石瑛主任医师以气血论治骨伤疾病的临床经验探析

Clinical Experience of Chief Physician Shi Ying in Treating Orthopedic Diseases Based on Qi and Blood Theory

摘要: 上海石氏伤科第五代嫡系传人石瑛主任医师，传承石氏伤科“气血为骨伤根本”的核心思想，结合数十年临床实践与现代医学认知，构建了“以气血辨证为纲、调理气血为核心、兼顾脏腑协同”的骨伤疾病诊疗体系。本文从理论溯源、核心病机、治则治法、用药特色及验案解析五个维度，系统阐释石瑛主任以气血论治的学术思想，其中黄芪为调理气血的关键药物，融入整体气血论治体系，而非单一核心主轴，突出以气血为纲领、多药协同、辨证加减的学术特点，为中医骨伤科临床提供清晰的“气血论治”思维范式与实践参考。

Abstract: Chief Physician Shi Ying, the direct descendant of the 5th generation of Shi’s Traumatology in Shanghai, inherits the core ideology of “Qi and blood being the foundation of bone injuries” from Shi’s Traumatology. Integrating decades of clinical practice with modern medical knowledge, he has established a diagnosis and treatment system for orthopedic injuries “taking syndrome differentiation of qi and blood as the guideline, regulating qi and blood as the core, and coordinating the zang-fu organs”. This paper systematically expounds the academic thought of Director Shi Ying in treating orthopedic diseases from the perspective of qi and blood theory from five dimensions: theoretical origin, core pathogenesis, therapeutic principles, medication characteristics, and case analysis. In this system, Astragalus membranaceus is a key herb for regulating qi and blood, integrated into the overall treatment system, not as a single core principal drug, highlighting the academic characteristics of taking qi and blood as the guideline, multi-herb coordination and syndrome differentiation. It provides a clear thinking paradigm and practical reference of “treatment based on qi and blood theory” for clinical practice in TCM orthopedics and traumatology.