膝骨关节炎(knee osteoarthritis, KOA)是中老年人群中常见的慢性骨关节疾病,中医将其归为“痹证”范畴。近年来,中医在KOA治疗中表现出显著的疗效。随着中医治疗方法的不断丰富,为应对KOA各病程阶段和复杂病因,中医联合疗法逐渐成为主流趋势。根据治疗手段的不同,中医联合疗法包括中药联合、内外联合、外治联合及心理干预等多种模式。本文系统阐述了上述联合疗法的特点及临床优势,旨在为KOA的中医综合治疗提供实践参考,并为未来的临床研究和应用探索新方向。Knee osteoarthritis (KOA) is a common chronic osteoarthritic disease in middle-aged and elderly people, which is categorized as “paralysis” in traditional Chinese medicine (TCM). In recent years, traditional Chinese medicine (TCM) has shown remarkable efficacy in the treatment of KOA. With the continuous enrichment of Chinese medicine treatment methods, in order to cope with the various stages of KOA and its complex etiology, Chinese medicine combination therapy has gradually become the mainstream trend. Depending on the means of treatment, TCM combination therapy includes various modes such as herbal combination, internal and external combination, external treatment combination and psychological intervention. This article systematically describes the characteristics and clinical advantages of the above combination therapies, aiming to provide practical references for the comprehensive TCM treatment of KOA and to explore new directions for future clinical research and application.
笔者报道强直性肌营养不良伴腰突1例,综合四诊,用中医药补肝运脾温肾,活血舒筋通络达到筋骨并重,气血共调,内外兼治的防治目标。经过中医综合辨证保守治疗,患者临床症状好转,生活质量有效改善。One case of ankylosing muscular dystrophy with lumbar protrusion was reported, and the four diagnoses were comprehensively diagnosed, and traditional Chinese medicine was used to nourish the liver, transport the spleen and warm the kidneys, invigorate the blood, relax the tendons and channels, and achieve the prevention and treatment goals of equal emphasis on muscles and bones, co-regulation of qi and blood, and both internal and external treatment. After comprehensive dialectical treatment with traditional Chinese medicine, the patient’s clinical symptoms improved and the quality of life was effectively improved.
