基于经筋理论探讨膝骨关节炎的分期治疗策略  

Exploration of Staged Treatment Strategies for Knee Osteoarthritis Based on Tendons Theory

作　　者：程露露[1,2] 余洋洋 代建 陈朝晖 CHENG Lulu;YU Yangyang;DAI Jian;CHEN Zhaohui(Anhui University of Chinese Medicine,Hefei 230012,China;Wuhan Institute of Physical Education,Wuhan 430079,China)

机构地区：[1]安徽中医药大学,合肥230012 [2]武汉体育学院,武汉430079

出　　处：《江西中医药大学学报》2024年第4期1-4,8,共5页Journal of Jiangxi University of Chinese Medicine

基　　金：安徽省高校自然科学研究项目重大项目(KJ2021ZD0062);安徽中医药大学中医养生学及中医康复学学科开放项目(2022ZJXK07)。

摘　　要：膝骨关节炎是临床上常见的退行性骨关节疾病,其病位主要以其所属骨骼、筋肉、筋膜为主,关节软骨退变是其主要病理变化。膝为筋之府,筋骨相连,骨痹则筋伤,筋伤则束骨无力。现基于经筋的生理功能、病理特点,探讨膝骨关节炎的发病机制以及针灸在膝骨关节炎的病程进展中的分期论治应用:瘀沫期活血通脉,消沫利水;筋膜拘挛期松解粘连,提高关节稳定性;筋结病灶期温通散结,骨正筋顺。Knee osteoarthritis is a common degenerative disease of bone and joint in clinic.The main pathological changes of KOA are skeleton,muscle and fascia.The degeneration of articular cartilage is the main pathological change of KOA.The tendons are the government of the knee,the tendons and bones are connected,the bones of the bone arthralgia are injured,and the tendons are weak.Based on the physiological function and pathological characteristics of the tendons,this paper discusses the pathogenesis of knee osteoarthritis and the application of acupuncture and moxibustion in the treatment of knee osteoarthritis by phases based on the physiological function and pathological characteristics of the tendons,including promoting blood circulation,eliminating foam and promoting diuresis;Relieve adhesions during fascial contracture and improve joint stability;During the lesion phase of tendon nodules,warm circulation and loose nodules are observed,and the bones are aligned and the tendons are smooth.

关 键 词：经筋理论 膝骨关节炎 分期治疗 

分 类 号：R274[医药卫生—中医骨伤科学]