基于筋骨理论探析“拔伸松动法”治疗膝骨关节炎思路  

Exploring the Treatment Approach of Knee Osteoarthritis Using the"Stretching and Loosening Method"Based on the Theory of Tendons and Bones

作　　者：冯宇航 向勇 王春林 韩坤余 王泓毅 陈志宇 FENG Yuhang;XIANG Yong;WANG Chunlin;HAN Kunyu;WANG Hongyi;CHEN Zhiyu(Yunnan University of Chinese Medicine,Kunming 650500,China;The First Affiliated Hospital of Yunnan University of Chinese Medicine,Kunming 650021,China;Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Tianjin University of Chinese Medicine,Tianjin 300000,China)

机构地区：[1]云南中医药大学,云南昆明650500 [2]云南中医药大学第一附属医院,云南昆明650021 [3]福建中医药大学,福建福州350122 [4]天津中医药大学,天津300000

出　　处：《云南中医药大学学报》2025年第2期14-18,共5页Journal of Yunnan University of Chinese Medicine

基　　金：国家自然科学基金地区基金项目(81660824,82260977);云南省中医联合专项面上项目[202301AZ070001(-022)]。

摘　　要：膝骨关节炎是中老年常见的多发性疾病,王春林教授根据多年临床经验,在筋骨理论基础上,认为筋伤能损骨,损骨亦能伤筋,强调筋骨并重,全程治筋。以“拔伸松动法”治疗膝骨关节炎,分为:“松筋以解结、动骨以纠偏、强筋以护骨”三步,同时立足整体,防治兼顾,注重补益肝肾与气血,内调外治相合,以达骨正筋柔、气血以流之态;此法临床疗效显著,并通过基础研究为手法提供科学依据,文中附医案1则。Osteoarthritis of the knee is a common and prevalent disease among middle-aged and elderly people.Based on his years of clinical experience,professor Wang Chunlin,who specializes in the theory of tendons and bones,believes that tendon injuries can damage bones,and damaged bones can also injure tendons.He emphasizes the importance of both tendons and bones,treating the tendons throughout the process,and uses the"stretching and loosening method"to treat knee osteoarthritis,which is divided into three steps:loosening the tendons to untie knots,moving the bones to correct deviations,and strengthening the tendons to protect the bones.At the same time,he takes a holistic approach,combining prevention and treatment,and pays attention to the supplementation of liver and kidney Qi and blood,with internal and external treatments combined to achieve the state of bones straight and tendons flexible,with Qi and blood flowing smoothly.This method has significant clinical effects and provides objective evidence for the techniques through basic research.An example of a medical case is included in the article.

关 键 词：膝骨关节炎 筋骨理论 手法 理论探析 

分 类 号：R244.1[医药卫生—针灸推拿学]