关玲应用“结构针灸”治疗膝关节骨关节炎经验探析

Professor GUAN Ling’s clinical experience in treating knee osteoarthritis with structure-based medical acupuncture

总结关玲教授运用“结构针灸”治疗膝关节骨关节炎(KOA)的临床经验。“结构针灸”以解剖学和生物力学为基础,通过精准查体,调整肌肉力学失衡而改善KOA功能障碍,松解神经卡压而缓解KOA疼痛症状。在传统选穴基础上,根据疼痛部位和力学推演,选取股直肌、股中间肌、股内侧肌和股外侧肌等部位的阿是穴进行针刺,并辅以康复训练和患者健康教育。

This paper summarizes professor GUAN Ling’s clinical experience in the treatment of knee osteoarthritis(KOA)with structure-based medical acupuncture(SMA).Based on anatomy and biomechanics and through accurate physical examination,SMA adjusts the mechanical imbalance of muscles to relieve KOA dysfunction,and releases nerve compression to attenuate pain symptoms of KOA.In reference to traditional acupoint selection,and in association with painful areas and mechanical deduction,ashi points located at the rectus femoris,vastus intermedius,vastus medialis and vastus lateralis muscles,etc.are specially stimulated with acupuncture;and the rehabilitation training and health education are the adjuvant treatment for the patients.