从"骨正-筋柔-肉实"理论辨治腰椎间盘突出症OA
Differential Diagnosis and Treatment of Lumbar Disc Herniation Based on Theory of"Bone Alignment-Tendon Flexibility-Flesh Solidity"
"骨正筋柔"出自《黄帝内经》,是中医骨伤学"筋骨"理论的基础."肉实"作为"骨正筋柔"理论的延伸和拓展,更重视肌肉功能对慢性筋骨疾病的影响,强调了肌肉功能和质量的恢复是慢性筋骨疾病防治中的重要环节.现代医学对于腰椎间盘突出症(lumbar disc herination,LDH)的治疗更倾向于调整脊柱的生物力学平衡,而肌肉作为脊柱力学平衡的外源性支持,更应加以重视."骨正-筋柔-肉实"理论强调了肝、脾、肾等脏腑对于 LDH 治疗的重要意义,是动静结合、内外兼治的治法.在中医整体思想指导下治疗 LDH 时,并无单独"正骨"或单独"理筋"的方法,而是将筋、骨、肉的整体性、平衡性、系统性相互联系,应用于 LDH 的治疗中.
"Bone alignment-tendon flexibility"originates from Huang Di Nei Jing and serves as the foundation of bone and tendon the-ory in Traditional Chinese Medicine."Flesh solidity",as an extension and expansion of the"Bone alignment-tendon flexibility"theo-ry,places more emphasis on the impact of muscle function on chronic musculoskeletal diseases,highlighting that the recovery of muscle function and quality is a key aspect in the prevention and treatment of chronic musculoskeletal disorders.Modern medicine tends to treat lumbar disc herniation(LDH)by adjusting the biomechanical balance of the spine,while muscles,as external support for spinal me-chanical balance,should receive greater attention.The"Bone alignment-tendon flexibility-flesh solididy"theory emphasizes the im-portance of internal organs such as the Liver,Spleen,and Kidney in treatment of LDH,employing a method that combines movement and stillness,as well as internal and external approaches.Under the guidance of the holistic thinking of TCM in treating LDH,there is no separate method of"bone correction"or"tendon regulation";rather,the integrity,balance,and systematic connection of tendons,bones,and muscles are applied in the treatment of LDH,with excellent therapeutic effect.
高夕林;刘爱峰;符碧峰;王平
天津中医药大学第一附属医院,天津 300193||国家中医针灸临床医学研究中心,天津 300193天津中医药大学第一附属医院,天津 300193||国家中医针灸临床医学研究中心,天津 300193天津中医药大学第一附属医院,天津 300193||国家中医针灸临床医学研究中心,天津 300193天津中医药大学第一附属医院,天津 300193||国家中医针灸临床医学研究中心,天津 300193
医药卫生
腰椎间盘突出症"骨正-筋柔-肉实"理论"筋骨"理论从骨论治从筋论治从肉论治
lumbar disc herniationtheory of"bone alignment-tendon flexibility-flesh solidity""bone and tendon"theorytreating from the perspective of bonestreating from the perspective of tendonstreating from the perspective of meat
《中医学报》 2026 (7)
1423-1429,7
国家重点研发计划项目(2021YFC1712802)
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