基于中医藏象理论浅述“膝为筋骨之关纽”及其应用  

Discussion on “Knee Being Pivot of Bones and Muscles” and Its Application Based on Theory of Traditional Chinese Medicine

作　　者：王海波 关雪峰 杨永菊 赵培青 李佳 郑洪新 WANG Haibo;GUAN Xuefeng;YANG Yongju;ZHAO Peiqing;LI Jia;ZHENG Hongxin(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shengyang 110032,Liaoning,China;Liaoning University of Traditional Chinese Medieine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学附属医院

出　　处：《辽宁中医杂志》2018年第7期1396-1398,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：2015年辽宁省医学专科能力建设项目;国家自然科学青年基金项目(81403286);辽宁省重点实验室项目(LZ015052)

摘　　要：膝骨性关节炎是四肢关节中最常见的骨关节炎,并严重影响患者生活质量。中医学认为,膝关节与筋骨的作用及肝肾的功能密切相关。本文基于藏象思维,分析膝关节与筋骨、肝肾关系,阐释其生理功能;解析＂膝为筋之府＂及膝骨性关节炎的发病机理;分析筋骨、肝肾与膝骨性关节炎之间的病变联系。在中医藏象理论的指导下,结合现代医学对膝骨性关节炎生理病理的认识,提出＂肝肾并补、筋骨并重＂的治疗原则,为进一步指导临床研究奠定基础。Among the arthroses of the arms and legs,knee osteoarthritis is the most common osteoarthritis and it severely affects the patients＇ quality of life. Traditional Chinese medicine thinks that the knee is closely related to the action of muscles and bones and the functions of liver and kidney. Based on visceral manifestation thinking,the thesis analyzes the relationship of the knee and the muscles and bones and the liver and kidney and elaborates their physiological functions. It explains why the knee is the capital of muscles and the pathogenesis of knee osteoarthritis and analyzes the connection between muscles and bones,liver and kidney and knee osteoarthritis. Under the guidance of the visceral manifestation idea in traditional Chinese medicine,in combination of the understanding of modern medicine toward the physiology and pathology of knee osteoarthritis,the thesis puts forward a principle of treatment,i. e.,tonifying liver and kidney at the same time and paying attention to the muscles and bones,which lays the foundation for further clinical research.

关 键 词：肝肾 筋骨 膝骨性关节炎 

分 类 号：R684.3[医药卫生—骨科学]