[1]赵卫锋,陆 鹤△,任媛媛,等.周志杰主任医师从经筋论治膝骨关节病及运用膝四针临证经验*[J].陕西中医,2020,(2):230-233.
 ZHAO Weifeng,LU He,REN Yuanyuan,et al.Academic thoughts of chief physician ZHOU Zhijie in treating knee osteoarthriosis based on muscle region theory and the corsesponing clinical experience of knee four needls[J].,2020,(2):230-233.
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周志杰主任医师从经筋论治膝骨关节病及运用膝四针临证经验*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年2期
页码:
230-233
栏目:
名老中医经验
出版日期:
2020-02-05

文章信息/Info

Title:
Academic thoughts of chief physician ZHOU Zhijie in treating knee osteoarthriosis based on muscle region theory and the corsesponing clinical experience of knee four needls
文章编号:
DOI:〖HT5K〗10.3969/j.issn.10007369.2020.02.025
作者:
赵卫锋1陆 鹤2△任媛媛1周志杰2
1.西安市中医医院(西安 710021); 2.西安市中心医院(西安 710003)
Author(s):
ZHAO WeifengLU HeREN Yuanyuanet al.
Xi'an Traditional Chinese Medicine Hospital(Xi'an 710021)
关键词:
膝骨关节病 经筋理论 针刺 膝四针 经验 周志杰
Keywords:
Knee osteoarthrosis Muscle regions theory Acupuncture Knee-four-needle Experience ZHOU Zhijie
分类号:
R684
文献标志码:
A
摘要:
目的:膝骨关节病是影响中老年人下肢运动的主要原因之一,临床治疗方式分为内治法和外治法,针灸疗法是外治的主要方法,本文介绍了陕西省名中医周志杰主任医师按照经筋理论治疗膝骨关节病的学术思想、诊治思路,以及周老提出的“膝四针”疗法治疗该病的临床医案。方法:通过在门诊及住院部跟随周志杰主任医师临床学习及医疗实践,同时收集整理周老的临床病案,并查阅相关文献,分析总结其学术思想及临床经验。结论:周志杰主任医师按照“经筋”理论,从膝骨关节病的病因、病机及诊治思路等多角度阐述,结合经络、八纲等辨证方法,认为“膝眼、梁丘、伏兔、阴陵泉”四穴为膝骨关节病的常见筋结灶点,由此他提出了“膝四针”疗法治疗膝骨关节病这一观点,经过临床治疗膝骨关节病患者数例,疗效显著,值得借鉴。
Abstract:
Objective:Knee osteoarthrosis is one of the main causes that impact lower limb movements in middle-aged and elderly people.The clinical treatments are divided into the internal and external treatments.Acupuncture and moxibustion are the chief methods for the external treatment.This study introduces the practical experience and knowledge from the famous acupuncture professor ZHOU ZhiJie.He proposed ideas to diagnose and treat knee osteoarthrosis according to the theory of “muscle regions”,and put forward the “knee-four-needles”.Methods:By means of learning the clinical experiences of Dr.Zhou in outpatients and inpatients clinics,we collected the clinical cases,consulted relevant literatures and summarized his academic thoughts and clinical experience.Conclusion:Based on the “muscle regions” theory,Dr.ZHOU Zhijie analyzed the causes,pathogenesis and treatment ideas of knee osteoarthrosis by combining with meridian identification and eight principle differentiation.He believed that the following points which include “Xiyan(EX-LE4\·),Liangqiu(ST34),Futu(ST32),and Yinlingquan(SP9)” were effective for knee osteoarthrosis.Therefore,he propose that treating knee osteoarthrosis with the “Knee-four needle” therapy,and which was proved in clinical trials,it was worthy of reference and popularizing.

参考文献/References:

[1] 佘君菲,姜 鹏,文 钱,等.基于经筋理论针灸治疗膝骨关节病疗效的Meta分析[J].湖南中医杂志,2018,34(8):163-165.
[2] Kim WB,Kim BR,Kim SR,et al.Comorbidities in patients with end-stage knee OA:prevalence and impact on physical function[J].Archives of Physical Medicine and Rehabilitation,2019,100(11):2063-2070.
[3] 黄帝内经素问[M].北京:人民卫生出版社,2019:67-68.
[4] 黄旭东.膝骨关节病从筋论治及六经筋辨证的初步研究[D].广州:广州中医药大学,2009.
[5] 灵枢经?经筋第十三[M].北京:人民卫生出版社,2019:42-45.
[6] 金晓飞,郭长青,刘福水.针刀松解法治疗膝关节骨性关节炎经筋理论探析[J].中国中医药信息杂志,2012,19(1):95-96.
[7] Vitaloni M,Botto-van BA,Sciortino CR,et al.Global management of patients with knee osteoarthritis begins with quality of life assessment:a systematic review [J].BMC Musculoskeletal Disorders,2019,20(1):493.
[8] 周志杰,任媛媛.四针疗法[M].西安:陕西新华出版传媒集团,2019:108-109.
[9] 胥荣东.《灵枢?经筋》治则简析[J].针灸临床杂志,2010,26(10):64-67.
[10] 苏鑫童,李春颖,刘 琪,等.结筋病灶点与阿是穴刍议[J].针灸临床杂志,2017,33(6):45-46.
[11] 刘农虞.析“以痛为输”[J].针灸临床杂志,2014,30(2):55-57.
[12] 张亦廷,刘农虞.经筋针法治疗膝骨性关节炎的文献研究[J].中国针灸,2015,35(S1):102-110.
[13] 杨 帆.经筋辨证针刺治疗膝关节骨性关节炎[D].广州:广州中医药大学,2012.
[14] 李 娟,陈庆平,刘佳钰.甲氨蝶呤关节腔注射治疗伴骨髓水肿的膝骨关节炎疗效观察[J].陕西医学杂志,2016,45(9):1222-1223.
[15] 刘俊宏.针灸对膝骨关节炎患者TNF-α及关节活动度的影响[J].陕西中医,2018,39(1):116-118.
[16] 王 凯,宋永嘉,董万涛,等.经筋推拿手法治疗早中期膝骨关节炎临床疗效观察[J].陕西中医药大学学报,2019,42(3):77-81.
[17] 顾 青.经筋刺法治疗膝骨关节炎87例临床观察体会[J].中国初级卫生保健,2014,28(1):123-124.
[18] 刘 敏,陆 鹏,胡幼平.针刺结筋病灶点治疗膝关节骨性关节炎的临床随机对照试验[J].针灸临床杂志,2015,31(10):23-27.
[19] 林 琳,史红逸,赵 赞,等.补肝肾强筋骨基础方与针灸治疗膝骨关节炎30例[J].陕西中医,2014,35(12):1620-1621.
[20] 陈新合.经筋刺法结合温针灸治疗膝关节骨性关节炎32例[J].黑龙江医药,2018,31(4):871-872.
[21] 纪梦钊.温针灸结合经筋刺法治疗膝关节骨性关节炎临床观察[J].实用中医药杂志,2019,35(1):108-109.

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备注/Memo

备注/Memo:
*西安市卫健委中医药科研项目[市卫函(2019)205号,SZL201941];全国第六批名老中医药专家学术经验继承项目;西安市中医医院课题(YJ201907)
更新日期/Last Update: 2020-03-31