韦贵康教授经方“痛安汤”联合手法治疗膝骨关节炎经验浅谈

Professor Wei Guikang’s Experience in Treating Knee Osteoarthritis with “Tong’an Decoction” Combined with Manipulation

摘要: 膝骨关节炎(Knee Osteoarthritis, KOA)是一种以膝关节退行性改变为核心病理改变的慢性骨伤科疾病，主要体现为膝关节软骨磨损、退变、骨质增生、骨赘形成、滑膜炎症及关节功能障碍，其临床症状主要表现为膝关节疼痛、僵硬、肿胀、膝关节摩擦音(感)及关节活动受限，甚至伴发膝关节畸形，严重影响患者的生存能力和生活质量。文章探讨了国医大师韦贵康教授用经验方“痛安汤”与韦氏手法相结合治疗KOA的学术经验。内外兼顾，筋骨并重，中药内服注重“活血化瘀，行气止痛”，手法治疗以“顺生理反病理”为治疗原则。通过总结国医大师韦贵康教授运用“痛安汤”结合手法治疗KOA的经验特点，以期为临床上中医药治疗KOA开拓治法和思路。

Abstract: Knee Osteoarthritis (KOA) is a chronic orthopedic disease with degenerative changes of the knee joint as the core pathological change. It is mainly manifested as knee cartilage wear, degeneration, bone hyperplasia, osteophyte formation, synovial inflammation, and joint dysfunction. Its clinical symptoms are mainly knee pain, stiffness, swelling, knee joint friction (sensation), and joint activity limitation, and even accompanied by knee joint deformity, which seriously affects the patient’s survival ability and quality of life. This paper discusses the academic experience of Professor Wei Guikang’s experience prescription “Tong’an Decoction” combined with Wechsler’s manipulation in the treatment of KOA. Both inside and outside, both bones and muscles, oral administration of traditional Chinese medicine pay attention to “promoting blood circulation and removing blood stasis, promoting qi and relieving pain”, and manual treatment takes “following physiology and opposing pathology” as the treatment principle. By summarizing the experience of Professor Wei Guikang, a master of traditional Chinese medicine, in the treatment of KOA with “Tong’an Decoction” combined with manipulation, the aim is to open up treatment methods and ideas for the clinical treatment of KOA with traditional Chinese medicine.