“筋骨失衡,以筋为先”理论在膝关节病中的应用探讨  

Discussion of the application of ‘Jingjin and bone imbalance, regulating Jingjin first’ theory in the treatment of knee-joint disease

作　　者：艾健[1,2] 房敏[1,2] 孙武权[1,2] 龚利[1,2] 李建华[1,2] 朱清广[1,2] 蒋诗超[1,2] 张昊[1,2] 程艳彬[1,2] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437 [2]上海市中医药研究院推拿研究所,上海200437

出　　处：《中华中医药杂志》2014年第8期2404-2406,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金委员会国家杰出青年科学基金(No.81025022);国家临床重点专科建设项目(No.ZK0901TN007);国家自然科学基金(No.81373763);上海市中医药事业发展三年行动计划(海派中医流派传承工程)丁氏推拿项目(No.ZYSNXD-CC-HPGC-JD-011);上海市科学技术委员会科研计划项目(No.11DZ1973501);上海市卫生局科研课题计划(No.20114039)~~

摘　　要：经筋生理功能是膝关节平衡稳定及运动的主要基础;膝关节发病主要是外邪先侵袭经筋,进一步发展至骨;膝关节病的症状、诊断及治疗部位等主要在经筋之上。尤其对于"筋骨失衡"中"骨错缝"的推拿治疗,需要先放松肌肉、韧带及周围组织,解除紧张和痉挛前提下,再进行骨的调整会更容易、更有效,也可减少或避免神经、血管、肌肉及周围组织等经筋系统的损伤。因此,临床和科研中需建立起"筋骨失衡,以筋为先"理念。The physiological function of Jingjin is the main foundation of knee-joint stability and movement. Knee-joint disease mainly is caused by the invasion of exogenous evils first, then further developed into bones. The symptoms, diagnosis and treatment area of knee-joint disease are closely related to Jingjin. Especially the massage treatment for the ＇bone staggered joint＇ in the ＇Jingjin and bone imbalance＇ required to relax the muscles, ligaments and the surrounding tissues to relieve the tension and spasm. On the premise, bone adjustment might be easier and more effective which could prevent Jingjin system from injury such as nerve, vascular, muscle, surrounding tissues, etc. So the concept of ＇Jingjin and bone imbalance, regulating Jingjin first＇ should be established in the clinical and scientific research.

关 键 词：筋骨失衡 以筋为先 膝关节 指导 

分 类 号：R274.9[医药卫生—中西医结合]