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从筋骨肉并重论治膝骨关节炎

兰向东,杨家祥,韩允,贾松涛,刘彦岭,王艳君

Journal of Traditional Chinese Medicine（2022）

Cited 4|Views16
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Abstract
筋骨肉并重理论起源于《黄帝内经》,其核心思想为筋骨肉三者一体.骨为支柱,筋可约束和强固骨骼,肌肉能保护内在脏腑和筋骨血脉,三者共同维持膝关节功能,相互辅助、相互影响.基于该理论,认为膝骨关节炎以痹证为主,夹杂痿证,且痹证与痿证并存于整个病程且相互影响,其核心病机为肝脾肾亏虚、筋骨肉失衡.据此提出从筋骨肉并重论治膝骨关节炎,以协调平衡筋骨肉三者的状态为基本原则,以养肝柔筋、补肾壮骨、健脾强肌的方法指导临床治疗,为临床治疗膝骨关节炎提供思路.
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