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"
陆洁航 1张旻 2李正言 3潘富伟 1汪正明 1葛海雅 2沈知彼 3詹红生1
作者信息
- 1. 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
- 2. 上海市中医药研究院骨伤科研究所
- 3. 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
- 折叠
摘要
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.
Abstract
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.
关键词
膝骨关节炎/筋出槽/骨错缝Key words
knee osteoarthritis/tendon off-position/joint subluxation引用本文复制引用
基金项目
国家自然科学基金(81973875)
国家自然科学基金(82074466)
全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)
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(20MC1920600)
上海市卫生健康委员会临床重点专科建设项目(shslczdzk03901)
出版年
2024
国家科技期刊平台
NSTL
万方数据