结合叶天士治痹症思想对类风湿性关节炎伴骨髓水肿治疗的现代研究
A Modern Study on the Treatment of Rheumatoid Arthritis with Bone Marrow Edema by Combining the Ideas of Ye Tianshi in Treating Paralysis

在骨科疾病的广泛谱系中，骨髓水肿(BME)是一个不容忽视的现象，它通常表现为剧烈的疼痛感，对患者的生活质量产生严重影响。随着中国社会老龄化的趋势不断加剧，骨关节炎伴骨髓水肿的患者群体逐渐扩大，许多患者因此饱受病痛的困扰。然而，在现代医学领域中，BME的发病机制尚未完全清晰，并且目前还没有专门注册的特效药物来治疗这一疾病。针对这一现状，临床实践显示，中医药在抗风湿药物治疗领域的应用，为BME患者带来了显著的疼痛缓解和症状改善，同时也有助于延缓疾病的进展。这一发现使我们不禁重新审视传统中医温病学中关于痹症的治疗思想。痹症在中医理论中，与类风湿性关节炎(RA)等风湿性疾病有着密切的联系。因此，深入研究温病学中痹症的治疗思想，对于类风湿性关节炎伴骨髓水肿的临床治疗具有重要的参考价值和指导意义。
In the broad spectrum of orthopedic diseases, bone marrow edema (BME) is a phenomenon that should not be ignored, which usually manifests itself as a severe pain sensation and has a serious impact on patients’ quality of life. With the increasing trend of aging in Chinese society, the patient population of osteoarthritis with bone marrow edema is gradually expanding, and many patients suffer from the disease as a result. However, the pathogenesis of BME has not been fully clarified in modern medicine, and there are currently no specific drugs registered for the treatment of this disease. In response to this situation, clinical practice has shown that the application of TCM in the field of anti-rheumatic drug therapy has brought significant pain relief and symptomatic improvement to patients with BME, as well as helping to slow down the progression of the disease. This finding makes us revisit the idea of treatment of paralysis in traditional Chinese medicine (TCM) warming theory. Paralysis is closely associated with rheumatic diseases such as rheumatoid arthritis (RA) in TCM theory. Therefore, an in-depth study of the therapeutic ideas of paralysis in warm pathology has important reference value and guiding significance for the clinical treatment of rheumatoid arthritis with bone marrow edema.