湖南中医药大学学报2026，Vol.46Issue(3)：628-634,7.DOI:10.3969/j.issn.1674-070X.2026.03.027
王宏坤基于"本痿标痹"论治膝骨关节炎的临证经验
WANG Hongkun's clinical experience in treating knee osteoarthritis based on the theory of"root-wei-flaccidity and manifestation-bi-impediment"
摘要
Abstract
This paper summarizes the clinical experience of Professor WANG Hongkun in treating knee osteoarthritis(KOA).Professor WANG proposes that the core pathogenesis of KOA is"root-wei-flaccidity and manifestation-bi-impediment,"which means that the root cause lies in liver and kidney deficiency along with qi and blood insufficiency,while the manifestations involve pathogenic factors such as wind,cold,dampness,and blood stasis obstructing the meridians.In terms of treatment,he adheres to the principle of"strengthening the wei-flaccidity condition and dispelling bi-impediment,treating both the root and manifestation simultaneously."For internal treatment,he excels in the use of medicinal pair combinations to establish a comprehensive medicine-formula system that regulates and nourishes the liver,kidney,spleen,and stomach while dispelling wind,cold,and blood stasis externally.In terms of external therapy,adhering to the principle of"equal emphasis on sinews and bones,"he applies sinew-regulating manipulation to relax the sinew accumulations around the joints,thereby promoting qi and blood circulation and smoothing joint movement.The combination of internal and external treatments works synergistically to achieve"sinew flexibility,bone alignment,and unobstructed qi and blood circulation,"yielding remarkable clinical results.A verified medical record is attached to provide clinical experience and reference for the TCM treatment of KOA.关键词
膝骨关节炎/本痿标痹/筋骨并重/扶痿祛痹/标本同治/王宏坤Key words
knee osteoarthritis/root-wei-flaccidity and manifestation-bi-impediment/equal emphasis on sinews and bones/strengthening the wei-flaccidity condition and dispelling bi-impediment/treating both the root and manifestation simul-taneously/WANG Hongkun分类
医药卫生引用本文复制引用
杨慧彩,史栋梁,任博文,王莉莎,王宏坤,武凯旋..王宏坤基于"本痿标痹"论治膝骨关节炎的临证经验[J].湖南中医药大学学报,2026,46(3):628-634,7.基金项目
河南省中医药科研专项(2025ZY3041). （2025ZY3041）
