Application of Huangqi Guizhi Wuwu Decoction in Orthopaedics and Traumatology

Peng Xu, M. Tan, Mingming Wang, Yong Cheng
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Abstract

Abstract The Huangqi Guizhi Wuwu Decoction(HQGZWWT) is composed of Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix Alba), Guizhi (Cinnamomi Ramulus), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus) which has various pharmacological anti-inflammatory, analgesic, antioxidant, antitumor, lipid-lowering, and immunity-regulating activities. It has certain advantages in the treatment of orthopaedic diseases, such as cervical spondylosis, scapulohumeral periarthritis, lumbar disc herniation, knee osteoarthritis, rheumatoid arthritis, myofascial pain syndrome, etc., with outstanding clinical efficacy, few adverse reactions, and high patient compliance. However, modern pharmacological researches on the whole prescription of HQGZWWT are insufficient and the therapeutic targets are not clear which needs further exploration. Besides, this prescription cannot treat all orthopaedic diseases, so we should adhere to the thinking of four diagnostics in traditional Chinese medicine (TCM), select prescriptions based on syndrome differentiation, closely follow the pathogenesis, innovate and expand its scope of application, reflect the application advantages of this prescription in orthopaedics and traumatology and improve the total clinical efficiency.
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黄芪桂枝五物汤在骨科与创伤学中的应用
摘要黄芪桂枝五物汤(HQGZWWT)是由黄芪、芍药、桂枝、升姜、大枣组成,具有多种抗炎、镇痛、抗氧化、抗肿瘤、降脂、调节免疫等药理作用。在治疗颈椎病、肩周炎、腰椎间盘突出、膝关节骨性关节炎、类风湿关节炎、肌筋膜疼痛综合征等骨科疾病方面具有一定的优势,临床疗效突出,不良反应少,患者依从性高。然而,现代药理学对中药中药全方的研究尚不充分,治疗靶点尚不明确,有待进一步探索。此外,该方剂不能治疗骨科所有疾病,应坚持中医四诊思维,辨证选方,紧跟病机,创新和扩大其应用范围,体现该方剂在骨科和创伤科的应用优势,提高临床总疗效。
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