基于经筋理论探讨中晚期强直性脊柱炎针刀诊疗思路  

Needle knife diagnosis and treatment for ankylosing spondylitis at middle and advanced stage based on the theory of meridian tendons

作　　者：高韵奇 朱虹 张昊 田雪梅[2] 王海东[2] 陈平[2] 年芳红 雷海桃 GAO Yunqi;ZHU Hong;ZHANG Hao;TIAN Xuemei;WANG Haidong;CHEN Ping;NIAN Fanghong;LEI Haitao(Clinical College of TCM,Gansu University of TCM,Lanzhou 730000,China;Rheumatic Bone Disease Center,Gansu Provincial Hospital of TCM,Lanzhou 730050)

机构地区：[1]甘肃中医药大学中医临床学院,兰州730000 [2]甘肃省中医院风湿骨病中心,兰州730050

出　　处：《中国针灸》2025年第4期521-525,共5页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局高水平重点学科建设项目:国中医药人教函[2022]226号;甘肃省针刀医学产学研合作平台建设项目:2022-3-33;甘肃省科技厅联合科研基金项目:23JRRA1535。

摘　　要：基于经筋理论,从整体观念及辨证论治的角度对针刀疏筋解结术治疗中晚期强直性脊柱炎(AS)的诊疗思路进行探讨。其诊治思路为“调和阴阳”以治病求本、“循经解结”以调和气血,将“结筋病灶点”作为循经辨点取穴的核心。以此为基础,系统阐述了AS的两大针刀治法,即“督脉经筋刺骨术”“脐下营解结术”的适应证、定点及操作,并举隅临床案例,以期丰富经筋理论指导下的针刀疗法,为AS的临床和科研工作提供思路。This study explores the diagnosis and treatment of needle knife therapy for ankylosing spondylitis(AS)at middle and advanced stage based on the theory of meridian tendons,from a holistic perspective and syndrome differentiation.The treatment strategy includes"harmonizing yin and yang"to address root causes and"tendons-based release"to harmonize qi and blood,with the"tendons nodule points"as the core acupoint selection criterion.Based on this approach,the study systematically elaborates on two needle knife methods for AS:"governor vessel bone-piercing technique"and"below-the-umbilicus release technique",covering indications,acupoint location,and procedures.Clinical case examples are provided to enrich needle knife therapy guided by the theory of meridian tendons,offering insights for clinical and research workon AS.

关 键 词：强直性脊柱炎 经筋理论 针刀 督脉 脐下营 

分 类 号：R246.2[医药卫生—针灸推拿学]