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针刀治疗强直性脊柱炎探析

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近年来,针刀疗法在强直性脊柱炎(AS)的治疗中应用广泛。针刀疗法起源于中医"九针"之"锋针",结合西医解剖学理论,不断对疾病进行现代化多元解读,是中医技术现代化的探索之一。本文先从中医角度分析AS的病因病机,再从西医角度论述AS的发病机制,继而根据中西医对AS发病的不同认识,阐释针刀治疗AS"辨经论治"和"辨构论治"的机制,并回顾总结相关临床疗效,以期为临床治疗AS提供参考。
Analysis of Acupotomy Therapy for Ankylosing Spondylitis
In recent years,acupotomy therapy has been widely used in the treatment of ankylosing spondylitis(AS).Originating from the"sharp needle"among the"nine needles"of traditional Chinese medicine(TCM),and integrating theories of western anatomy,this therapy continuously offers modern and diverse interpretations of diseases.It represents one of the explorations into the modernization of TCM techniques.This paper first analyzes the etiology and pathogenesis of AS from the perspective of TCM,then discusses the pathogenic mechanism of AS from a western medical standpoint.Subsequently,based on the different understandings of AS's pathogenesis by TCM and western medicine,it elucidates the mechanisms of treating AS with acupotomy therapy through"differentiating meridians to determine treatment"and"differentiating structures to determine treatment".Furthermore,it reviews and summarizes related therapeutic effect to provide references for clinical treatment of AS.

ankylosing spondylitisacupotomyetiology and pathogenesisdifferentiating meridians to determine treatmentdifferentiating structures to determine treatmenttherapeutic mechanism

李书豪、梁繁荣

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成都中医药大学针灸推拿学院,四川 成都 610075

强直性脊柱炎 针刀 病因病机 辨经论治 辨构论治 治疗机制

国家自然科学基金

U21A20404

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(6)