基于经筋理论内热针治疗膝骨性关节炎探析  

An analysis of treating knee osteoarthritis by internal hot acupuncture based on meridian tendon theory

作　　者：庄玉凤 聂焱[2] 郑雪峰[1] ZHUANG Yufeng

机构地区：[1]福建中医药大学针灸学院,福建福州350122 [2]福建中医药大学附属福州市中医院,福建福州350001

出　　处：《中医临床研究》2024年第13期66-69,共4页Clinical Journal Of Chinese Medicine

基　　金：福建中医药大学校管课题(X2020003)。

摘　　要：经筋指的是肌肉、肌腱等软组织,其无络属的相应脏腑,无运行血气之功,但可连缀四肢百骸、主司关节运动,本质为附属于经脉的筋肉连属系统。中医学认为,膝骨性关节炎的发病与经筋功能异常所导致的“筋纵”有关,相关研究也证实其发病过程与膝部软组织功能退化、膝周力学失衡、软骨下骨质损坏及骨赘形成等因素相关。内热针是一种新型针刺工具,其由古代九针中的“长针”及“提针”技术发展而来。它以特制针具刺入软组织再配合现代恒温加热技术,具有刺激量大、温度可控、导热均匀的优势。其治疗膝骨性关节炎的作用机制主要为解除膝关节局部神经卡压,恢复膝关节生物力学平衡。文章运用经筋理论指导内热针治疗膝骨性关节炎患者,在治疗部位方面强调“以痛为输”,以疼痛之处作为针刺部位,选取足六经筋在膝周的筋结点进行治疗。在治疗方法上,通过内热针进行“解结”消除结筋病灶点挛缩、粘连的软组织,起到“以针代刀,以松治痛”的效果。文章基于经筋理论,总结探讨内热针对膝骨性关节炎的临床应用,认为采用内热针疗法可以松解筋结、散寒除湿、疏经通络、调畅气血,有效地改善膝骨性关节炎的临床症状。Meridian tendons refer to muscles,tendons and other soft tissues,which do not connect to the viscera and do not circulate Qi(气)and blood,but connect the limbs and can make the joints move.Essentially,they belong to the musculoskeletal system attached to the meridians.According to traditional Chinese medicine,the pathogenesis of knee osteoarthritis is related to the flaccidity of tendon and muscle caused by abnormal function of meridian tendons.Related studies have also confirmed that the pathogenesis of the disease is related to the deterioration of knee soft tissue function,mechanical imbalance around the knee,subchondral bone damage and osteophyte formation and other factors.Internal hot acupuncture is a new type of acupuncture tool,which is developed from the technology of long acupuncture and lifting acupuncture in ancient nine needles.It uses special acupuncture to pierce into the soft tissue,combined with constant temperature heating technology,with the advantages of large amount of stimulation,controllable temperature and uniform heat conduction.The main mechanism of its effects on knee osteoarthritis is to relieve the local nerve entrapment of the knee and restore the biomechanical balance of the knee joint.This article uses the meridian tendon theory to guide the internal hot acupuncture to treat knee osteoarthritis,emphasizes the needling painful point theory in the treatment site,takes the pain as the acupuncture site,and selects the tendon node of the six meridian tendons around the knee for treatment.In the method of treatment,internal hot acupuncture is used to eliminate the contracture and adhesion of soft tissue on the focal point of tendon,which has the effect of knife replaced by acupuncture,and relaxation by relieving pain.Based on the meridian tendon theory,this paper summarizes and discusses the clinical application of internal hot acupuncture in the treatment of knee osteoarthritis.It is considered that internal hot acupuncture therapy can effectively improve the clinical symptoms of knee

关 键 词：经筋理论 经筋 内热针 膝骨性关节炎 

分 类 号：R246[医药卫生—针灸推拿学]