中文摘要：

目的：挖掘、继承和弘扬陈可冀辨治骨性关节炎之学术思想,探讨骨性关节炎的核心病机与治疗理念。方法：查阅《陈可冀医学选集》《陈可冀学术思想及医案实录》《清宫医案集成》等学术著作,以及聆听陈可冀教诲,开展基础理论、临床应用和开发研究。结果：（1）骨性关节炎以关节软骨退变为原发、骨质增生为继发的病理特点,关节软骨退变临床表现为痿,骨质增生临床表现为痹,本痿标痹为骨性关节炎的核心病机。（2）骨性关节炎的治疗理念,应本着整体观念和病证结合的原则,客观辨证地分析。从本治痿,从标治痹。急则治痹痛,祛风湿,止痹痛;缓则治痿证,补肝肾,益气血;久则痿痹同治,补肝肾,益气血,祛风湿,止痹痛。（3）临床治疗骨性关节炎,运用独活寄生汤内服（风寒湿痰瘀随证加减）,洗腿又方熏洗,整骨麻药外涂,膝关节炎治疗仪家庭理疗。结论：形成了以本痿标痹为核心病机的辨治骨性关节炎之新理念、新方案。

英文摘要：

Objective：To dig,inherit and carry forward the academic thought of Chen Ke-ji in the treatment of osteoarthritis,and then explore the core pathogenesis and treatment concept of osteoarthritis. Methods：Carrying out the basic theory,clinical application and development research by reading scholarly works,such as Medical Selection of Chen Keji, Academic Thought and Medical Record of Chen Keji, Medical Records of Qing Dynasty Palace,listening to Chen Keji＇s words. Results：（1） The basic pathological characteristics of osteoarthritis are articular cartilage degeneration,hyperosteogeny is followed by. The clinical manifestation of articular carti lage degeneration is wilting syndrome,and the clinical manifestation of hyperosteogeny is impediment syndrome. The deficiency in origin and excess in superficiality is the core pathogenesis of osteoarthritis.（2） The treatment concept of osteoarthritis should be based on the principle of holistic concept and syndrome differentiation. The principle of treatment is wilting syndrome in origin,and impediment syndrome in superficiality. If in urgency,treats impediment syndrome by expelling wind,eliminating dampness,relieving pain; if in non-urgency,treats wilting syndrome by nourishing liver and kidney,profiting vitality;if longer duration,treats wilting and impediment syndrome together by nourishing liver and kidney,profiting vitality,expelling wind,eliminating dampness and relieving pain.（3） The clinical treatment of osteoarthritis through internally taking Duhuo Jisheng Decoction（modified according to wind,cold,dampness,phlegm and blood stasis）,fumigating and washing formula,Datura stramonium gel for external application and family physiotherapy by knee arthritis therapeutic apparatus（KATA）. Conclusion：Forming a new treatment concept of osteoarthritis,which is based on the idea that the core pathogenesis of osteoarthritis is deficiency in origin and excess in superficiality.