许学猛“肌骨同治”理论治疗膝骨关节炎

Xu Xuemeng′s Theory of "Muscle and Bone Treating Together" in Treating Knee Osteoarthritis

许学猛教授提出在治疗膝骨关节炎时,一方面要用合适之'法'治疗'肌'和'骨'的病变,同时,需要用有目的性的'功'锻炼相关的'肌',减轻'骨'的磨损并加以保护,在重视骨骼(关节)诊疗的同时注重患部周边肌肉、韧带等软组织的病变,通过多层次、全方位、多手段进行有针对性的整体治疗,特别强调筋肉防治与筋骨治疗同步展开,此为'骨筋肉并重、肌骨同治'理论。临床可运用特色膝骨关节炎手法、针刀松筋、肌骨固元膏口服、肌骨通痹膏外用、肌骨功运动疗法等,综合治疗膝骨关节炎,能够增强患肢肌力,缓解患膝疼痛,改善膝骨关节炎临床症状,发挥中医骨伤科内外兼治、筋骨并重、医患结合的特色,临床疗效显著。

Professor Xu Xuemeng proposed that in the treatment of knee osteoarthritis,on the one hand,appropriate'fa'should be used to treat the diseases of'muscle'and'bone'.At the same time,purposeful'gong'should be used to exercise the related'muscle'to reduce the wear and tear of'bone'and protect it.While paying attention to the diagnosis and treatment of bones(joints),we should also pay attention to the pathological changes of soft tissues such as muscles and ligaments around the affected area.We should carry out targeted holistic treatment through multi-level,all-round and multi-means,with special emphasis on the synchronization of muscle and muscle prevention and treatment.This is the theory of'paying equal attention to both bones and muscles,and treating both muscles and bones'.Clinical treatment of knee osteoarthritis can be combined with special knee osteoarthritis manipulation,needle-knife muscle relaxation,oral administration of Jiguguyuan ointment,external application of Jigutongbi ointment and musculoskeletal exercise therapy,which can enhance the muscle strength of affected limbs,alleviate knee pain,improve the clinical symptoms of knee osteoarthritis,and give full play to the characteristics of both internal and external treatment in orthopaedics and traumatology of Chinese medicine,laying equal stress on both muscles and bones,and combining doctors and patients.The clinical effect is remarkable.