膝骨性关节炎现代推拿疗法共性诊疗思路探析-李春雨.pdfVIP

第 1 8 卷 ?第 6 期 辽 宁 中 医 药 大 学 学 报 Vol. 18 No. 6 2016 年 6 月 JOURNAL OF LIAONING UNIVERSITY OF TCM Jun .，2016 DOI：10.13194/j.issn.1673-842x.2016.06.039 膝骨性关节炎现代推拿疗法共性诊疗思路探析 李春雨，曹锐，董宝强，宋杰 （辽宁中医药大学，辽宁 沈阳 110847） 摘? 要：推拿疗法治疗在不同的理论体系指导下形成了不同的学派，并形成了独特的诊疗思路和推拿手法。在 对膝骨性关节炎疾病的认识和实践中，各学派均由软骨损伤致病原理发展为软组织、肌肉致痛原理，各学派辨证分 型思路相似，均不再局限于膝关节局部损伤，辨证分类更加准???而精细，手法治疗靶点更加明确，诊疗思路具有一定 的共性，该文初步总结肌筋膜链理论、软组织外科学理论、筋膜激痛点理论和现代经筋疗法等现代推拿疗法治疗膝 骨性关节炎的共性诊疗思路，为提高现代推拿疗法疗效提供理论依据。 关键词：推拿；膝骨性关节炎；肌筋膜链；经筋；软组织外科；激痛点 中图分类号：R684.3 文献标志码：A 文章编号：1673-842X??(2016) 06-?0123-??04 Study on Common Clinical Thinking of Tuina Treatment for Knee Osteoarthritis LI Chunyu，CAO Rui，DONG Baoqiang，SONG Jie （Liaoning University of Traditional Chinese Medicine，Shenyang 110847，Liaoning，China） Abstract：Tuina therapy has been formed for different kinds of schools according to different theoretical systems. However，in the treatment of knee osteoarthritis（KOA）each school is based on same principle， that is soft tissue pain and muscle pain are caused by cartilage injury. The syndrome differentiation of KOA in each school is similar，each of them is not limited to the local injury of knee，the syndrome differentiation classifications are accurate and precise，and the manipulation on targets is more clear. The clinical thinking of tuina treatment for KOA such as muscular fasciae theory，soft tissue surgery theory，irritative painful point theory and modern tendon theory have been summarized in this study，providing the theoretical basis for tuina therapy. Key