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经筋针刺联合理筋疗法对膝骨性关节炎的临床应用研究

Clinical Study of Combined Therapy of Acupuncture and Toning Tendons in the Treatment of Knee Osteoarthritis

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研究目的:本文的目的是归纳总结在经筋理论指导下,经筋针刺联合理筋疗法对膝骨性关节炎的临床应用, 首先基于经筋理论,分析膝骨性关节炎发病与经筋损伤的相关性,同时结合现代医学对膝关节的生理功能以及膝骨性关节炎的发病机制进行阐释,进一步阐明经筋针刺联合理筋疗法治疗膝骨性关节炎的临床疗效,为临床应用经筋理论治疗膝骨性关节炎提供依据。研究方法:笔者借助‘中国知网’、‘万方’等网络数据知识服务平台,通过“经筋”、“膝骨性关节炎”、“针刺”、“经筋推拿”等关键词检索,研读和整理相关的文献资料,并整理基于经筋理论的针刺治疗膝骨性关节炎的研究现状与相关研究成果;通过捋顺其理论依据及应用,为从经筋角度论治膝骨性关节炎提供理论依据。研究内容:笔者通关查阅与经筋、膝骨性关节炎相关的文献时发现,膝骨性关节炎作为临床常见病的筋骨病,其发病机制与中医针灸系统中的经筋损伤密切相关,通过针刺结筋病灶点可以有效治疗膝骨性关节炎;此外,基于经筋理论的推拿疗法也具有理筋通络等疗效。因此,笔者在经筋理论指导下的针刺、推拿疗法对膝骨性关节炎起效的基础之上,认为二者联合,可以进一步提高经筋疗法对膝骨性关节炎的治疗效果,并提出“先理筋后针刺”的优化诊疗方案。结论与建议:研究结果初步显示,膝骨性关节炎发病核心是经筋损伤,治疗上应先通过经筋推拿理筋手法解除局部受损经筋组织病理卡压,进而采用经筋针刺疏调经筋,二者协同增效,共同恢复膝关节结构功能,从而为临床从经筋理论论治膝骨性关节炎提供优化临床治疗方案。

Abstract

The aim of this paper is to provide a summary of the clinical application of meridian acupuncture combined with tendon therapy for knee osteoarthritis, guided by the principles of meridian tendon theory. Additionally, this paper seeks to elucidate the clinical efficacy of this combined approach in treating knee osteoarthritis and to establish a foundation for the clinical application of meridian theory in the treatment of knee osteoarthritis. To achieve these goals, the author conducted a thorough review of relevant literature on the treatment of knee osteoarthritis with acupuncture based on meridian theory, using online data knowledge service platforms such as ‘China Knowledge Network’ and ‘Wanfang’. Keywords such as “meridian”, “acupuncture”, and “meridian tui na” were used to organize and study the relevant literature and compile the current research and relevant results on the treatment of knee osteoarthritis using acupuncture and meridian theory. Furthermore, the current status of research and relevant research results on the treatment of osteoarthritis of the knee based on the theory of meridian tendon were compiled. I found that the pathogenesis of knee osteoarthritis, a common clinical tendon disease, is closely related to the injury of the tendons in the acupuncture system of Chinese medicine. I concluded that knee osteoarthritis can be effectively treated by acupuncture at the focal points of the tendons, based on the effectiveness of acupuncture and tui-na therapy on osteoarthritis of the knee under the guidance of meridian tendon theory. I proposed the optimal treatment plan of “tendon first and then acupuncture”, as combining the two therapies can further improve the therapeutic effect of meridian tendon therapy on osteoarthritis of the knee. The preliminary results of the study showed that the core of knee osteoarthritis is the damage to the meridian tendons. Therefore, the treatment should focus on the release of the local damaged meridian tendon tissue pathological pressure through the meridian tendon massage and tendon manipulation, followed by the use of meridian tendon acupuncture to regulate the meridian tendons. The synergistic effect of the two therapies can restore the structural function of the knee joint, thus providing an optimal clinical treatment plan for the clinical treatment of knee osteoarthritis from the meridian tendon theory.

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