首页|基于"筋出槽、骨错缝"论治膝骨关节炎

基于"筋出槽、骨错缝"论治膝骨关节炎

Diagnosis and Treatment of Knee Osteoarthritis Based on Disease Mechanism of"Tendon Off-Position and Joint Subluxation"

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基于"筋出槽、骨错缝"的发病机理,结合现代解剖学和生物力学,明确膝部"筋出槽"和"骨错缝"的特征性表现及两者间的内在联系.通过梳理现代研究中"筋出槽、骨错缝"与膝骨关节炎的关系,认为"筋出槽、骨错缝"是膝骨关节炎发生、发展的关键病机,据此提出以饮食起居为先导、以手法整骨诊治于外、以中药内服调达于内、以导引练功贯始终的中医药综合治疗膝骨关节炎策略,以期提高临床疗效.
Based on the pathogenesis of"tendon off-position and joint subluxation",combined with modern ana-tomy and biomechanics,the characteristic manifestations of"tendon off-position"and"joint subluxation"of the knee and the intrinsic connection between them are clarified.Through sorting out the relationship between"tendon off-position and joint subluxation"and knee osteoarthritis(KOA)in modern research,it is believed that"tendon off-position and joint subluxation"is the key mechanism for the occurrence and development of KOA,and accordingly,it is proposed to take the diet as the guide,use bone manipulation for external diagnosis and treatment,use traditional Chinese medicine decoction for internal treatment,and use Daoyin exercise throughout the whole process as the strategy for KOA's comprehensive traditional Chinese medicine treatment to improve the clinical effectiveness.

knee osteoarthritistendon off-positionjoint subluxation

陆洁航、张旻、李正言、潘富伟、汪正明、葛海雅、沈知彼、詹红生

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上海中医药大学附属曙光医院石氏伤科医学中心,上海市浦东新区张衡路528号,201203

上海市中医药研究院骨伤科研究所

膝骨关节炎 筋出槽 骨错缝

国家自然科学基金国家自然科学基金全国名老中医药专家传承工作室建设项目上海市科学技术委员会"科技创新行动计划"医学创新研究专项上海市卫生健康委员会临床重点专科建设项目

8197387582074466国中医药人教函[2022]75号20MC1920600shslczdzk03901

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(7)
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