摘要
膝骨关节炎(KOA)是一种渐进性发生的骨关节疾患,其发病与生物力学失衡、肌-骨代谢异常及慢性炎症微环境密切相关。本文基于肌筋骨理论,系统阐述肝、脾、肾三脏功能失调所致“筋弛-肉萎-骨弱”的中医病机内涵,并将其与现代医学中的肌肉萎缩、骨代谢异常及肠道菌群紊乱等多维度机制进行关联分析。基于此,进一步提出以“循经理膝”易筋经为代表的运动干预方案。本文从肌筋骨理论出发,深入探讨“循经理膝”易筋经在KOA防治中的作用机制与临床应用价值,为KOA的中西医结合防治及运动康复方案的优化提供新思路。
Knee osteoarthritis(KOA)is a progressive osteoarticular disorder,whose pathogenesis is closely associated with biomechanical imbalance,musculoskeletal metabolic abnormalities,and chronic inflammatory microenvironment.Based on the"muscle-sinew-bone"theory of TCM,this paper systematically elucidates the TCM pathogenic connotations of"sinew laxity-muscle atrophy-bone weakness"resulting from dysfunction of the liver,spleen,and kidney.It also conducts a correlative analysis linking these concepts to multidimensional mechanisms in modern medicine,including muscle wasting,bone metabolic disorders,and gut microbiota dysbiosis.On this basis,the paper further proposed an exercise intervention program represented by"the meridian-guided knee exercise"of Yi Jin Jing.From the perspective of the"muscle-sinew-bone"theory,this paper comprehensively explores the action of mechanism and clinical value of"meridian-guided knee exercise"of Yi Jin Jing in KOA prevention and treatment,providing novel insights for optimizing integrated Chinese-Western medical strategies and exercise rehabilitation programs for KOA.
作者
胡泽昊
黄秋璇
黄培鑫
李祥明
林创坚
陈国华
HU Zehao;HUANG Qiuxuan;HUANG Peixin;LI Xiangming;LIN Chuangjian;CHEN Guohua(Shantou Hospital of Traditional Chinese Medicine Affiliated with Guangzhou University of Chinese Medicine,Shantou,Guangdong 515031,China;Shantou Hospital of Traditional Chinese Medicine,Shantou,Guangdong 515031,China)
出处
《湖南中医药大学学报》
2025年第11期2169-2175,共7页
Journal of Hunan University of Chinese Medicine
基金
第七批全国老中医药专家学术经验继承项目(国中医药人教函〔2022〕76号)
广东省林创坚名中医传承工作室建设项目(粤中医办函〔2017〕170号)。
关键词
膝骨关节炎
“循经理膝”易筋经
肌筋骨理论
导引
骨关节疾病
knee osteoarthritis
"the meridian-guided knee exercise"of Yi Jin Jing
muscle-sinew-bone theory
daoyin
osteoarticular diseases
