范希然 苑艺 王宾

    [摘要] 膝关节滑囊炎属于中医“筋痹”“筋伤”的范畴，为膝骨关节病常见病、多发病，其病情复杂，病程较长，虚实夹杂，治疗难度较大。孙呈祥教授认为膝关节滑囊炎多因脾肾亏虚，外邪杂至，进而出现气滞血瘀，经络不通，究其根本是外邪入侵所导致的气滞血瘀。临床应注重病机、重视辨证，补虚祛邪、辨证施药、灵活配伍，以活血化瘀为法，酌用强筋健骨、祛风通络止痛、祛湿利水。本文就孙呈祥教授学术观点，予初步总结与阐释，为序贯开展的相关学术研究提供前期工作基础。

    [关键词] 孙呈祥;膝关节滑囊炎;医案;活血化瘀

    [中图分类号] R249.7 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2020)09(b)-0186-04

    [Abstract] Knee bursitis belongs to the category of “Jinbi” and “Xibi” in traditional Chinese medicine. It is a common and frequent occurring disease of knee joint. Its condition is complex， the course is long， the deficiency and excess is mixed， and the treatment is difficult. Professor Sun Chengxiang believes that knee synovitis is mostly caused by deficiency of spleen and kidney， which leads to the appearance of qi stagnation and blood stasis caused by exogenous pathogens， and the obstruction of channels and collaterals， which is fundamentally caused by exogenous pathogens. The clinic should pay attention to the pathogenesis， pay attention to syndrome differentiation， tonic deficiency and remove pathogens， syndrome differentiation and medication ......