通讯作者: 段建辉, ZYYdjianhui@163.com

DOI：10.12201/bmr.202608.00044

Experience of Duan Jian?hui in Treating Knee Osteoarthritis Complicated with Chronic Medial Collateral Ligament Injury Based on the Theory of Simultaneous Regulation of Cold?Heat

• 摘要：膝骨关节炎合并内侧副韧带慢性损伤是临床高发且易被单一论治的筋骨同病疾患。段建辉教授结合中医理论与自身30年骨伤临证经验，提炼本病“肝肾亏虚为本，寒湿瘀热互结为标”的寒热错杂核心病机，引入“寒热同调、内外兼治”理论，构建“寒热同调、内外兼治、筋骨并重”的特色诊疗体系，形成选用经方桂枝芍药知母汤加减内服、改良院内祖传膏药外敷的两大特色诊疗内容,临床收效显著。该诊疗思路弥补了常规疗法寒热失衡、筋骨分治割裂的短板，用药简便，适合基层骨伤临床推广应用。

  关键词： 膝骨关节炎；内侧副韧带慢性损伤；寒热同调；内外兼治；桂枝芍药知母汤；名医经验; ; ; ; ; 

   

  Abstract: Numerous clinical studies have focused on isolated knee osteoarthritis. However, few special summaries of renowned?physician experience are available for knee osteoarthritis complicated with chronic medial collateral ligament injury, a common compound disease involving both tendons and bones. Combining traditional Chinese medicine theories with 30?year clinical practice in orthopedics and traumatology, Professor Duan Jian?hui concludes that the core pathogenesis of this disease is cold?heat complex syndrome, with liver?kidney deficiency as the root cause and intermingled cold stagnation and stasis?heat as the secondary manifestation. According to such pathogenesis, he introduces the TCM theory of simultaneous regulation of cold?heat and establishes a characteristic diagnosis?treatment system featured by “simultaneous regulation of cold?heat, equal attention to tendons and bones, and combined internal?external therapy”. Clinically, the modified classical prescription Guizhi Shaoyao Zhimu Decoction is orally administered to harmonize systemic cold and heat, soften tendons and strengthen bones. The improved ancestral hospital?made plaster is applied topically to dredge local meridian obstruction due to stasis?bi. Health education and standardized knee?joint rehabilitation exercises are adopted as adjuvant interventions, achieving satisfactory clinical efficacy. This therapeutic strategy overcomes the drawbacks of cold?heat imbalance and separated management of tendons and bones existing in conventional therapies. With simple medication and favorable safety profile, it is worthy of clinical promotion in primary?level orthopedics and traumatology.

  Key words: knee osteoarthritis; chronic medial collateral ligament injury; theory of simultaneous regulation of cold?heat; cold?heat complex syndrome; Guizhi Shaoyao Zhimu Decoction; experience of renowned TCM physicians

  提交时间：2026-08-24

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• 序号	提交日期	编号	操作
  1	2026-08-09	10.12201/bmr.202608.00044V1	下载

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