通讯作者: 黄肖华, huangxiaohua1105@126.com

DOI：10.12201/bmr.202602.00041

Therapeutic Approach to Non-traumatic Osteonecrosis of the Femoral Head Based on the Theory of Deficiency-Qi Stagnation from the Perspective of Deficiency, Phlegm and Stasis

• 摘要：非创伤性股骨头坏死是骨科难治性疾病，中青年高发且致残率高，西医保守治疗缺乏特效方案，手术治疗存在诸多局限。“虚气留滞”理论作为中医病机理论的重要组成部分，阐述了“虚气”与“留滞”相互交织、互为因果的复杂关系。文章基于“虚气留滞”理论，探讨非创伤性股骨头坏死的核心病机与治法，认为该病以正气不足、肝肾亏虚为根本，气机阻滞、痰瘀化生为病情进展关键，久病入络、痰瘀互结则是病情迁延不愈原因所在。并据此确立益气扶正、滋补肝肾，疏肝理气、化痰祛瘀，活血化瘀、通络荣骨的分期辨证治疗体系，为中医药治疗非创伤性股骨头坏死提供新的视角与思路。

  关键词： 非创伤性股骨头坏死; 虚气留滞; 中医理论

   

  Abstract: Non-traumatic Osteonecrosis of the Femoral Head (NONFH) is a refractory orthopedic disease, predominantly affecting young and middle-aged adults with a high disability rate. Western medicine lacks specific conservative treatment options, and surgical treatments have multiple limitations. As an important component of Traditional Chinese Medicine (TCM) pathogenesis theory, the Deficiency-Qi Stagnation theory elaborates the complex, intertwined and mutually causal relationship between deficiency-qi and stagnation. Based on this theory, this study explores the core pathogenesis and therapeutic methods of NONFH, holding that the disease takes insufficiency of healthy qi and deficiency of liver and kidney as the root cause, qi stagnation as well as phlegm and stasis formation as the key factors promoting disease progression, and prolonged disease involving collaterals with intermingling of phlegm and stasis as the underlying cause of its intractability. Correspondingly, a stage-based syndrome differentiation treatment system is established, including replenishing qi to strengthen healthy qi and nourishing liver and kidney, soothing liver to regulate qi and resolving phlegm to remove stasis, and promoting blood circulation to unblock collaterals and nourish bones. This provides a new perspective and approach for the TCM treatment of NONFH.

  Key words: Non-traumatic Osteonecrosis of the Femoral Head; Deficiency-Qi Stagnation; Traditional Chinese Medicine theory

  提交时间：2026-02-11

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-01-20	10.12201/bmr.202602.00041V1	下载

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