[1]康惠琴,崔馨予,贺佩鑫,等.名中医王海东基于“冲脉联合足三阴经筋疏筋解结术”治疗踝骨关节炎经验[J].陕西中医,2025,46(7):953-957.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.018]
 KANG Huiqin,CUI Xinyu,HE Peixin,et al.WANG Haidong’s experience in treating ankle osteoarthritis based on Chong meridian combined with three Yin meridians of foot Jin meridians’ muscle relaxation and knot loosening technique[J].,2025,46(7):953-957.[doi:DOI:10.3969/j.issn.1000-7369.2025.07.018]
点击复制

名中医王海东基于“冲脉联合足三阴经筋疏筋解结术”治疗踝骨关节炎经验

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年7期
页码:
953-957
栏目:
名中医经验
出版日期:
2025-07-05

文章信息/Info

Title:
WANG Haidong’s experience in treating ankle osteoarthritis based on Chong meridian combined with three Yin meridians of foot Jin meridians’ muscle relaxation and knot loosening technique
作者:
康惠琴1崔馨予1贺佩鑫1杨彩红1杨骞1冉旭超1金芳梅2李浩林1陈平2王海东2李伟青2
(1.甘肃中医药大学,甘肃 兰州 730000;2.甘肃省中医院风湿骨病中心,甘肃 兰州 730050)
Author(s):
KANG Huiqin1CUI Xinyu1HE Peixin1YANG Caihong1YANG Qian1RAN Xuchao1JIN Fangmei2LI Haolin1CHEN Ping2WANG Haidong2LI Weiqing2
(1.Gansu University of Traditional Chinese Medicine,Lanzhou 730000,China;2.Rheumatic Bone Disease Center,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)
关键词:
踝骨关节炎针刀冲脉经筋足三阴经筋疏筋解结术辨筋论治
Keywords:
Ankle osteoarthritisAcupotomyPulse meridiansFoot three Yin meridian tendonsTechnique of relaxing tendons and resolving knotsTendon identification and treatment
分类号:
R 684.3
DOI:
DOI:10.3969/j.issn.1000-7369.2025.07.018
文献标志码:
A
摘要:
“各经皆有筋,而筋又有病”揭示了冲脉经筋主病的关键特征。踝骨关节炎(OA)作为慢性筋骨病的典型代表,多因踝关节扭伤与长期劳损引发,其临床症状明显,常见关节疼痛、屈伸活动受限,畸形甚至步态异常,病理改变是筋急,病理产物是筋结。王海东在经筋理论指导下,融合现代肌筋膜理论,将循行经过局部的足三阴经筋视为治疗关键点,更着重以冲脉经筋为核心。一方面可有效解除关节局部卡压状况,使气血调和,迅速缓解疼痛;另一方面疏通经络,平衡阴阳,助力恢复下肢力线平衡,发挥 “冲脉经筋” 调节全身功能的强大作用。王海东提出“截取冲脉、调衡筋骨”的基本治疗原则,系统阐述了 “冲脉经筋疏筋解结术” “足三阴踝关节解结术” 两大针刀治法的定点与具体操作,从局部与整体双维度论治 OA。
Abstract:
The statement each meridian has its own channel reveals key pathological characteristics of the Chongmai meridian-sinew system.Ankle osteoarthritis(OA),typical chronic musculoskeletal disorder,primarily caused by ankle sprains and long-term strain.Its clinical symptoms were pronounced,including joint pain,limited flexion-extension movement,deformities,and abnormal gait.The pathological changes involve muscle tension with muscular nodules as pathological products.Based on decades of clinical experience,WANG Haidong has developed unique therapeutic strategy for the condition.Guided by the meridian-sinew theory and integrating modern myofascial theory,his approach not only prioritizes local foot three Yin meridian-sinews but particularly emphasizes the Chongmai meridian-sinew as the core.The integration achieves dual benefits,it effectively relieves local joint compression to harmonize Qi blood circulation and rapidly alleviate pain,while simultaneously dredging meridians,balancing Yin-Yang,and restoring lower limb biomechanical alignment,thereby leveraging Chongmai meridian-sinew’s systemic regulatory function.Innovatively proposing principle intercept Chongmai,regulate Bone-Sinew balance,Wang Haidong systematically established two acupotomy technique Chongmai Meridian-Sinew Nodule-Release therapy and foot three Yin ankle nodule-release therapy detailing their operative points and procedures,supported by clinical cases.Dual-dimensional therapeutic framework for OA.

