王宏坤基于奇经八脉理论辨治膝骨关节炎  

Wang Hongkun Treating Knee Osteoarthritis Based on Qi Jing Ba Mai Theory

作　　者：李昕雨 王上增[2] 张仲博[2] 任博文[2] 郭会卿[1] LI Xinyu;WANG Shangzeng;ZHANG Zhongbo;REN Bowen;GUO Huiqing(Henan University of Chinese Medicine,Zhengzhou Henan China 450046;The Second Affiliated Hospital to Henan University of Chinese Medicine/Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou Henan China 450002)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第二附属医院/河南省中医院,河南郑州450002

出　　处：《中医学报》2025年第5期1080-1084,共5页Acta Chinese Medicine

基　　金：河南省自然科学基金项目(222300420486);2022年度河南省中医药科学研究项目(2022ZY2017);河南省中医药青苗人才培养项目{豫卫中医函〔2021〕16号}。

摘　　要：膝关节运动功能的实现与奇经八脉的循行及功能状态有密切的联系。王宏坤教授根据奇经八脉理论的思想内涵,将膝骨关节炎的病因病机归于肾督虚衰、冲任失调、维痹跷拘,提出了健骨益髓强督、调血安冲养任、祛邪止痛通维、强筋通痹利跷的治疗理念。临床应用独活寄生汤、黄芪桂枝五物汤、当归四逆汤,达到保护局部关节软骨、缓解疼痛、抑制炎症反应的目的。针刺选择腰俞、腰阳关、筋缩、脊中、气海、气穴、中注等益肾强督壮骨。The realization of knee joint motor function is closely related to the circulation and functional status of Qi Jing Ba Mai.Professor Wang Hongkun attributed the etiology of knee osteoarthritis to the weakness of the Kidney and Du meridian,imbalance of the Chong meridian and Ren meridian as well as Wei meridian paralysis and Qiao meridian constraint based on the ideological connotation of the Qi Jing Ba Mai theory.Then the following therapeutic concepts were put forward:strengthening the bone and marrow as well as strengthening the Du meridian,regulating the blood,stabilizing the Chong meridian,and supporting the Ren meridian,dispelling evil factors,relieving pain and dredging the Wei meridian,strengthening the tendon,relieving the paralysis and dredging the Qiao meridian.In clinics,Duhuo Jisheng Decoction,Huangqi Guizhi Wuwu Decoction and Danggui Sini Decoction can be used to protect local articular cartilage,relieve pain,and inhibit inflammatory reaction.In acupuncture the following acupoints can be selected in treatment:Yaosh,Yaoyangguan,Jinsuo,Jizhong,Qihai,Qixue and Zhongzhu,to benefit the Kidney,strengthen the Du meridian and the bone.

关 键 词：膝骨关节炎 奇经八脉 针刺 独活寄生汤 黄芪桂枝五物汤 当归四逆汤 王宏坤 

分 类 号：R249.27[医药卫生—中医临床基础]