基于经筋理论探讨针刀治疗股骨头坏死  

Discussion on the treatment of osteonecrosis of femoral head with acupotomy based on the theory of meridians

作　　者：王均玉[1] 宋梦歌 何海军[1] WANG Junyu;SONG Mengge;HE Haijun(Wanting Hospital of China Academy of Chinese Medical Sciences,Beijing 100102)

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《湖北中医药大学学报》2021年第3期56-60,共5页Journal of Hubei University of Chinese Medicine

基　　金：国家自然科学基金项目(项目编号:81873322)。

摘　　要：基于经筋理论,并结合现代医学对股骨头坏死的认识,剖析髋周软组织属于"经筋"的范畴,髋周软组织病变则属于"经筋病"的范畴,髋周足六经筋的病变与股骨头坏死患者的病痛密切相关。针刀疗法的理论基础是经筋理论,针刀治疗股骨头坏死的目的是恢复髋关节的生物力学平衡;操作原则是"以痛为腧、从筋论治";具体方法是对结筋病灶点进行解结以解除"横络"的卡压。以经筋理论指导针刀治疗股骨头坏死是对髋周软组织病变机制的重新认识,并为针刀疗法的临床运用进一步拓宽道路。Based on the theory of meridians and combined with modern medical knowledge of femoral head necrosis,it is analyzed that the soft tissue around the hip belongs to the category of"meridians",while the soft tissue lesions around the hip belong to the category of"meridians disease".The lesions of six meridians around the hip are closely related to the pain of patients with femoral head necrosis.The theoretical basis of acupotomy is the theory of meridians and tendons.The purpose of acupotomy in the treatment of femoral head necrosis is restoring the biomechanical balance of hip joint.The principle of operation is"treating pain as acupoint and treating according to tendons".The specific method is removing the knot at the focus point of tendon to relieve the pressure of"transverse collaterals".The treatment of avascular necrosis of femoral head with acupotomy guided by the theory of meridians is a new understanding of the mechanism of soft tissue lesions around the hip,and further broadens the way for the clinical application of acupotomy therapy.

关 键 词：经筋理论 经筋 结筋病灶点 针刀 股骨头坏死 

分 类 号：R275.9[医药卫生—中西医结合]