中医治疗肱骨外上髁炎的研究进展

Research Progress on the Treatment of Lateral Epicondylitis of the Humerus with Traditional Chinese Medicine

摘要: 肱骨外上髁炎是临床上常见的由于桡侧腕短伸肌的过度劳损所致的一种慢性劳损性疾病，临床上以肱骨外上髁前方和远端的伸肌总腱起点处压痛、肘关节外侧疼痛、伸腕时疼痛及握力减弱等为主要表现。临床上治疗该疾病多采用非手术治疗方式，且针对于本病的多数非手术治疗都获得了较好的效果，仅有少部分病情较为严重或长时间非手术治疗无明显疗效的患者需要进行手术治疗。在非手术治疗中中医治疗具有便捷、时效、创伤小、不良反应少的特点。因此，本文通过总结分析近年来中医治疗本疾病的文献研究，从肱骨外上髁炎的病因病机，中药外敷、针灸、其他疗法以及中医综合治疗等方面论述了最新的临床应用，希望能过为中医药临床工作提供新的治疗思路和方法。

Abstract: Lateral Epicondylitis is a common chronic overuse disorder clinically caused by excessive strain on the short radial wrist extensor. Clinically, it primarily manifests as tenderness at the origin of the extensor tendons on the anterior and distal parts of the lateral epicondyle of the humerus, pain on the outer side of the elbow, pain during wrist extension, and reduced grip strength. Non-surgical treatments are commonly used for this condition, and most non-surgical treatments have yielded good results. Only a small number of patients with more severe conditions or those who do not show significant improvement after prolonged non-surgical treatment require surgical intervention. In non-surgical treatments, traditional Chinese medicine (TCM) is characterized by its convenience, effectiveness, minimal invasiveness, and fewer adverse reactions. Therefore, this article summarizes and analyzes recent literature on TCM treatments for lateral epicondylitis, discussing the latest clinical applications from aspects such as the etiology and pathogenesis of lateral epicondylitis, topical herbal applications, acupuncture, other therapies, and comprehensive TCM treatments. It aims to provide new therapeutic ideas and methods for TCM clinical practice.