从筋论治针刀“调衡”治疗膝关节炎思路探析  

An investigation of“adjusting balance”in treatment of knee osteoarthritis by acupotomy following the meridian tendons

作　　者：李凯[1] 安康 张哲 王小飞 张照庆 LI Kai;AN Kang;ZHANG Zhe;WANG Xiao-fei;ZHANG Zhao-qing(Hubei University of Chinese Medicine,Wuhan 430065;Hubei Provincial Wuhan Third Hospital,Wuhan 430060)

机构地区：[1]湖北中医药大学,湖北武汉430065 [2]湖北省武汉市第三医院,湖北武汉430060

出　　处：《湖北中医药大学学报》2024年第6期57-60,共4页Journal of Hubei University of Chinese Medicine

基　　金：湖北省自然科学基金资助项目(项目编号:2019CFC883);武汉市中医药科研重点项目(项目编号:WZ24M02);湖北省武汉市卫健委医学科研项目(项目编号:WZ21Q28)。

摘　　要：膝关节炎(KOA)在世界范围内发病率逐年上升,是引发中老年疼痛和残疾的主要原因,属中医“筋痹”“骨痹”范畴。此病多由肝肾亏虚、劳损日久、外感病邪等引起,致使关节经络受阻,瘀血阻滞,不通则痛,不荣则经筋失用,为本虚标实之证候。针刀医学是传统医学针灸学和现代医学融合发展的产物,以现代解剖学为基础理论[1-2],作为一门新型学科具有较强创造力和疗效,且操作便捷;传统中医学认为KOA属经筋病范围,经筋“失衡”而发为“膝痹”,基于经筋理论从筋论治疗效甚佳[3],因此,将经筋理论与针刀疗法相结合即为针刀“调衡”治疗KOA的关键,其他骨关节疾病的治疗与此亦有异曲同工之处。The incidence of knee osteoarthritis(KOA)is increasing globally each year,making it a major cause of pain and disability in middle-aged and elderly individuals.In traditional Chinese medicine,it falls under the categories of“muscle impediment”and“bone impediment”.This disease is mostly caused by deficiency of liver and kidney,prolonged strain,external pathogenic factors,etc.,resulting in joint meridians blocked,blood stasis blocked,“where there is no free flow,there is pain;where there is no nourishment,the sinews and vessels lose their function”,which is the syndrome of deficiency of ben and solid of biao.Acupotomology is the product of the integration of traditional and modern medicine[1-2].As a new discipline,it has the advantages of strong creativity and curative effect,convenient operation and so on.It is based on modern anatomy.In traditional Chinese medicine,KOA is classified as a“knee paralysis”due to the“imbalance”of the tendons,and the tendon theory is effective in treating the disease.Therefore,the combination of meridian theory and acupotomy therapy is the key to the acupotomy“adjusting balance”treatment of KOA,the treatment of other bone and joint diseases and this also has similarities and differences.

关 键 词：膝关节炎 针刀疗法 经筋 调衡 阴阳 整体观 

分 类 号：R274.9[医药卫生—中西医结合]