中医外治法治疗膝骨性关节炎的研究进展

Research Progress on Treatment of Knee Os-teoarthritis with External Therapy of TCM

摘要: 膝骨性关节炎(Knee osteoarthritis, KOA)是一种慢性病变性关节疾病，主要因关节软骨破坏和退化，导致关节局部炎症、骨质增生以及关节功能的损害。中医属“骨痹”“痹证”的范畴，轻者活动受限、疼痛，重者导致关节变形，甚至活动功能受限，是骨科临床疾病中发病数量较多的一类疾病。本文总结近十年中医外治法治疗膝骨性关节炎的文献，综合分析推拿治疗、温针灸治疗、针刀治疗、刮痧疗法、膏摩疗法、中药离子导入、功法锻炼、中药熏蒸等中医外治法治疗膝骨性关节炎的临床研究进展，旨在为临床治疗提供新的方向与思路。

Abstract: Knee osteoarthritis (KOA) is a chronic degenerative joint disease, mainly due to the destruction and degradation of articular cartilage, resulting in localized inflammation of the joints, osteomalacia and impairment of joint function. It belongs to the category of “bone paralysis” and “paralysis” in tradi-tional Chinese medicine. In mild cases, the activity is limited and painful, in severe cases, it leads to deformation of the joints and even restriction of the activity function, and it is a type of disease with a higher incidence in orthopaedic clinics. This paper summarizes the literature on the treatment of osteoarthritis of the knee by external treatment of traditional Chinese medicine in the past ten years, and comprehensively analyzes the progress of clinical research on the treatment of osteoar-thritis of the knee by external treatment of traditional Chinese medicine such as tuina therapy, warm acupuncture and moxibustion therapy, acupuncture and knifepuncture therapy, gua sha therapy, plastering and moxibustion therapy, ionic implantation of traditional Chinese medicine, kung fu exercise, and fumigation of traditional Chinese medicine, with the aim of providing a new direction and ideas for clinical treatment.