灸法治疗膝骨关节炎的研究进展

Research progress of moxibustion therapy in treatment of knee osteoarthritis

膝骨关节炎(KOA)是以退行性病理改变为基础,以关节软骨变性和丢失及关节边缘和软骨下骨骨质再生为特征的慢性病、常见病、多发病,男女均可发病。近年来,中医药治疗KOA的研究进入白热化,并取得较大进展,主要的治疗方法有中药内服、中药外用和针灸推拿3大类为主。其中灸法具有温通经络的作用,更成为现如今的研究热点之一。灸法有很多种,对于KOA的治疗研究较多的方法有化脓灸、悬灸、热敏灸、隔物灸、温针灸、灸法结合其他疗法等。对近年来灸法治疗KOA的现状进行简要的综述,并提出存在的问题及未来发展的方向。

Knee osteoarthritis(KOA)is a chronic,common and frequent disease that is based on degenerative physical changes,and characterized by joint cartilage degeneration and decrease,together with joint edge and subchondral bone regeneration.It can occur in both men and women.In recent years,the research on the traditional Chinese medicine treatment of KOA has been heated up and made great progress.The main traditional Chinese medicine treatment methods include oral administration and external use of Chinese medicine and acupuncture,moxibustion as well asmassage.Among them,moxibustion has the effect of warming the channels and collaterals,and it has become one of the hot research topics for treating KOA nowadays.There are many moxibustion methods for the treatment of KOA,including suppurative moxibustion,hovering moxibustion,thermal moxibustion,sandwiched moxibustion,needle warming moxibustion,moxibustion combined with other traditional Chinese medicine therapies and so on.In this study,the author reviews moxibustion therapies on KOA in recent years briefly,and puts forward the existing problems and future development direction.