焦琳经筋手法松解术治疗膝关节骨关节炎临床经验  

Clinical experience of JIAO Lin in treatment of knee osteoarthritis with manual mobilization of meridian muscle regions

作　　者：朱泳森 欧阳希林 钟根平 余一佳 陈诗乐 柯姚 焦琳[2] ZHU Yongsen;OUYANG Xilin;ZHONG Genping;YU Yjia;CHEN Shile;KE Yao;JIAO Lin(School of Acupuncture-Moxibustion and Tuina,Jiangxi University of TCM,Nanchang 330004,China;Third Department of Acupuncture and Moxibustion,Affiliated Hospital of Jiangxi University of TCM,Nanchang 330006)

机构地区：[1]江西中医药大学针灸推拿学院,南昌330004 [2]江西中医药大学附属医院针灸三科,南昌330006

出　　处：《中国针灸》2024年第6期689-693,共5页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局青年岐黄学者培养项目:国中医药人教函[2022]256号;江西省中医药管理局经筋病重点研究室项目:KP202102003;江西中医药大学校级科技创新团队发展计划项目:CXTD22010;江西省研究生创新专项资金项目:YC2022-S859。

摘　　要：总结焦琳教授采用经筋手法松解术治疗膝关节骨关节炎的临床经验。焦琳教授认为膝关节骨关节炎发生发展的关键在于经筋病变,病变经筋在膝关节骨关节炎“筋急期、筋结期、筋挛期、筋痿期”4个阶段的病理表现各不相同,具有多层次、多维度、多形态的病理分布特点。治疗上本着经筋病“以痛为输”的选穴原则,将痛阈降低的病变经筋作为“腧穴”进行干预,运用经筋手法松解术为主要治疗手段,并结合不同阶段证候特征及经络表现适时配合针刺、热敏灸、拔罐、刺络放血等其他手段杂合以治,以恢复与重建膝关节局部经筋“主束骨利关节”的生理功能。The paper introduces JIAO Lin's clinical experience in treatment of knee osteoarthritis(KOA)by manual mobilization of meridian muscle regions.Professor JIAO Lin believes that the key to the occurrence and development of KOA lies in the disorder of meridian muscle regions(sinews/fascia).In pathology,four stages are divided,i.e.the acute stage,the blockage stage,the contraction stage and the atrophy stage of muscle regions,characterized as multi-layer,multi-dimensional and multi-morphological distribution.In treatment,based on the principle,"taking pain sites as stimulating points",the sites,with reduced pain threshold and distributed along the meridian muscle regions,are regarded as"acupoints"for intervention.Manual mobilization of meridian muscle regions is the dominant approach,combined with routine acupuncture,heat-sensitive moxibustion,cupping and bloodletting corresponding to the features of syndromes and meridian manifestation at different stages.The comprehensive treatment may restore and reconstruct the physiological functions of the meridian muscle regions around knee joints by"nourishing tendons,strengthening bones and benefiting joints".

关 键 词：膝关节骨关节炎 经筋手法松解术 经络诊察 名医经验 焦琳 

分 类 号：R249[医药卫生—中医临床基础] R274[医药卫生—中医学]