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谭开云,龚志贤,邝高艳,卢敏.卢敏教授基于瘀毒虚理论和平衡法治疗风寒湿痹型膝痹病经验[J].湖南中医药大学学报,2018,38(12):1421-1423[点击复制] |
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卢敏教授基于瘀毒虚理论和平衡法治疗风寒湿痹型膝痹病经验 |
谭开云,龚志贤,邝高艳,卢敏 |
(湖南中医药大学第一附属医院, 湖南 长沙 410007) |
摘要: |
卢敏教授根据"瘀、毒、虚"致病机制采用独活寄生汤加减内服配合舒筋活络外敷包外敷,治疗风寒湿痹型膝痹以达祛风除湿、调畅气血和补益肝肾的功效;外科手术主要从软组织平衡和力线传导着手,以恢复肢体关节平衡运动为目标,采用的手术方式有膝关节镜下韧带修复和重建、胫骨高位截骨矫形、单髁置换和膝关节置换术等。所有的治疗都围绕平衡的主线开展,治疗后患者肢体功能得到恢复,生活质量不断提高。 |
关键词: 膝痹病 风寒湿痹 独活寄生汤 软组织平衡 卢敏 |
DOI:10.3969/j.issn.1674-070X.2018.12.015 |
投稿时间:2018-09-07 |
基金项目:国家自然科学基金项目(81574004)。 |
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Professor Lu Min's Experience in the Treatment of Wind-Cold-Dampness Knee Arthralgia Based on Stasis-Toxin-Deficiency Theory and Balance Method |
TAN Kaiyun,GONG Zhixian,KUANG Gaoyan,LU Min |
(The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
Abstract: |
Based on the stasis-toxin-deficiency pathogenesis, Professor Lu Min uses oral administration of modified Duhuo Jisheng Decoction combined with external application of Shujin Huoluo Package in the treatment of wind-cold-dampness knee arthralgia, in order to dispel pathogenic wind, dampness, and cold, activate and harmonize Qi-blood, and tonify the liver and the kidney. Surgical operation focuses on soft tissue balance and line of force and aims to restore balanced motion of limb joints, and commonly used surgical procedures include knee arthroscopic ligament repair and reconstruction, high corrective tibial osteotomy, unicompartmental knee arthroplasty, and knee arthroplasty. All treatment methods focus on balance and aim to achieve a satisfactory outcome by restoring limb function and improving quality of life. |
Key words: knee arthralgia wind-cold-dampness arthralgia Duhuo Jisheng Decoction soft tissue balance Lu Min |
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