| 基于“骨正筋柔”理论探讨膝骨关节炎的阶段化治疗 |
| Exploring Stage-Based Treatment of Knee Osteoarthritis Based on the Theory of “Bone Realignment and Tendon Softening” |
| DOI： |
| 中文关键词: 膝骨关节炎 骨正筋柔 阶段化治疗 筋骨并重 |
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| 中文摘要: |
| 膝骨关节炎(Knee Osteoarthritis,KOA)是以关节软骨的变性、骨质增生以及关节间隙变窄为特征的退行性关节病,KOA的治疗方法众多,临床已逐渐形成阶梯化的治疗模式。KOA归属于中医“痹病”、“膝痹”等范畴,其病位初期在筋,久之由筋及骨,造成筋骨同病。但目前尚未有学者针对KOA阶段化分期治疗与“骨正筋柔”理论的联系展开详细论述。基于此,本文以“骨正筋柔”理论为指导,探寻其与KOA发病的关系,建立“骨正筋柔”理论与KOA阶段化治疗的联系,以期为中医经典伤科理论在KOA中的防治应用提供更多选择。 |
| 英文摘要: |
| Knee osteoarthritis (KOA) is a degenerative joint disease characterized by articular cartilage degeneration, osteophyte formation, and narrowing of the joint space. A variety of therapeutic approaches are available for KOA, and a stepwise treatment model has gradually been established in clinical practice. In traditional Chinese medicine, KOA falls within the categories of “Bi disease” and “knee Bi.” In the early stage, the disease is located in the tendons; over time, it extends from the tendons to the bones, eventually leading to the concomitant involvement of both tendons and bones. However, to date, few studies have provided a detailed discussion on the relationship between stage-based treatment of KOA and the theory of “bone realignment and tendon softening.” Based on this, the present paper, guided by the theory of “bone realignment and tendon softening,” explores its relationship with the pathogenesis of KOA and establishes a connection between this theory and the stage-based treatment of KOA, with the aim of providing more options for the prevention and treatment of KOA through the application of classical theories of traditional Chinese traumatology. |
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