膝骨性关节炎的病因病机及用药分析

目的:归纳、总结膝骨性关节炎的病因病机及临证用药特点。方法:查阅、分析近年来相关文献。结果与结论:本病的主要病因病机可概括为"虚"、"邪"、"痰"、"瘀"四字,临证时应兼顾四者,并有所侧重。治疗中,应充分把握各类常用药的功效特点及优势,灵活加减;用药时,注意补气养血,顾护脾胃,增强抗病能力。各类药物中必佐通利之品方可提高疗效,且非血肉有情、搜剔经络之品不能善功,而虫类药恰性善走窜,尤能透骨搜风、剔络除邪,不可不用。此外,因本病病程长,注意情志因素,酌加疏肝行气之品。

Pathogenesis and medication analysis of Knee Osteoarthritis

Objective：Summarize pathogenesis and the clinical medication features of Knee Osteoarthritis（KOA）, Review the best TCM therapy. Methods：Search and analyze relevant literature in recent years. Results and Conclusions：The main pathogenesis of disease is “deficiency”,“pathogen”,“ phlegm”, “stasis”, they all should be considered. The treatment should focus on the effect of features and advantages, flexible add and subtract. Qi and blood/spleen and stomach should be paid attention for enhancing the ability of resistance;Insects drugs also can help because such drugs characterized for its channeling away, especially adept at exploiting pathogens in bone, not only flesh and blood of sentient beings can be used. In addition, due to the long course of disease, some qi-regulating medication should be better for the emotional factors.