基于“经筋”理论治疗类风湿关节炎膝关节损伤研究进展
Research Progress on the Treatment of Knee Joint Damage in Rheumatoid Arthritis Based on the “Meridian Sinew” Theory
DOI: 10.12677/acm.2025.15102814, PDF,   
作者: 王英瑞:黑龙江中医药大学研究生院,黑龙江 哈尔滨;邓伟哲*:中国人民解放军联勤保障部队第九六二医院中医科,黑龙江 哈尔滨
关键词: 膝关节损伤经筋理论类风湿关节炎研究进展Knee Joint Injury Meridian Sinew Theory Rheumatoid Arthritis Research Progress
摘要: 类风湿关节炎是以慢性炎症性关节病为特征,常累及多个关节特别是膝关节的自身免疫性疾病。患者经常出现关节疼痛,肿胀,功能受限等问题,随着疾病的发展,生活质量受到严重影响。传统中医理论中,经筋理论作为重要组成部分,强调经络与肌肉,筋膜之间的关系,在治疗关节疾病方面具有独特优势。近年来,越来越多的研究开始关注经筋理论在类风湿关节炎膝关节损伤中的应用价值,并探索其与现代医学结合的可能性。本文旨在综述经筋理论及其在类风湿关节炎膝关节损伤治疗中的研究进展。
Abstract: Rheumatoid arthritis is an autoimmune disease characterized by chronic inflammatory joint disorders, often affecting multiple joints, particularly the knees. Patients often experience issues such as joint pain, swelling, and limited mobility. As the disease progresses, their quality of life is significantly affected. In traditional Chinese medicine theory, the meridian sinew theory, as an important component, emphasizes the relationship between meridians, muscles, and fascia, offering unique advantages in treating joint diseases. In recent years, a growing number of studies have begun to focus on the application value of the meridian-sinew theory in knee joint damage caused by rheumatoid arthritis, and to explore its potential integration with modern medicine. This article aims to review the meridian sinew theory and its research progress in the treatment of knee joint damage caused by rheumatoid arthritis.
文章引用:王英瑞, 邓伟哲. 基于“经筋”理论治疗类风湿关节炎膝关节损伤研究进展[J]. 临床医学进展, 2025, 15(10): 744-748. https://doi.org/10.12677/acm.2025.15102814

参考文献

[1] Smolen, J.S., Aletaha, D., Barton, A., Burmester, G.R., Emery, P., Firestein, G.S., et al. (2018) Rheumatoid Arthritis. Nature Reviews Disease Primers, 4, Article No. 18001. [Google Scholar] [CrossRef] [PubMed]
[2] 曾小峰, 朱松林, 谭爱春, 等. 我国类风湿关节炎疾病负担和生存质量研究的系统评价[J]. 中国循证医学杂志, 2013, 13(3): 300-307.
[3] 李春, 王秀茹, 唐熠达, 等. 全国多中心类风湿关节炎冠心病危险因素的现况调查[J]. 北京大学学报(医学版), 2012, 44(2): 176-181.
[4] Jin, S., Li, M., Fang, Y., Li, Q., Liu, J., Duan, X., et al. (2017) Chinese Registry of Rheumatoid Arthritis (CREDIT): II. Prevalence and Risk Factors of Major Comorbidities in Chinese Patients with Rheumatoid Arthritis. Arthritis Research & Therapy, 19, Article No. 251. [Google Scholar] [CrossRef] [PubMed]
[5] 薛立功. 经筋理论的探讨与发挥[J]. 中国针灸, 1997(11): 698-699.
[6] 冯广扬, 易焕彪, 黄敬伟. 《黄帝内经》经筋学理论概述[J]. 中国中医基础医学杂志, 1995(2): 15-16.
[7] 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.
[8] 秦玉革. 《内经》经筋的实质是神经[J]. 中国针灸, 2006(2): 147-150.
[9] 施雯馨. 内经经筋理论的现代发展[D]: [硕士学位论文]. 北京: 北京中医药大学, 2009.
[10] 贺文华, 董晓慧, 汤臣建, 等. “宗筋主束骨而利机关”理论在经筋病中的临床应用概况[J]. 湖南中医杂志, 2019, 35(5): 155-157.
[11] 刘亚娴. 类风湿关节炎缓解期膝关节经筋病变特点研究[D]: [硕士学位论文]. 哈尔滨: 黑龙江中医药大学, 2023.
[12] 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.
[13] 高超, 崔杰. 筋痹证治研究概况[J]. 湖南中医杂志, 2018, 34(7): 218-220.
[14] 朱跃兰, 刘小平, 王华新. 类风湿关节炎中医应对策略[J]. 现代中医临床, 2014, 21(1): 1-5.
[15] 王恒, 王培辉, 刘楠. 基于经筋理论下探讨微创针刀镜对难治性类风湿关节炎患者膝关节功能恢复及关节液相关因子水平的影响[J]. 湖北中医杂志, 2025, 47(5): 50-52.
[16] 景骆羊, 李浩林, 张旭明, 等. 王海东教授针药结合治疗类风湿关节炎膝关节病变经验[J]. 风湿病与关节炎, 2024, 13(3): 44-48.