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何花, 孙绍裘, 董大立.孙绍裘基于“清湿袭虚，病起于下”论治膝关节骨性关节炎经验[J].湖南中医药大学学报英文版,2025,45(3):558-562.[Click to copy
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| 孙绍裘基于“清湿袭虚，病起于下”论治膝关节骨性关节炎经验 |
| 何花,孙绍裘,董大立 |
| (湖南中医药大学第二附属医院, 湖南 长沙 410005) |
| 摘要: |
| 基于“清湿袭虚，病起于下”的理论，孙绍裘教授认为膝关节骨性关节炎的发病具有典型的虚实夹杂特征：虚责之肝脾不足，肾精不足；实责之外邪侵袭，其中湿为主要核心。在临床治疗中注重补益肝脾肾，填精益髓，清利湿邪。根据临床辨证以中药、针灸、理疗等多种方法相结合，内外兼治，收效颇丰。本文从病因病机、临床施治方面总结孙绍裘教授治疗该病的经验，并佐以验案，为该病的临床治疗提供参考。 |
| 关键词: 膝关节骨性关节炎 膝痹 清湿袭虚 临床经验 针药结合 孙绍裘 |
| DOI：10.3969/j.issn.1674-070X.2025.03.027 |
| Received:October 10, 2024 |
| 基金项目:第七批全国老中医药专家学术经验继承工作项目；湖南省中医药科研计划项目（B2024078）；湖南省中医药科研计划重点项目（C2022031）；湖南省自然科学基金项目（2025JJ80903，2025JJ80920）；长沙市自然科学基金项目（kq2208196）；湖南中医药大学科研基金项目（2021XJJJ055）。 |
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| SUN Shaoqiu's experience in treating knee osteoarthritis based on the theory of “When dampness invades a weakened body, disease arises from the lower body portion” |
| HE Hua, SUN Shaoqiu, DONG Dali |
| (The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410005, China) |
| Abstract: |
| Based on the theory of "When dampness invades a weakened body, disease arises from the lower body portion", Professor SUN Shaoqiu believes that the occurrence of knee osteoarthritis (KOA) has typical characteristic of mixed deficiency and excess. The deficiency is attributed to weakness of liver and spleen, and insufficiency of kidney essence; the excess is attributed to the invasion of exogenous pathogens, among which dampness is the core. In clinical treatment, it is important to focus on tonifying the liver, spleen and kidney, replenishing essence and marrow as well as clearing and draining dampness. According to the pattern differentiation, a combination of various methods such as Chinese medicines, acupuncture, and physiotherapy should be used to treat both the internal and external aspects, which has proven to be quite effective. This paper summarized Professor SUN's experience in treating this disease from the perspectives of etiology, pathogenesis, and clinical treatment. A proven medical case is also provided as reference for clinical treatment of this disease. |
| Key words: knee osteoarthritis knee impediment dampness invading a weakened body clinical experience combination of acupuncture and medication SUN Shaoqiu |
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