[1]盛泽伟,王树东,董宝强.基于“络病-微循环相关性”探讨针刺治疗膝骨关节炎[J].陕西中医,2022,(12):1763-1767.[doi:DOI:10.3969/j.issn.1000-7369.2022.12.027]
　SHENG Zewei,WANG Shudong,DONG Baoqiang.Explore treatment of knee osteoarthritis by acupuncture based on Luo disease microcirculation correlation[J].,2022,(12):1763-1767.[doi:DOI:10.3969/j.issn.1000-7369.2022.12.027]
点击复制

基于“络病-微循环相关性”探讨针刺治疗膝骨关节炎
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年12期
页码:
1763-1767
栏目:
学术探讨
出版日期:
2022-12-20

文章信息/Info

Title:
Explore treatment of knee osteoarthritis by acupuncture based on Luo disease microcirculation correlation
作者:
盛泽伟; 王树东; 董宝强
(辽宁中医药大学,辽宁 沈阳110847)
Author(s):
SHENG Zewei; WANG Shudong; DONG Baoqiang
(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)
关键词:
膝骨关节炎;  络病;  痹症;  微循环;  针刺;  从络论治
Keywords:
Knee osteoarthritis;  Luo disease;  Bi syndrome;  Microcirculation;  Acupuncture;  Congluo Lunzhi
分类号:
R 684
DOI:
DOI:10.3969/j.issn.1000-7369.2022.12.027
文献标志码:
A
摘要:
根据膝骨关节炎与痹症的关系,探讨痹症与络病、络病与微循环障碍的相关性,以及微循环功能障碍对膝骨关节炎发生发展的影响,针灸治疗膝骨关节炎的作用机制。络病致痹的病机在于络脉空虚,复感风寒湿邪,络脉内气血津液运行失常,且微循环与络脉理论在生理、病理、形态学方面具有相关性,推测膝关节局部微循环功能的改善可能是针刺治疗KOA的作用机制。针灸“从络论治”应贯穿本病各个阶段。
Abstract:
According to the relationship between knee osteoarthritis(KOA)and Bi syndrome,the correlation between Bi syndrome and Luo disease,collateral disease and microcirculation disorder were discussed.The effect of microcirculation dysfunction on the occurrence and development of KOA,and the mechanism of acupuncture and moxibustion in the treatment of KOA.The pathogenesis of Bi caused by collateral disease lies in the void of the choroidal veins,the repeated feeling of wind,cold and dampness,the abnormal operation of Qi,blood and body fluid in the choroidal veins.There is correlation between microcirculation and Luomai theory in physiology,pathology and morphology.It is speculated that the improvement of local microcirculation function of knee joint may be the mechanism of acupuncture in treating KOA.Acupuncture and moxibustion “Congluo Lunzhi” should run through all stages of the disease.

参考文献/References:

