从“气虚络瘀”论补阳还五汤治疗高龄性膝骨关节炎的应用

Application of Buyang Huanwu Decoction in Treating Knee Osteoarthritis in the Elderly from the Perspective of “Qi Deficiency and Collateral Stasis”

摘要: 高龄性膝骨关节炎属于中医学“骨痹”范畴。中医理论认为此病多因跌扑损伤、劳损过度及复感风寒湿邪，致气滞血瘀，血行不通，经脉失荣，故不通则痛、不荣则痛。补阳还五汤是中医治疗“骨痹”的代表方剂，其治疗高龄性膝骨关节炎疗效显著。本文主要从“气虚络瘀”理论角度，探讨补阳还五汤治疗高龄性骨关节炎的临床应用价值。

Abstract: Knee osteoarthritis in the elderly falls under the category of “Bone Impediment” in Traditional Chinese Medicine (TCM). TCM theory posits that this condition arises primarily from trauma from falls, overuse injury, and recurrent exposure to wind-cold-dampness pathogens, leading to Qi stagnation and blood stasis, obstructed blood circulation, and malnourishment of meridians. Consequently, “obstruction causes pain” and “malnourishment causes pain”. Buyang Huanwu Decoction is a representative formula for treating “Bone Impediment” in TCM, demonstrating significant efficacy in managing knee osteoarthritis in the elderly. This article explores the clinical value of Buyang Huanwu Decoction for geriatric osteoarthritis from the theoretical perspective of “Qi Deficiency and Collateral Stasis”.