基于“筋骨并重”理论探析踝关节损伤的临床诊治

Analysis of Clinical Diagnosis and Treatment of Ankle Joint Injuries based on the Theory of"Equal Emphasis on Tendons and Bones"

踝关节损伤是临床常见的骨科疾病之一,常常因足部受力不平衡使关节超出活动范围而诱发。踝关节是人体最主要的负重关节,是生活、运动、体育锻炼和军事训练中最常见的损伤,且复发率较高,属于中医学“筋伤”范畴,流行病学调查发现,其患病率正在呈逐渐上升趋势。踝关节损伤类疾病作为中医药治疗的优势病种,运用“筋骨并重”理论为指导,以“摇拔戳”手法促进筋骨关系恢复,“弃杖膏”外敷促进局部循环,针刺触发点加快损伤踝关节修复,配合康复锻炼可有效恢复关节功能,预防损伤发生。综合运用以上治疗方式可使患踝逐渐达到“筋柔骨正”“气血调和”的正常状态,避免了手术治疗的痛苦,同时还能有效地促进踝关节损伤患者的康复,提高患者生活质量。

Ankle joint injury is one of the common orthopedic diseases in clinical practice,which is often caused by the imbalance of force on the foot,which causes the joint to exceed the range of motion.The ankle joint is the most important weight-bearing joint of the human body.It is the most common injury in life,sports,physical exercise and military training,and has a high recurrence rate.It belongs to the category of"tendon injury"in traditional Chinese medicine.Epidemiological surveys have found that its prevalence is gradually increasing.As a dominant disease in the treatment of traditional Chinese medicine,ankle joint injury diseases are guided by the theory of"equal emphasis on tendons and bones",and the"shaking,pulling and poking"technique is used to promote the restoration of the relationship between tendons and bones.The external application of"abandoning stick paste"promotes local circulation,and acupuncture trigger points accelerate the repair of injured ankle joints.Rehabilitation exercises can effectively restore joint function and prevent injuries.The comprehensive use of the above treatment methods can gradually enable the affected ankle to reach the normal state of"soft tendons and straight bones"and"harmonious qi and blood".avoiding the pain of surgical treatment.At the same time,it can effectively promote the rehabilitation of patients with ankle joint injuries and improve thequality of life of patients.