| 引用本文: |
胡泽昊, 黄秋璇, 黄培鑫, 李祥明, 林创坚, 陈国华.基于肌筋骨理论探讨“循经理膝”易筋经防治膝骨关节炎[J].湖南中医药大学学报,2025,45(11):2169-2175[点击复制] |
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| 基于肌筋骨理论探讨“循经理膝”易筋经防治膝骨关节炎 |
| 胡泽昊,黄秋璇,黄培鑫,李祥明,林创坚,陈国华 |
| (广州中医药大学附属汕头中医院, 广东 汕头 515031;汕头市中医医院, 广东 汕头 515031) |
| 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。 |
| 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 |
| DOI：10.3969/j.issn.1674-070X.2025.11.020 |
| 投稿时间：2025-09-04 |
| 基金项目: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)。 |
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| Exploring the prevention and treatment of knee osteoarthritis through “the meridian-guided knee exercise” of Yi Jin Jing grounded in the “muscle-sinew-bone” theory |
| 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) |
| Abstract: |
| 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 "musclesinew-bone" theory of TCM, this paper systematically elucidates the TCM pathogenic connotations of "sinew laxity-muscle atrophybone 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 meridianguided 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. |
| Key words: knee osteoarthritis "the meridian-guided knee exercise" of Yi Jin Jing muscle-sinew-bone theory daoyin osteoarticular diseases |
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