[1] 陈 宇,邓小磊,王有雪.穴位贴敷联合小针刀治疗膝骨关节炎疗效及对患者骨代谢炎症因子的影响[J].陕西中医,2022,43(3):363-366.
[2] 宋寒冰,刘家兴,王革强,等.七厘散治疗兔膝骨关节炎及其相关分子机制研究[J].陕西中医,2021,42(1):18-22.
[3] 刘朝晖,马剑雄,张 顺,等.膝骨关节炎的现状及治疗方法的研究进展[J].中华骨与关节外科杂志,2020,13(8):688-693.
[4] 邓星佑,熊尤龙,武双艳,等.辨证取穴针刺法对膝骨关节炎患者血清MMP、IL-1β表达的影响[J].辽宁中医杂志,2019,46(5):1048-1051.
[5] 王 阳.基于络病理论探析慢性萎缩性胃炎“气络失和,毒损血络”病机[J].陕西中医,2020,41(11):1632-1634,1638.
[6] 吴以岭.中医络病学说与三维立体网络系统[J].中医杂志,2003,44(6):407-409.
[7] 靖卫霞,朱跃兰.从络治痹理论探讨[J].中华中医药学刊,2014,32(12):2883-2885.
[8] 刘立智,邓益平,詹进美.微循环障碍的中医病因初探[J].陕西中医,2010,31(1):72,108.
[9] 王 宣,李 霞.从络病理论探讨肺间质纤维化的微循环改变[J].中医杂志,2018,59(9):743-745.
[10] 刘一飞,李盛华,周明旺,等.基于“络病理论”探讨股骨头坏死的病因机制[J].时珍国医国药,2019,30(8):1939-1941.
[11] Ramasamy SK.Structure and functions of blood vessels and vascular niches in bone[J].Stem Cells International,2017,200(7):5046-5053.
[12] 刘劲松,李智尧.膝骨关节炎周围血供变化的影像学观察[J].中国骨伤,2017,30(8):701-706.
[13] 常永超,常彦卿,许德英.骨性关节炎患者的血液流变学指标的变化[J].中医正骨,2009,21(9):35-36.
[14] 李 巍,吴国志,陈德喜,等.熏蒸一、二号方治疗膝骨性关节炎的药效学研究[J].中医外治杂志,2007,16(2):5-7.
[15] 曾俊华,张方建,白书臣,等.骨痛膏局部外敷对膝关节炎家兔的骨内压及血液流变学的影响[J].中国中医骨伤科杂志,2011,19(6):9-11.
[16] 李雪莹,程志新.锻炼与针刺组合对退行性膝关节炎微循环血流灌注量的影响[J].武汉体育学院学报,2019,53(1):98-100.
[17] 刘爱娟,张李漫,任亚平.温针灸治疗膝关节炎疗效及对患者膝关节微循环、关节功能的影响[J].陕西中医,2019,40(4):522-524.
[18] Ding N,Jiang J,Liu X,et al.Laser speckle imaging of sensitized acupoints[J].Evid Based Complement Alternat Med,2018,17(6):730-738.
[19] 刘潇潇,丁 宁,姜 婧,等.膝骨关节炎模型小鼠相关穴区微循环敏化的光声成像观察[J].针灸临床杂志,2019,35(2):56-60,87.
[20] 许金森,郑淑霞,潘晓华,等.阴虚阳虚体质任脉线上微循环血流灌注量的比较及电针对其影响[J].中华中医药杂志,2016,31(10):3992-3994.
[21] 周梦圆,骆政杰,胡轩铭,等.针灸治疗雷诺病的优势及机制探析[J].中国中医基础医学杂志,2019,25(9):1276-1279.
[22] 贺文华.针刺对膝骨性关节炎患者的临床疗效观察和对膝关节局部浅表微循环血流灌注量影响的研究[D].成都:成都中医药大学,2020.
[23] 闵 文,周龙云,黄桂成,等.黄桂成教授运用络病理论治疗骨关节炎学术思想探讨[J].四川中医,2018,36(8):8-10.
[24] 叶钰娟,张娟娟,马重兵,等.针刺干预对单眼视觉剥夺模型大鼠视皮层方位柱“漂移”和异常重组的调节作用及其脑功能机制[J].吉林大学学报:医学版,2022,48(2):291-298.
[25] 于子夫,马甜甜,毕鸿雁,等.针刺运动疗法对脑卒中患者运动功能及日常生活活动能力影响的Meta分析[J].中华物理医学与康复杂志,2022,44(5):446-449.
[26] 吴若辉,王岚萱,贺小卉,等.补阳还五汤联合针刺对老年脑卒中患者血液流变学及血清CRP、TNF-α的影响[J].中国老年学杂志,2022,42(16):3907-3910.
[27] 张脉青,朱建华,张桂林.中药熏洗配合针刺对气滞血瘀型膝骨关节炎患者疼痛症状、膝关节功能以及炎症状态的影响[J].中国中医药科技,2022,29(2):224-226.
[28] 王振涛,王银平,许艳琴,等.辨证取穴针刺联合运动疗法对老年膝骨关节炎患者关节功能及下肢微循环的影响[J].中国老年学杂志,2021,41(4):818-821.
[29] 寇龙威,郭珈宜,李 峰,等.针灸治疗膝骨关节炎作用机制研究[J].辽宁中医药大学学报,2021,23(1):196-199.

