防己黄芪汤治疗急性踝关节扭伤患者的临床疗效

doi:10.3969/j.issn.1671-7171.2026.04.014

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Abstract 【Objective】 To investigate the clinical efficacy of Fangji Huangqi Decoction in the treatment of patients with acute ankle sprain. 【Methods】 A total of 87 patients with acute ankle sprain treated in our hospital from January 2020 to June 2023 were enrolled and divided into an observation group (n=44) and a control group (n=43) according to the order of admission. The control group received conventional Western medicine treatment, while the observation group was additionally given Fangji Huangqi Decoction on the basis of conventional Western medicine treatment. Both groups were treated for 1 week. The swelling subsidence time, ecchymosis subsidence time, pain level [Visual Analogue Scale (VAS) score], adverse reactions, joint function recovery [American Orthopaedic Foot and Ankle Society ankle-hindfoot score (AOFAS)], and total effective rate were compared between the two groups. 【Results】 After treatment, the swelling subsidence time and ecchymosis subsidence time in the observation group were significantly shorter than those in the control group (P<0.05). The VAS scores in the observation group at 3 days and 1 week of treatment were lower than those in the control group (P<0.05). The AOFAS scores in the observation group at 3 days and 1 week of treatment were higher than those in the control group (P<0.05). The total effective rate of the observation group was 100.00%, which was higher than 88.37% of the control group, with a statistically significant difference (P<0.05). No obvious adverse reactions were observed in either group during treatment. 【Conclusion】 Fangji Huangqi Decoction can effectively relieve swelling and pain after acute ankle sprain, promote rapid recovery of joint function, and has high safety. It can be used as an adjuvant treatment for patients with acute ankle sprain.

Key words： Ankle Joint Ankle Injuries Acute Disease Traditional Chinese Medicine Therapy Treatment Outcome

Received: 18 October 2025

PACS:

R684.77

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	LI Dongfang
	CAO Yujing
	LI Haoliang
	SUN Shulong

Cite this article:

LI Dongfang,CAO Yujing,LI Haoliang, et al. Clinical Efficacy of Fangji Huangqi Decoction in Patients with Acute Ankle Sprain[J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 577-579.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2026.04.014 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2026/V43/I4/577

[1] 惠悦华,张苗苗,杨卫东.模拟情境式健康教育联合持续反馈康复训练对急性踝关节扭伤患者的影响[J].齐鲁护理杂志,2021,27(18):61-63.
[2] 王芳,朱佳丽.乳没活血止痛膏外敷联合西医常规治疗急性踝关节扭伤38例[J].中国中医药科技,2023,30(2):283-285.
[3] 齐秀春,孙楠,郭喜钦,等.栀黄止痛散治疗急性踝关节扭伤的疗效及对损伤韧带形态学的影响[J].南京中医药大学学报,2021,37(3):360-365.
[4] 韦程,张强,吴富华.桃红四物汤加减合消肿镇痛散外敷治疗急性踝关节扭伤的临床观察[J].中国中医急症,2023,32(5):887-889.
[5] 张文毅,田升,姜雅楠,等.防己黄芪汤治疗水肿的作用机制及研究进展[J].中国老年学杂志,2023,43(5):1251-1255.
[6] 胥少汀.实用骨科学[M].4版.北京:人民军医出版社,2012:1059-1062.
[7] 孙树椿,孙之镐.临床骨伤科学[M].北京:人民卫生出版社,2006:754.
[8] 李路广,史长龙,成永忠,等.双乌祛痛热奄包联合西医常规疗法对急性踝关节扭伤患者肿胀疼痛的影响[J].中国中医药信息杂志,2021,28(7):102-106.
[9] 邢佳峰.桃红四物汤合防己黄芪汤治疗下肢骨折术后肿胀的临床价值研究[J].中国伤残医学,2021,29(9):57-58.
[10] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:209.
[11] 王永钧.试述甘草在四逆、真武、小柴胡、防己黄芪汤中的作用[J].中国中西医结合肾病杂志,2018,19(9):753-755.
[12] 赵宝琼,韩超,徐爱民,等. MRI检查与不同体位MSCT 3D检查对复杂踝关节损伤、分型的诊断价值[J].医学临床研究,2025,42(6):955-958.
[13] 翟昌明,鲁放,马重阳,等.叶天士对仲景防己类方的继承与发展[J].环球中医药,2020,13(2):289-292.
[14] 宋菊.加味防己黄芪汤对原发性肾病综合征微炎状态及Toll样受体相关蛋白的影响[J].陕西中医,2019,40(4):478-480.
[15] 李贞宗,胡冰涛,陈美凤,等.吴洋运用防己黄芪汤加减治疗骨关节炎经验举隅[J].辽宁中医杂志,2022,49(2):18-20.
[16] 袁鑫,张林,欧祥琴,等.基于网络药理学和分子对接探讨防己黄芪汤治疗肾性水肿的机制与通路[J].天津中医药,2022,39(2):251-258.

[1]	. [J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 681-684.