王海东针刀松解手三阳经筋治疗类风湿腕关节炎经验浅析  

WANG Haidong's experience in treatment of wrist rheumatoid arthritis with acupotomy mobilization at the muscle regions of three yang meridians of hand

作　　者：李伟青[1] 崔馨予 康惠琴 贺佩鑫 杨彩红 陶鹏飞 杨会军 陈平[1] 金芳梅[1] 王海东[1] LI Weiqing;CUI Xinyu;KANG Huiqin;HE Peixin;YANG Caihong;TAO Pengfei;YANG Hujun;CHEN Ping;JIN Fangmei;WANG Haidong(Rheumatism and Bone Disease Center,Gansu Provincial Hospital of TCM,Lanzhou 730050,China;Gansu University of CM)

机构地区：[1]甘肃省中医院风湿骨病中心,兰州730050 [2]甘肃中医药大学

出　　处：《中国针灸》2024年第6期699-702,共4页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局高水平中医药重点学科建设项目:国中医药人教函[2022]226号;甘肃省自然科学基金项目:22JR11RA198;甘肃省针刀医学产学研合作平台建设项目:2022-3-33;王海东甘肃省名中医传承工作室建设项目:甘卫中医函[2022]50号;第七批全国老中医药专家学术经验继承工作项目:国中医药人教函[2021]272号;省中医药科研项目:GZKP-2023-7;兰州市指导性计划项目:2023-ZD-39。

摘　　要：介绍王海东教授运用针刀治疗类风湿腕关节炎的临床经验。王海东教授认为本病可归为经筋病的一种,以循行经过腕关节的手三阳经筋受损为发病关键。在经筋理论指导下,以现代解剖学为基础,依据“针至病所,筋脉同治”的治疗原则,采用针刀松解手三阳经筋治疗本病,以筋为先,调衡筋骨;在循筋取结筋病灶点的基础上配合循经取穴,筋、脉同治;明确病位,针至病所。The paper introduces professor WANG Haidong's clinical experience in treatment of wrist rheumatoid arthritis with acupotomy mobilization at the muscle regions(sinews/fascia)of three yang meridians of hand.Professor WANG Haidong believes that wrist rheumatoid arthritis belongs to the disorder of meridian muscle regions and is especially associated with the damage of the muscle regions of three yang meridians of hand running through the wrist.Under the guidance of meridian muscle region theory,on the basis of modern anatomy,and the treatment principle,"needling the affected areas may treat disorders of sinews/fascia and dysfunction of meridians simultaneously",acupotomy mobilization is adopted to balance sinews/fascia and bones,operated directly at the involved meridian muscle regions.Besides the foci(palpable knotted sites)on the distribution of muscle regions,acupoints along the affected meridians are stimulated in combination.With this therapy,after determining the location of illness,both the disorder of sinews/fascia and that of meridians can be treated.

关 键 词：类风湿腕关节炎 针刀 手三阳经筋 名医经验 王海东 

分 类 号：R249[医药卫生—中医临床基础] R246.1[医药卫生—中医学]