温经通络论治骨伤科风寒湿痹证
Warming Meridian and Dredging Collateral in Treating Wind-Cold-Dampness Arthralgia Syndrome of Orthopedics
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摘要: 骨伤科风寒湿痹证颇为多见。该证外因诸邪夹杂,内有阳气为病,邪处肢体经络。脾肾阳气为病在病机变化中尤为关键,该证治须以温为本,温振脾阳而兼解郁安神,温补肾阳不忘滋养肾阴。经络痹阻导致气血不畅和筋骨失养,疏经通络亦是重要治法,通法可根据具体证候及其病机演变,或祛邪或扶正,或相须为用,或有所侧重。温经通络治疗风寒湿痹证,应考虑年龄、体质、病程、病位等个体差异,方由证化裁,药随证配伍。Abstract: The wind-cold-dampness arthralgia syndrome is quite common in orthopedics. It believes that the external cause of the syndrome is intermingled of pathogens evils, and the internal cause is morbid Yang qi and evil lies in the body meridians. Morbid Yang qi of spleen and kidney is especially important in the pathogenesis of the disease. The treatment should be based on warmth, which can warm spleen yang, resolve constraint and calm the mind, warm kidney yang and nourish kidney yin. The meridian block leads to disharmony of qi and blood and malnutrition sinew and bone, and dredging meridian is also an important treatment. The dredging therapy can be based on the specific syndrome and its pathogenesis, or dispel pathogen or reinforce healthy qi, or combined or focus on one side. Warming meridian and dredging collateral in treating wind-cold-dampness arthralgia syndrome of orthopedics, should consider the individual differences in age, physical constitution, disease course, disease position, etc. The prescriptionis certified by the symptom, and the medicine is compatible with the symptom.
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