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[膝关节骨性关节炎肌肉经络病灶触诊规律分析]

[Analysis of palpation laws of muscle meridian focus on knee osteoarthritis].

作者信息

Zhang Shu-Jian, Zhang Xiao-Qing, Han Yu, Li Chun-Ri, Dong Bao-Qiang

机构信息

College of Acupuncture-Moxibustion and Massage, Liaoning University of TCM, Shenyang 110847, China. The First Affiliated Hospital of Liaoning University of TCM.

出版信息

Zhongguo Zhen Jiu. 2012 Mar;32(3):267-72.

PMID:22471148
Abstract

OBJECTIVE

To explore the distribution regulars of proximal and distal focus of muscle meridian regions in knee osteoarthritis patients.

METHODS

Seven hundred and sixty-five knees were selected in 516 cases of knee osteoarthritis. Under the guidance of muscle meridian theory, with the anatomical features of muscle meridian focus, the frequency and the location where the proximal and distal focus of muscle meridian regions appeared were calculated by palpation.

RESULTS

Of all the points, 11 835 points of proximal focus of muscle meridian regions were found out by palpation, and 9455 points of distal focus of muscle meridian regions were found out. The percentages of the frequency that the focus of muscle meridian of Foot-Yangming, Foot-Taiyang, Foot-Shaoyang and three foot Yin meridians appeared at proximal points of knee were 37.1% (4388/11 835), 34.9% (4127/11 835), 9.5% (1129/11 835) and 18.5% (2191/11 835) respectively; and the percentage of the frequency that the focus of muscle meridian appeared at distal points of knee were 24.7% (2333/9455), 25.2% (2380/9455), 28.5% (2700/9455) and 21.6% (2042/9455).

CONCLUSION

The proximal and distal focus of muscle meridian in knee osteoarthritis patients are closely related with anatomy structure and biomechanical characteristics; the distribution regulars of focus of muscle meridians study provides evidence for the selection of effective treatment points from different clinical acupuncture therapies.

摘要

目的

探讨膝骨关节炎患者经筋区域远近端病灶的分布规律。

方法

选取516例膝骨关节炎患者的765个膝关节。在经筋理论指导下,依据经筋病灶的解剖学特点,通过触诊计算经筋区域近端和远端病灶出现的频数及部位。

结果

触诊共查出经筋区域近端病灶11835点,远端病灶9455点。足阳明经、足太阳经、足少阳经及足三阴经经筋病灶在膝关节近端出现频数的百分比分别为37.1%(4388/11835)、34.9%(4127/11835)、9.5%(1129/11835)和18.5%(2191/11835);在膝关节远端出现频数的百分比分别为24.7%(2333/9455)、25.2%(2380/9455)、28.5%(2700/9455)和21.6%(2042/9455)。

结论

膝骨关节炎患者经筋远近端病灶与解剖结构及生物力学特性密切相关;经筋病灶分布规律的研究为临床不同针刺疗法选取有效治疗穴位提供了依据。

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