基于"筋出槽,骨错缝"探讨针推治疗髋关节撞击综合征OA
Discussion on Acupuncture and Manipulation Treatment of Femoroacetabular Impingement Syndrome Based on"Dislocation of Tendons and Misalignment of Bones"
"筋出槽,骨错缝"是古代医家对筋骨损伤病因病机的浓缩总结,即各类因素导致的筋脉失约、骨缝错位,髋关节撞击综合征病机亦不离于此.诊断时应注重整体观念,某个关节部位出现疼痛或功能障碍时,需查体产生动作的整个关节链.治疗以"止疼痛,筋归槽,骨复位,固疗效"为思路:局部选穴针刺以及时缓解疼痛;"同名经穴交经刺针法"联合患部活动治疗以改善患处疼痛和活动受限;如存在腰部不适,合并脊柱错缝者,施以"经络整脊手法",联合使用针刺、电针、艾灸以及整脊手法,恢复脊柱生理力学结构;同时嘱患者重视功法锻炼,增加筋骨的力量和稳定性.
The theory of"dislocation of tendons and misalignment of bones"is a concise summary of the etiology and pathogenesis of tendon and bone injuries by ancient physicians.Various factors leading to the loosening of tendons and the misalignment of bone joints are included in this theory.The pathogenesis of femoroacetabular impingement syndrome also aligns with this theoretical framework.During diagnosis,the holistic concept should be emphasized.When pain or functional impairment occurs in a specific joint,the physical examination should encompass the entire kinetic chain involved in the movement.The treatment approach is based on the concept of"alleviating pain,restoring the tendons to their slots,repositioning the bones,and ensuring the therapeutic effect":local acupoint needling is used to promptly relieve pain;the"acupoint intersection needling method of the same meridian"combined with the movement of the affected area is used to ameliorate local pain and restricted mobility at the affected site;if there is discomfort in the waist and combined with spinal misalignment,the"meridian-based chiropractic manipulation"is applied,integrating acupuncture,electro-acupuncture,moxibustion,and chiropractic manipulation techniques to restore the physiological biomechanical structure of the spine;at the same time,patients are instructed to pay attention to functional exercises to increase the strength and stability of the tendons and bones.
陈贵生;顾茜彦;孙梓之;孙继业;黄杰;陈朝明
南京中医药大学,江苏 南京 210023南京中医药大学,江苏 南京 210023南京中医药大学,江苏 南京 210023南京中医药大学,江苏 南京 210023南京中医药大学,江苏 南京 210023南京中医药大学附属南京中医院,江苏 南京 210006
医药卫生
髋关节撞击综合征筋出槽,骨错缝同名经穴交经刺针法针刺艾灸经络整脊手法
femoroacetabular impingement syndromedislocation of tendons and misalignment of bonesacupoint intersection needling method of the same meridianacupuncturemoxibustionmeridian-based chiropractic manipulation
《山东中医杂志》 2026 (3)
262-267,6
江苏省中医药科技发展计划项目(编号:YB2020028)江苏省研究生科研与实践创新计划项目(编号:SJCX25-1039)南京市卫生科技发展项目(编号:ZKX24044)
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