基于“筋骨并重”理论探寻慢性跖腱膜炎的中医药研究进展

Research Progress of Traditional Chinese Medicine on Chronic Plantar Aponeurotitis Based on the Theory of“Equal Emphasis on Muscles and Bones”

如何正确诊疗跖腱膜炎,提高和稳定疗效、减轻患者痛苦是当前医学研究的重点。“筋骨并重”是中医学治疗骨伤疾病的核心理念,其核心是微创与无创理念的精辟写照,是对人体中骨与软组织的关系处理准则,在临床治疗中有着重要的指导意义。在这一理论指导下,现代临床也较多地针对该病进行综合性治疗。但是,这一理论并未获得充分的临床证据支持。根据跖腱膜炎的临床特点,结合中医学认识,我们认为其发病的关键病机是“骨错缝、筋出槽、筋骨失和”。本研究试从这一认识出发,探讨跖腱膜炎诊治的新思路。

How to correctly diagnose and treat plantar aponeurosis,improve and stabilize the curative effect,reduce the pain of patients is the focus of current medical research.Paying equal attention to muscle and bone is the core concept of traditional Chinese medicine in the treatment of bone injury diseases.Its core is a penetrating portrayal of the concept of minimally invasive and non-invasive.It is a guideline for the relationship between bone and soft tissue in the human body,which has important guiding significance in clinical treatment.Under the guidance of this theory,modern clinic also carries out more comprehensive treatment for the disease.However,this theory is not supported by sufficient clinical evidence.According to the clinical characteristics of plantar aponeurosis,combined with the understanding of traditional Chinese medicine,we believe that the key pathogenesis of plantar aponeurosis is"bone dislocation,tendon out of groove,tendon bone disharmony".Based on this understanding,this paper attempts to explore a new way of diagnosis and treatment of plantar aponeurosis.