基于“筋骨并重”理论探寻慢性跖腱膜炎的中医药研究进展

中华养生保健 ›› 2024, Vol. 42 ›› Issue (1): 59-62.

基于“筋骨并重”理论探寻慢性跖腱膜炎的中医药研究进展

乔梁¹, 钱国伟², 韩宁³, 许敬人^1,*

1.上海市东方医院伤科,上海,200120;
2.上海市第六人民医院肿瘤内科,上海,200233;
3.上海市东方医院创伤专科,上海,200120

出版日期:2024-01-01 发布日期:2023-12-29
通讯作者: ^*许敬人,E-mail：xxjjrr1214@163.com。
作者简介:乔梁（1990—）,男,汉族,籍贯：湖北省襄阳市,硕士研究生,主治医师,研究方向：脊柱与关节慢性损伤疾病。
基金资助:
浦东新区“国家中医药发展综合改革试验区”建设（PDZY-2022-0908）

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

QIAO Liang¹, QIAN Guo-wei², HAN Ning³, XU Jing-ren^1,*

1. Department of Traumatology, Shanghai East Hospital, Shanghai 200120, China;
2. Internal Medicine-Oncology, Shanghai Sixth People's Hospital, Shanghai 200233, China;
3. Trauma Department, Shanghai East Hospital, Shanghai 200032, China

Online:2024-01-01 Published:2023-12-29

摘要/Abstract

摘要： 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。

关键词: 筋骨理论, 中医, 筋出槽, 骨错缝, 足跟痛

Abstract: 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.

Key words: tendon and bone theory, traditional Chinese medicine, tendon out of groove, bone staggered suture, heel pain

中图分类号:

R274

乔梁, 钱国伟, 韩宁, 许敬人. 基于“筋骨并重”理论探寻慢性跖腱膜炎的中医药研究进展[J]. 中华养生保健, 2024, 42(1): 59-62.

QIAO Liang, QIAN Guo-wei, HAN Ning, XU Jing-ren. Research Progress of Traditional Chinese Medicine on Chronic Plantar Aponeurotitis Based on the Theory of “Equal Emphasis on Muscles and Bones”[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(1): 59-62.

参考文献

[1] BEESON P.Plantar fasciopathy: revisiting the risk factors[J/OL]. Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons,2014,20(3):160-165.
[2] FLEISCHER A E, ALBRIGHT R H, CREWS R T, et al.Prognostic Value of Diagnostic Sonography in Patients With Plantar Fasciitis[J]. Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine,2015,34(10):1729-1735.
[3] 马木提·阿木丁,张旭,陈平波.跟痛症的中西医研究进展[J].新疆中医药, 2020,38(2):108-111.
[4] 覃堃,施展.古代医籍中治疗筋病内服药规律的数据挖掘研究[J].中药药理与临床,2021,37(6):190-194.
[5] 秦大平,张晓刚,宋敏,等.基于筋骨并重理论对体外冲击波治疗慢性筋骨病的作用机制的探讨[J].中国中医药现代远程教育,2022,20(18):194-197.
[6] 马木提·阿木丁.肌骨超声引导下刃针联合封闭治疗跟痛症的临床疗效分析[D].乌鲁木齐:新疆医科大学,2021.
[7] 刘潇,张珑,张浩,等.足底筋膜炎相关危险因素的研究进展[J].解放军医学院学报,2021,42(10):1124-1129.
[8] 周游,杨明宇,陶旭,等.跟痛症发病机制新见解与治疗策略[J].中国运动医学杂志,2017,36(9):829-833.
[9] 刘达星,刘其昌,曹国元,等.中药外洗配合体外骨骼肌疼痛冲击波治疗足跟痛的疗效观察[J].中国处方药,2019,17(8):113-114.
[10] MORONEY P J, O’NEILL B J, KHAN-BHAMBRO K, et al. The conundrum of calcaneal spurs: do they matter?[J]. Foot Ankle Specialist,2014,7(2): 95-101.
[11] 王辉昊,沈知彼,詹红生.詹红生化瘀通络法辨治慢性筋骨病损经验[J]. 上海中医药杂志,2021,55(12):40-43.
[12] 欧阳怀亮,张嘉玲,张治楠,等.黄泳教授针灸治疗疼痛临证笔记[J].按摩与康复医学,2022,13(6):4-6.
[13] 喻飞鹏. 小小针刀疗效大[J].食品与健康,2022,34(5):40-41.
[14] 何卫东,陈绍军.中药熏洗联合针刺治疗跟痛症45例临床观察[J].湖南中医杂志,2019,35(7):70-71,76.
[15] 娄纯彪,刘蓓,刘茜,等.中药熏洗联合局部注射治疗跟痛症的临床研究[J]. 中国中医骨伤科杂志,2019,27(3):20-22,28.
[16] 姜磊. 冲击波配合针刀治疗跖腱膜炎型跟痛症的临床疗效观察[D].哈尔滨:黑龙江中医药大学,2020.
[17] 周楚坤, 郭伟壮.富血小板血浆注射治疗跟痛症的临床效果[J].中国当代医药,2020,27(15):109-111.
[18] 郑允彬,姚爱娜,武文革,等.小针刀配合局部封闭治疗跟痛症Meta分析[J].中医药临床杂,2020,32(7):1285-1289.
[19] 钟钿,孙小波,李昱鸿.中药足浴联合关节镜下微创手术对顽固性跟痛症患者足功能及术后并发症的影响[J].中国医学创新,2023,20(12):95-98.
[20] 元唯安,詹红生,杜国庆.论“筋主骨从”观念在慢性筋骨病损诊疗中的临床意义[J].上海中医药杂志,2019,53(9):12-15.