从肝脾肾三经探析膝骨性关节炎的针灸治疗

Analysis on Acupuncture and Moxibustion in the Treatment of Knee Osteoarthritis Based on Liver Meridian,Spleen Meridian and Kidney Meridian

膝骨性关节炎(KOA)是一种常见于中老年人群的慢性退行性骨关节疾病,现代医学目前还未完全明确其病因与发病机制。该病属中医学“痹证”范畴,临床上采用针灸疗法,收效甚佳。肝、脾、肾三脏各主膝关节的筋、肉、骨,在生理病理上联系紧密;同时足厥阴肝经、足太阴脾经与足少阴肾经三经承载肝脾肾三脏之气血,循行路线同经过膝,且三经腧穴所在位置或功能主治与膝关节疾患的对症或对证治疗密切相关。针灸治疗KOA从肝脾肾三经着手施为,具有深远的理论基础,亦是中医学标本兼治、内外同调理念与整体观念的体现。

Knee osteoarthritis(KOA)is a common disease of middle-aged and aged people,however,its causes and pathogenesis in modern medicine are not yet clear.KOA is categorized as the“arthromyodynia”in traditional Chinese medicine,and acupuncture and moxibustion therapy has a good effect on it.Liver,spleen and kidney are closely related to the tendons,muscle,and bones that make up the knee joint in physiology and pathology.To be specific,liver meridian,spleen meridian and kidney meridian go through the knee joint,who carry the“qi”and“blood”of the liver,spleen and kidney.What’s more,there is also a close relationship between the acupuncture points’location or main functions of these three meridians and the symptomatic or cause-specific treatment of knee diseases.In conclusion,acupuncture and moxibustion in treatment of KOA based on liver meridian,spleen meridian and kidney meridian not only had a profound theoretical basis,but also showed the concepts of treatment in the symptoms and root causes,combination of inside and outside,and holism in traditional Chinese medicine.