〔摘要〕 基于“清湿袭虚，病起于下”的理论，孙绍裘教授认为膝关节骨性关节炎的发病具有典型的虚实夹杂特征：虚责之肝脾不足，肾精不足；实责之外邪侵袭，其中湿为主要核心。在临床治疗中注重补益肝脾肾，填精益髓，清利湿邪。根据临床辨证以中药、针灸、理疗等多种方法相结合，内外兼治，收效颇丰。本文从病因病机、临床施治方面总结孙绍裘教授治疗该病的经验，并佐以验案，为该病的临床治疗提供参考。

    〔关键词〕 膝关节骨性关节炎；膝痹；清湿袭虚；临床经验；针药结合；孙绍裘

    〔中图分类号〕R274" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2025.03.027

    SUN Shaoqiu's experience in treating knee osteoarthritis based on the theory of \"When dampness invades a weakened body， disease arises from the lower body portion\"

    HE Hua， SUN Shaoqiu， DONG Dali*

    The Second Hospital of Hunan University of Chinese Medicine， Changsha， Hunan 410005， China

    〔Abstract〕 Based on the theory of \"When dampness invades a weakened body， disease arises from the lower body portion\"， Professor SUN Shaoqiu believes that the occurrence of knee osteoarthritis (KOA) has typical characteristic of mixed deficiency and excess. The deficiency is attributed to weakness of liver and spleen， and insufficiency of kidney essence; the excess is attributed to the invasion of exogenous pathogens， among which dampness is the core. In clinical treatment ......