blood causes the disease.Treatment is based on the principles of warming the meridians and dispersing Cold,removing blood stasis and unblocking the meridians as well as tonifying Qi and blood.According to the depth of Evil Factor invasion in the body,treatment is differentiated:when the Evil Factor is mild and the disease is in the Wei and flesh layer,use the Toujiu method;when the disease is in the Ying and blood layer,with obstruc-ted meridians and impaired Qi and blood flow,use the Ciying Quyu method combined with Toujiu method;in chronic cases,with defi-ciencies of Liver,Spleen and Kidney,use the Wenzhen Toujiu method.
王栋斌;高希言;褚文明
深圳平乐骨伤科医院/深圳市坪山区中医院,广东 深圳 518000河南中医药大学第三附属医院,河南 郑州 450008||河南中医药大学,河南 郑州 450046河南中医药大学,河南 郑州 450046
医药卫生
膝关节骨性关节炎透灸法刺营祛瘀法温针透灸法高希言辨证论治
knee osteoarthritisToujiu(moxibustion of deep heat penetration)methodCiying Quyu methodWenzhen Toujiu methodGao Xiyantreatment based on syndrome differentiation
《中医学报》 2026 (6)
1139-1143,5
国家自然科学基金面上项目(82474655)河南省中医药科学研究专项课题项目(2024ZY2098)河南省中医学"双一流"创建科学研究专项项目(HSRP-DFCTCM-2023-3-14)深圳市三名工程项目(SZZYSM202108013)
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