摘要
膝骨关节炎是临床的常见病和多发病,推拿在该病的治疗中具有重要的临床价值。峨眉伤科作为川派推拿的代表性流派,在膝骨关节炎的治疗上形成了系统化的理论与手法。本文在梳理流派源流的基础上,围绕第五代传承人罗才贵教授的临床经验,凝练出膝骨关节炎“肝肾亏虚、脾胃失司、筋骨失养”的病机认识与“辨证辨经结合、因筋施术”的治疗策略,整个体系以“经筋失衡”为理论基础,以“松解-整复-巩固”实施镇静点穴、弹拨、勾点、撞擦、腰部松振、趾压踩跷等为基本手法,形成了“手法-功能锻炼-调养”的康复闭环理念,突出了循经导引、节度适中、动静互参的整体康复观。本文凝练了峨眉伤科治疗膝骨关节炎的核心学术思想与关键操作要点,旨在为中医推拿临床提供可操作的经验与理论参考。
Knee osteoarthritis(KOA)is a common and frequently encountered condition in clinical practice,and Tuina holds substantial value in its management.As a representative lineage of the Sichuan school of Tuina,the Emei Traumatology has developed a systematic theoretical and manual framework for treating KOA.Building on a review of the lineage′s origins and focusing on the clinical experience of Professor Luo Caigui,the fifth-generation inheritor,this paper distills an understanding of KOA pathomechanisms of Liver-Kidney deficiency,Spleen-Stomach dysregulation,and inadequate nourishment of the sinews and bones-and formulates a therapeutic strategy that integrates syndrome differentiation with meridian identification while tailoring techniques to tendinomuscular(Jingjin)findings.The system takes tendinomuscular imbalance along the primary meridians as its theoretical foundation and follows a release–realignment–consolidation sequence,standardizing core methods such as calming acupoint pressure,plucking,hooking-point manipulation,striking-rubbing,lumbar loosening–vibration,and toe-pressure step-rocking.It further builds a closed-loop rehabilitation model linking manual therapy,functional exercise,and self-regimen,emphasizing meridian-guided Daoyin,appropriate dosing of intensity,and the integration of movement and stillness within a holistic rehabilitation perspective.By consolidating the core academic concepts and key operative points of the Emei Traumatology approach to KOA,this article aims to provide actionable experience and a theoretical reference for clinical Tuina practice.
作者
张攀
苏程果
李文翰
胡旺明
卢群文
罗才贵
Zhang Pan;Su Chengguo;Li Wenhan;Hu Wangming;Lu Qunwen;Luo Caigui(Meishan Hospital of Traditional Chinese Medicine,Meishan,620032,China;Acupuncture and Tuina College,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China;Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,610032,China;College of Innovation and Entrepreneurship,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China)
出处
《成都中医药大学学报》
2026年第1期40-43,共4页
Journal of Chengdu University of Traditional Chinese Medicine
基金
国家重点研发计划(2018YFC1704104)
眉山市科技局中医药专项(2024ZYY02)
成都中医药大学校-院联合创新基金“临床-基础”联合研究专项(LH202402013)
四川省科技厅青年科学基金项目(2025ZNSFSC1849)
四川省科技教育联合基金面上项目(2025NSFSC2158)。
关键词
峨眉伤科
罗才贵
膝骨关节炎
经筋失衡
推拿手法
学术思想
Emei Traumatology
Luo Caigui
Knee osteoarthritis
Tendinomuscular imbalance
Tuina manipulation
Academic thoughts
