基于“骨缝学说”探讨风湿骨病临床治疗研究

Clinical Study on the Treatment of Rheumatic Bone Diseases Based on the “Bone-Seam Theory”

摘要: 风湿骨病是以关节疼痛、肿胀及功能障碍为主要表现的慢性疾病，严重影响患者生活质量。传统中医“骨缝学说”认为，风寒湿邪侵袭骨缝，导致气血运行不畅，痰瘀互结，引发关节病变。本研究系统梳理“骨缝学说”的理论基础，深入探讨其在风湿骨病发病机制中的作用，并基于该学说提出创新性的临床治疗策略，重点采用“黄氏玉容”非遗特色疗法(包括外用见康安通液经络导入疗法与内服气血调理方)进行内外同治。通过文献分析及临床实践证实，“开泄骨缝”为核心的治疗理念，结合“黄氏玉容”内外治法，可显著改善患者临床症状，促进关节功能恢复。本研究为风湿骨病的精准化、靶向化治疗提供了新思路和理论依据，并展示了特色疗法的临床价值。

Abstract: Rheumatic bone diseases are chronic conditions characterized by joint pain, swelling, and functional impairment, significantly affecting patients’ quality of life. According to the traditional Chinese medicine “Bone-Seam Theory”, wind, cold, and dampness pathogens invade the bone seams, leading to obstructed qi and blood circulation, phlegm-stasis interconnection, and subsequent joint pathology. This study systematically reviews the theoretical foundation of the “Bone-Seam Theory”, explores its role in the pathogenesis of rheumatic bone diseases, and proposes innovative clinical treatment strategies based on this theory. Emphasis is placed on the internal and external combined therapy using the intangible cultural heritage “Huangshi Yurong” characteristic methods, including external meridian penetration with Jiankang Antong Liquid and internal administration of the Qi-Blood Regulating Formula. Through literature analysis and clinical practice, it has been confirmed that the treatment principle centered on “unblocking bone seams,” combined with the “Huangshi Yurong” internal and external therapies, can significantly improve patients’ clinical symptoms and promote the recovery of joint function. This study provides new ideas and a theoretical basis for the precise and targeted treatment of rheumatic bone diseases and demonstrates the clinical value of characteristic therapies.