首页|基于"态靶结合"理论探讨膝骨关节炎的辨治思路

基于"态靶结合"理论探讨膝骨关节炎的辨治思路

扫码查看
膝骨关节炎(Knee Osteoarthritis,KOA)是一种常见的骨科疾病,在中老年人群中多发,主要表现为膝关节局部疼痛及活动受限.近年来,随着中西医理论的发展,针对早、中期的KOA采取非手术治疗可有效缓解患者的疼痛,延缓软骨磨损与退化;对于晚期需手术治疗的KOA,也可采用中药口服等手段辅助治疗.仝小林院士提出一种全新的诊疗思路——"态靶辨治".其核心是将中医传统的调态理念与微观标靶互相结合,侧重点在"态"和"靶".文章基于"态靶结合"理论将KOA的"虚、瘀、毒"三种病机特点归为KOA之"态",患者所表现出的疼痛、关节僵硬、活动受限归为KOA的"症靶",关节软骨退变归为KOA之"病靶",在明确"态"和"靶"的基础上"调态""打靶".文章分析归纳了 KOA的"态靶辨证"模式,提出了KOA的分期分型治疗,同时罗列了针对KOA"靶"的用药参考,以期拓展KOA临床诊疗思路.
Discussion on differentiation and treatment ideas of knee osteoarthritis based on the theory of combination of state and target
Knee osteoarthritis(KOA)is a common orthopedic disease,which is more common in middle-aged and elderly people,and its main manifestations are local pain and limited movement of the knee joint.In recent years,with the development of traditional Chinese medicine and Western medicine theories,non-surgical treatment for early and mid-stage KOA can effectively relieve the pain of patients and delay the process of cartilage wear and degeneration.The clinical discrimination and treatment mode of"state differentiation and target treatment"proposed by Academician TONG Xiaolin is a new diagnosis and treatment idea.Its core theme is to combine the traditional tonation concept of traditional Chinese medicine with microscopic targets,focusing on state and target.Based on the theory of combination of state and target,this paper summarizes the three pathogenesis characteristics of KOA,namely deficiency,blood stasis,and toxicity,as the'state'of KOA.Pain,joint stiffness and mobility restriction shown by patients are the targets,and the degeneration of articular cartilage becomes the target of KOA.Modulating and targeting on this basis is an effective diagnosis and treatment method on KOA.This paper analyzes and summarizes the state-target combination mode of KOA,puts forward the staging and typing treatment of KOA,and lists the medication references for the target of KOA,in order to expand the ideas for the clinical diagnosis and treatment of KOA.

Syndrome differentiation and treatmentKnee osteoarthritisTraditional Chinese medicine

李慕杨、孟林、席敬琪

展开 >

广西中医药大学,广西 南宁,530001

广西骨伤医院,广西 南宁,530001

辨证论治 膝骨关节炎 中医药

广西青年岐黄学者培养项目广西中医药民族医药适宜技术推广与应用课题广西中医药重点研究室建设项目

桂中医药科教发[2022]13号GZSY23-13桂中医药科教发20239号

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(23)