中医对于“痹症”的论述由来已久,首见于《黄帝内经》,后历代医家根据其病因、病机、病位、病性等对其分类众多,但总体而言,痹症有狭义、广义之分,而本文所论述骨科中的痹症,为狭义之痹,即因为外邪侵袭人体,气血经络痹阻,导致肌肉与筋骨、关节等酸麻胀痛、重着、屈伸不利,甚至关节肿大、灼热的病证;狭义痹症在临床表现上相当于西医的风湿病、风湿或类风湿性关节炎、强直性脊柱炎、膝骨性关节炎等疾病;桂枝芍药知母汤来源于《金匮要略》,近年来由于对该方的大量临床研究,在骨伤科病症上的使用成效很显著,本文就该方在痹症中的临床应用进行论述,探索作用机制,为其更好为应用临床提供理论依据。The discussion of “bi syndrome” in traditional Chinese medicine has a long history, first seen in the Huangdi Neijing. Later, many generations of physicians classified it based on its etiology, pathogenesis, location, and pathological nature, etc. Generally speaking, bi syndrome can be divided into narrow and broad senses. The bi syndrome discussed in this article in orthopedics is the narrow sense of bi, which refers to the disease caused by external pathogenic factors invading the human body, resulting in obstruction of qi, blood, and meridians, leading to soreness, numbness, distension, pain, heaviness, and difficulty in flexion and extension of muscles, tendons, bones, and joints, and even swelling and heat of joints. The narrow sense of bi syndrome is equivalent to rheumatic diseases, rheumatoid arthritis, ankylosing spondylitis, knee osteoarthritis, etc. in Western medicine. Guizhi Shaoyao Zhimu Decoction originated from Jin Kui Yao Lue. In recent years, due to a large number of clinical studies on this formula, its application in orthopedic diseases has achieved remarkable results. This article discusses the clinical application of Guizhi Shaoyao Zhimu Decoction in bi syndrome, explores its mechanism of action, and provides a theoretical basis for its better application in clinical practice.
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