基于'肝主筋'探讨膝骨关节炎筋痿的病理特点

摘要

膝为筋之府,为肝所主,增龄衰老所引发肝血不足、疏泄失调,导致筋失所养,是膝骨关节炎的重要病理特征.在外邪侵袭、肝不荣筋等内外因素作用下,引发筋的病变,并随疾病的进展累及至骨,从而影响膝关节内外应力的动态平衡,最终导致膝骨关节炎.本文基于"肝主筋"理论,探讨膝骨关节炎筋痿的病因病理特点及治疗方法,旨在丰富膝骨关节炎的病因病机理论,为临床治疗提供参考依据.%Knee joint as the "Jin Zhi Fu" is governed by the "Gan" in Traditional Chinese Medicine.It is a crucial pathological feature of knee osteoarthritis (KOA) that with the developing of aging induces the deficiency of "Gan Xue" and the imbalance of "Shu Xie" led to the malnutrition of Jin.There are external and internal factors such as exogenous invasion and liver failure to nourish Jin to affect the function of Jin,and then affect the function of Gu with the development of KOA.It breaks the dynamic balance of the internal and external mechanical stress of the knee joint led to KOA.It is to enrich the etiology and pathogenesis theory of KOA and provide the evidence for clinical treatment by the exploration of the pathological characteristics and treatment methods of the Jin-Wei.