相似文献/References:

[1]刘芬之,郭珈宜,李 峰,等.中药熏洗联合西药治疗骨关节炎疗效及对患者IL-6、TNF-α的影响*[J].陕西中医,2020,(4):474.
[2]黄 建,杨丽薇,邓国忠.高频电针结合臭氧对膝骨关节炎患者血清IL-1及TNF-α表达的影响*[J].陕西中医,2020,(7):966.[doi:DOI:10.3969/j.issn.10007369.2020.07.039]
　HUANG Jian,YANG Liwei,DENG Guozhong..Effect of high frequency electroacupuncture combined with ozone on serum IL-1 and TNF-α expression in patients with knee osteoarthritis[J].,2020,(12):966.[doi:DOI:10.3969/j.issn.10007369.2020.07.039]
[3]周晴晴,李慧杰,李秀荣△.基于癌毒理论探讨攻毒治法抗肿瘤血管生成*[J].陕西中医,2020,(8):1134.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.033]
　ZHOU Qingqing,LI Huijie,LI Xiurong..Discussion on anti-tumor angiogenesis by therapeutics of eliminating toxin based on cancer toxin theory[J].,2020,(12):1134.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.033]
[4]马 锐,刘东辉△.针刺联合拔罐运动疗法治疗膝骨关节炎疗效及对患者骨代谢指标、炎症因子的影响[J].陕西中医,2020,(12):1813.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.036]
　MA Rui,LIU Donghui..Effect of acupuncture combined with cupping kinesitherapy on knee osteoarthritis and its effect on bone metabolism and inflammatory factors[J].,2020,(12):1813.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.036]
[5]宋寒冰,刘家兴,王革强,等.七厘散治疗兔膝骨关节炎及其相关分子机制研究[J].陕西中医,2021,(1):18.[doi:DOI:10.3969/j.issn.1000-7369.2020.01.004]
　SONG Hanbing,LIU Jiaxing,WANG Geqiang,et al.Experimental study on Qili San in treatment of knee osteoarthritis and its related molecular mechanism[J].,2021,(12):18.[doi:DOI:10.3969/j.issn.1000-7369.2020.01.004]
[6]汪思慧,沈 雁.从“络以辛为泄”论治冠心病心绞痛研究进展[J].陕西中医,2022,(12):1822.[doi:DOI:10.3969/j.issn.1000-7369.2022.12.043]
[7]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,(11):1646.[doi:DOI:10.3969/j.issn.1000-7369.2023.11.037]
　SHANG Weiran,LI Jinyang,LI Huanan,et al.Research progress of Jingu Zangfu massage in treatment of perimenopausal knee osteoarthritis[J].,2023,(12):1646.[doi:DOI:10.3969/j.issn.1000-7369.2023.11.037]
[8]刘美之,王俊林,边爱忠,等.从中医痰湿体质论治高脂血症研究进展[J].陕西中医,2024,(5):719.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.034]
[9]刘 琴,苏丽清,刘金雪,等.探析从“久病入络”论治卵巢巧克力囊肿纤维化[J].陕西中医,2024,(8):1083.[doi:DOI:10.3969/j.issn.1000-7369.2024.08.016]
　LIU Qin,SU Liqing,LIU Jinxue,et al.The treatment of ovarian chocolate cysts fibrosis from “chronic diseases transforming to collaterals”[J].,2024,(12):1083.[doi:DOI:10.3969/j.issn.1000-7369.2024.08.016]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助面上项目(81574050); 辽宁省教育厅科研课题(LJKZ0878); 辽宁省“兴辽英才计划”科技创新领军人才项目(XLYC1902115)
更新日期/Last Update: 2022-12-09