基于经筋理论探析股骨头坏死的病理机制  

Exploration of Pathological Mechanism of Femoral Head Necrosis Based on Theory of Meridian Sinew

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

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《中医药学报》2021年第9期5-9,共5页Acta Chinese Medicine and Pharmacology

基　　金：国家自然科学基金项目(81873322)。

摘　　要：从经筋理论出发,结合现代医学对股骨头坏死的认识,探析了足六经筋与股骨头的生理、病理关系以及股骨头坏死髋周经筋病变的病理机制,认识到髋周足六经筋的病变与股骨头坏死的发生、发展密切相关,发现股骨头坏死髋周经筋病变的主要病理进程可分为三期:瘀沫形成期、痰瘀阻络期、痰瘀沫绞结期。阐明了股骨头内骨组织的坏死与髋周经筋病变紧密相关,且经筋的病变程度与股骨头坏死的严重程度相对应。基于经筋理论探析股骨头坏死的病理机制,不但丰富了中医学对股骨头坏死的病机认识,而且为股骨头坏死的保髋治疗提供了新的理论依据。Based on the theory of meridian sinew,combined with modern medical knowledge of femoral head necrosis,this study analyzed the relationship of six meridian sinews with physiological and pathological changes of femoral head necrosis,and it explored the pathological mechanism of femoral head necrosis around the hip.It is recognized that the pathological changes of six meridian sinews around the hip are closely related to the occurrence and development of femoral head necrosis,which involve third stages,i.e.the formation stage of blood stasis,the blocking stage of phlegm and blood stasis,as well as the agglutination stage of phlegm and blood stasis.The results showed that the necrosis of bone tissue in femoral head was closely related to the pathological changes of the femoral head around the hip,and the pathological changes of meridian sinew corresponded to the degree of femoral head necrosis.Exploring the pathological mechanism of femoral head necrosis based on the theory of meridian sinew not only enriches the understanding of pathogenesis of femoral head necrosis in TCM,but also provides a new theoretical basis for the hip preservation therapy for femoral head necrosis.

关 键 词：经筋理论 股骨头坏死 髋关节 病理机制 

分 类 号：R268.18[医药卫生—中医外科学]