从肝脾之“脏-腑-经-筋-穴”系统论治膝骨关节炎

Treating knee osteoarthritis from the "Zang-Fu-Jing-Jin-Xue" system

膝骨关节炎属"骨痹"范畴,常责之于肾。从肝脾之"脏-腑-经-筋-穴"整体观论治膝骨关节炎有理论依据,即"肝主筋""脾主四肢主肌肉",膝骨关节炎恰恰是下肢筋肉之病变,归其所属;肝脾之生理特性以及肝胆脾胃之生理功能,对气血津液之生成、传输作用,可濡养筋骨;在理论与临床常规操作的基础上,肝胆脾胃四经之经穴均过"膝府",对膝关节有治疗作用;"膝为筋之府",从经筋理论来看肝脾二经筋亦与膝骨关节炎密切相关。因此,从肝脾之"脏-腑-经-筋-穴"论治膝骨关节炎,体现标本结合的治疗观以及由内而外的整体观对膝骨关节炎的治疗,具有一定的临床价值。

Knee osteoarthritis belongs to the category of＂bone rheumatism＂, which is often blamed on the kidney. This paper from the ＂Zang-Fu-Jing-Jin-Xue＂ system of liver and spleen overall concept to discussed the treatment of knee osteoarthritis. From ＂liver advocates muscle spleen advocates limbs and muscles＂, knee osteoarthritis is precisely the muscles of the lower extremity lesions.The physiological properties of liver and the physiology function of spleen, liver, gallbladder and stomach, the synthesis of qi, blood and body fluid, transmission can moisten bones; On the basis of theory and clinical routine operation, from the four classics of liver, gallbladder, spleen and stomach meridians are over the knee palace, on the knee joint have therapeutic effect; The ＂knee for reinforcement of the house＂, from the reinforcement theory of liver and spleen tendons also with knee osteoarthritis have close relation. Therefore, from the ＂Zang-Fu-Jing-Jin-Xue＂ system of liver and spleen on the treatment, reflecting the specimen is combined with the concept of treatment and from inside to outside of the overall view, the treatment of knee osteoarthritis has clinical value.