针刀疏筋解结术治疗膝骨性关节炎理论浅析

Theoretical Analysis of Relaxing Skeletal Muscles and Untying Knots with Needle Knives in the Treatment of knee Osteoarthritis

膝骨性关节炎(KOA)是一种多发于老年人的退行性关节疾病,以关节疼痛、僵硬和功能活动障碍为主要临床表现。“解结”是在经筋理论指导下利用针刀“纵疏横剥”的解筋作用解除由经筋损伤形成的结筋病灶点,使经筋疏利、经脉通畅、气血合和,从而恢复经筋“主束骨而利机关”的功能。文章从经筋与KOA的相关性、结筋病灶点的形成和疏筋解结术具体定点操作概述针刀疏筋解结术对早期膝骨性关节炎的治疗作用,使其更加广泛地运用于临床治疗。

Knee osteoarthritis is a degenerative joint disease that often occurs in the elderly,with joint pain,stiffness and dysfunction as the main clinical manifestations.Under the guidance of the theory of meridian tendons,"untying knot" is to relieve the focal point of tendon formation caused by the injury of meridian tendons by using "longitudinal thinning and horizontal stripping" of needle knives,so that the meridian tendons are smooth,the meridians are unobstructed,and the qi and blood are combined,so as to restore the function of "controls bones and lubricates joints" of meridian tendons.This article summarizes the therapeutic effect of relaxing skeletal muscles and untying knots with needle knife on early knee osteoarthritis from the correlation between meridian tendons and KOA,the formation of focal spots of tendons and the specific fixed-point operation of tendon-thinning and unknot,so that it can be more widely used in clinical treatment.