基于“虚气留滞”理论探讨肩周炎的发病机制及论治

Discussion on the Pathogenesis and Treatment of Frozen Shoulder Based on the Theory of “Deficiency Qi Stagnation”

摘要: 肩周炎是以肩关节疼痛、活动受限为主要临床表现的一种常见退行性、炎症性病变。本病的发病机理尚未完全阐释，根据长期的临床实践，发现肩周炎的病因病机与“虚气留滞”理论相契合，故提出“虚气留滞”的病机，“虚气”主要以气虚为主，“留滞”体现在瘀血阻滞，痰湿内生，总结其论治思路重点在于“温阳化痰祛湿、补肝肾填精髓、活血化瘀通络”，以期为肩周炎提供临床治疗思路以供参考。

Abstract: Frozen shoulder is a common degenerative and inflammatory disease with shoulder joint pain and activity limitation as the main clinical manifestations. The pathogenesis of this disease has not been fully elucidated. According to long-term clinical practice, it is found that the etiology and pathogenesis of frozen shoulder are compatible with the theory of “deficiency and stagnation of qi”, therefore, the pathogenesis of “deficiency and stagnation of qi” is proposed, and “deficiency and stagnation of qi” is mainly based on qi deficiency, while “stagnation of qi” is embodied in “deficiency and stagnation of qi”. Therefore, it is proposed that the pathogenesis of “deficiency and stagnation of qi” is mainly based on qi deficiency, and “stagnation of qi” is reflected in stagnation of blood stasis and phlegm-dampness, which summarizes the treatment idea focusing on “warming yang, eliminating phlegm and dispelling dampness, tonifying the liver and kidney to fill up the essence, activating blood circulation, eliminating blood stasis and clearing the collaterals” with a view to providing the clinical.