Clinical Experience of Li Weiguo in Treating Periarthritis Humeroscapularis

肩周炎是临床常见疾病，以肩关节疼痛与肩关节活动受限为主要症状。李卫国教授在治疗“肩痹”方面形成了系统的学术思想，主要包括“预防为先，防治结合；衷中参西，病证结合；标本同治，攻守有序及治痹求本，重在肝肾”四大核心理念。其思想根植于《黄帝内经》“治未病”理论，强调结合患者体质、地域气候及疾病阶段动态调整防治策略，注重“三因制宜”。在临床实践中，他提倡健康宣教、早期干预，并针对已病患者采用“急则通络治标、缓则补虚固本”的治法，结合虫类药、藤类药与扶正策略，实现“祛邪不伤正”。同时，他融合现代医学技术(如影像学、小针刀松解)，制定分型论治方案，提升疗效。此外，他提出“肝肾亏虚为肩痹根本病机”，以滋补肝肾为核心，辅以活血化痰，形成标本兼治的诊疗体系。文末通过验案展示其针药结合、内外合治的临床实践，验证了其学术思想的实用性与有效性，为肩痹的中西医结合诊疗提供了重要范式。Periarthritis humeroscapularis is a common clinical disease, characterized by shoulder joint pain and restricted movement. Professor Li Weiguo has developed a systematic academic theory in the treatment of “shoulder arthralgia”, which mainly includes four core concepts: prevention first, integrating prevention and treatment; integrating traditional Chinese and Western medicine, combining disease and syndrome; treating both symptoms and root causes, and orderly attacking and defending; and seeking the root cause of arthralgia, with emphasis on the liver and kidneys. His theory is rooted in the “preventive treatment” theory of the “Huangdi Neijing”, emphasizing the dynamic adjustment of prevention and treatment strategies based on the patient’s constitution, regional climate, and disease stage, and emphasizing “treating according to the three causes”. In clinical practice, he advocates health education and early intervention, and for patients with the disease, he adopts the treatment method of “treating the symptoms in acute cases and nourishing the body in chronic cases”, combined with insect-based and vine-based drugs and strengthening strategies to achieve “eliminating pathogenic factors without harming the body”. At the same time, he integrates modern medical technologies (such as imaging and small needle knife) to formulate a classification-based treatment plan to enhance therapeutic effects. Additionally, he proposes that “deficiency of the liver and kidneys is the fundamental pathogenesis of shoulder arthralgia”, with nourishing the liver and kidneys as the core, supplemented by promoting blood circulation and eliminating phlegm, forming a comprehensive diagnosis and treatment system that addresses both symptoms and root causes. The article concludes by presenting a case study to demonstrate his clinical practice of combining acupuncture and medication, as well as internal and external treatments, verifying the practicality and effectiveness of his academic theory, and providing an important model for the integrated diagnosis and treatment of shoulder arthralgia in traditional Chinese and Western medicine.