摘要: 临床实践中,结合老年人阳虚体质特征及中医理论,老年膝骨性关节炎(knee osteoarthritis,KOA)早期病位在肺卫,以风寒湿侵及肌表,营卫不和为病变特点,治疗以桂枝汤合真武汤加减为主;中晚期以脾肾阳虚,阳明腑气不通,夹杂寒湿、痰浊、瘀血等为病变特点,治疗以金匮肾气丸合小承气汤加减及甘草附子汤合大柴胡汤加减为主,尤其在KOA老年人中晚期治疗中提出“顾护脾胃、以攻为补、以通为用、温阳与攻下并用”的治疗特色,可明显减轻老年人膝关节疼痛及改善活动,截断病程进展,临床值得探讨。
HUANG et al. (Sun,) studied this question.
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