参考文献/References:

[1]周广智,邰东旭.踝关节骨关节炎动物模型构建的研究与进展[J].中国组织工程研究,2023,27(29):4745-4750.
[2]戴科,左立新,刘永刚,等.微创距下关节融合术对跟骨骨折所致距下关节创伤性关节炎患者足踝关节功能及骨代谢指标的影响[J].陕西医学杂志,2021,50(6):687-689.
[3]ARNOLD J B,BOWEN C J,CHAPMAN L S,et al.International foot and ankle osteoarthritis consortium review and research agenda for diagnosis epidemiology burden outcome assessment and treatment[J].Osteoarthritis Cartilage,2022,30(7):945-955.
[4]刘剑伟,周文琪,唐四.针刺联合郑氏手法治疗踝关节陈旧性扭伤临床研究[J].陕西中医,2022,43(8):1118-1121.
[5]刘福水,方婷,周凡媛.针刀“调筋治骨”法治疗颈椎病力学机制探讨[J].中华中医药学刊,2018,36(12):2862-2865.
[6]史旭,左华,王毓幸,等.踝外侧副韧带损伤对踝关节稳定性及软骨接触应变影响的有限元分析[J].中国组织工程研究,2023,27(31):4926-4931.
[7]刘佳,李志强,李道通,等.基于肌筋膜链理论运用平脊疗法治疗青少年特发性脊柱侧弯临床研究[J].陕西中医,2020,41(1):111-114.
[8]李元浩,陈彦飞,秦伟凯,等.中医“筋”的解剖实质探析[J].陕西中医,2019,40(3):374-377.
[9]刘斌,苏晓川,滕军燕,等.明确经筋实质[J].中华中医药杂志,2022,37(1):49-52.
[10]李伟青,崔馨予,康惠琴,等.王海东针刀松解手三阳经筋治疗类风湿腕关节炎经验浅析[J].中国针灸,2024,44(6):699-702.
[11]张炎,顾非,林丹椿,等.经筋病“筋结”理论及其临床应用探析[J].上海中医药杂志,2023,57(6):96-100.
[12]易宝秀.热敏灸联合针刺筋结点治疗紧张型头痛的临床观察[D].南昌:江西中医药大学,2021.
[13]梁龙,周帅琪,于杰,等.“筋”之生理病理及分期论治体系[J].中国中医基础医学杂志,2020,26(10):1427-1429.
[14]陈星燃,晏飞,王领弟,等.十枣汤加味散联合塞来昔布胶囊治疗湿热瘀闭型膝骨关节炎性滑膜炎临床研究[J].辽宁中医杂志,2025,52(1):1-7.
[15]包安,李华南,张玮,等.小探伏冲之脉及其在推拿中的应用[J].天津中医药,2022,39(11):1383-1387.
[16]商蔚然,李进阳,李华南,等.津沽脏腑推拿治疗围绝经期膝骨关节炎研究进展[J].陕西中医,2023,44(11):1646-1649.
[17]李磊,尤传香.冲脉循行考[J].中华中医药杂志,2013,28(1):190-192.
[18]马宁.三焦与四街[J].北京中医药大学学报,2018,41(10):797-802.
[19]王友华,黄海,骆剑华,等.人工弓状线切开技术在弓状线变异腹腔镜全腹膜外腹股沟疝修补术中的应用:附视频[J].中华普通外科学文献:电子版,2020,14(5):359-363.
[20]郭海媚,陈波,陈泽林,等.浅析标本根结、气街四海理论在针灸临床取穴与配伍中的应用[J].陕西中医,2019,40(8):1112-1115.
[21]杨雨霏,唐勰,伍先明,等.以经筋整体辨证从髋—膝—踝论治膝骨关节炎[J].贵州中医药大学学报,2024,46(4):40-44.
[22]胡聪,冯思凝,王燕平,等.从肌筋膜链角度初释足三阴经筋解剖结构[J].针灸临床杂志,2021,37(9):89-93.
[23]吴婷,郝跃峰,张秋霞,等.肌筋膜链理论指导下慢性足底筋膜炎治疗思路[J].当代体育科技,2022,12(33):30-35.
[24]刘慧,沈国权,张喜林,等.基于仿真技术的腰椎间盘突出症“经筋失衡”的研究[J].广州中医药大学学报,2021,38(4):655-662.
[25]杨敏,秦晓光,毛宇宏,等.肌筋膜链理论探析及临床诊疗进展概述[J].中医药临床杂志,2024,36(7):1407-1411.
[26]郑卫丛,豆昌先,吴晓翔,等.“筋骨平衡”理论在退行性腰椎滑脱症中的运用探讨[J].陕西中医,2021,42(6):757-760.
[27]陶鹏飞,陈平,张浩,等.名中医王海东基于“阳急则反折,阴急则俯不伸”治疗非特异性下腰痛经验[J].陕西中医,2023,44(11):1613-1616.
[28]杨柏,口锁堂,王晓梅,等.《内经》论治飧泄初探[J].陕西中医,2024,45(3):376-379.

备注/Memo

备注/Memo:
国家自然科学基金资助项目(82460945);国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函〔2022〕226 号);甘肃省自然科学基金资助项目(22JR11RA198);甘肃省中医药科研项目(GZKP-2023-7);基于经筋理论针刀医学新体系的人才培养及循证基地建设项目(甘组通字〔2024〕53号);王海东甘肃省名中医传承工作室建设项目(甘卫中医函〔2022〕50号)
更新日期/Last Update: 2025-07-09