李剑辨治髋关节置换术后非感染性发热经验介绍
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R249

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全国基层名老中医药专家传承工作室建设项目(国中医药人教函〔2024〕256号)


Introduction of LI Jian's Experience in Differentiating and Treating Non-Infective Fever After Hip Arthroplasty
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    摘要:

    介绍李剑教授辨治髋关节置换术后非感染性发热的临床经验。李剑教授认为,髋关节置换术后非 感染性发热属中医内伤发热范畴,其病机主要与手术创伤耗伤气血、瘀血阻滞、湿热蕴结等有关。治疗时需立 足气血阴阳辨证,辨别“本虚”之源,同时重视对手术局部血瘀阻滞及兼症的治疗,以达到标本兼治的效果, 常用方包括益气活血方、养阴清热方、清热祛湿方等,在治疗的同时,强调术后早期功能锻炼及心理疏导的重 要性。

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    Abstract:This paper introduces Professor LI Jian's clinical experience in differentiating and treating non-infective fever after hip arthroplasty. Professor LI Jian holds that non-infective fever after hip arthroplasty belongs to the category of internal injury fever in traditional Chinese medicine. Its pathogenesis is mainly related to surgical trauma consuming qi and blood,blood stasis obstruction,and damp-heat accumulation,etc. During treatment,it is necessary to base on the differentiation of qi,blood,yin and yang to identify the source of "deficiency in the root". At the same time, attention should be paid to the treatment of local blood stasis obstruction at the surgical site and concurrent symptoms to achieve the effect of treating both the root and branch. Commonly used prescriptions include Yiqi Huoxue Prescription, Yangyin Qingre Prescription,Qingre Qushi Prescription,etc. Meanwhile,the importance of early functional exercise and psychological counseling after surgery is emphasized.

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王思民,张劲锋,黄辉文,指导:李剑.李剑辨治髋关节置换术后非感染性发热经验介绍[J].新中医,2025,57(16):200-204

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  • 在线发布日期: 2025-08-26
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