高明利中医诊治骨痿释义
GAO Mingli Interprets Diagnosis and Treatment of Bone Impotence with Traditional Chinese Medicine
DOI:10.13192/j.issn.1000-1719.2019.12.008
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1.辽宁中医药大学附属医院,辽宁 沈阳 110032;
2.辽宁中医药大学,辽宁 沈阳 110032
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王丽敏, 于静, 张林, 等. 高明利中医诊治骨痿释义[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2019.12.008
WANG Limin, YU Jing, ZHANG Lin, et al. GAO Mingli Interprets Diagnosis and Treatment of Bone Impotence with Traditional Chinese Medicine[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2019.12.008
王丽敏, 于静, 张林, 等. 高明利中医诊治骨痿释义[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2019.12.008 DOI:
WANG Limin, YU Jing, ZHANG Lin, et al. GAO Mingli Interprets Diagnosis and Treatment of Bone Impotence with Traditional Chinese Medicine[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2019.12.008 DOI:
高教授根据“肾者水脏也,今水不胜火,则骨枯而髓虚,故足不任身,发为骨痿”认为,骨痿以下肢痿弱无力,难于直立,腰脊酸软等为主要表现。病机以肾阴虚内热为主,可涉及脾胃虚弱,脏腑虚实之火,亦可合并瘀血致病,临床分为肾虚骨痿、脾胃虚弱、瘀血痹阻三个证型。总结用药特点为治痿以滋肾壮骨为主,兼清虚热;以调和脾胃为辅,舒筋荣骨;重视活血化瘀,通调脉络;辨别脏腑归属,重用清热。高教授治痿,博古通今,审查病因,以辨证为本,随证加减。
Professor GAO consideres the main manifestations is that the lower limbs are too weak and impotent to stand upright and lumbar spine is weak or aching and limp according to the record in Plain Questions. It is said kidney is the organ of water, for now the water cannot prevail against fire and so the bones are withered, and the marrow empty. So the foot can not support the body, leading to bone impotence. The pathogenesis is mainly kidney Yin deficiency, producing internal heat, involving deficiency of spleen and stomach and the fire due to deficency or pathological products of the Zang-fu organs, and it also can be combined with blood stasis. Clinically, it is divided into three syndrome types, kidney deficiency, spleen and stomach deficiency, blood stasis. The characteristics of medication is nourishing kidney and strengthening bone, clearing deficiency heat at the same time and harmonizing spleen and stomach as a supplement to stretching tendon and nourishing bone, attaching great importance to promoting blood circulation to remove stasis and regulate veins, identifying the lesion of Zang-fu organs and paying attention to the application of heat-clearing method. When treating impotence, professor GAO examins the causes based on syndrome differentiation.
骨痿肾虚脾胃虚弱瘀血
bone impotencekidney deficiencyspleen and stomach deficiencyblood stasis
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