CAJ | 학술논문

膝骨性关节炎为临床常见病，也是针灸治疗的优势病种。既往治疗多基于经筋“主束骨、利关节”的特性，从经筋理论并结合现代解剖学论治，以局部取穴为主。但在长期的临床实践中发现，配合腹部腧穴能获得更好的疗效，故以此为切入点，探寻理论渊源，认为取“标、结”部腧穴治疗四肢疾病，疗效往往优于单纯基于经筋理论的取穴方法。本文从基本涵义入手，探讨标本的上下联系与气血升降在疾病中的相互关系、气街对于标本根结的通道和联系作用，并结合临床报道，提出标、结部配穴治疗四肢疾病的观点。
슬골성관절염위림상상견병，야시침구치료적우세병충。기왕치료다기우경근“주속골、리관절”적특성，종경근이론병결합현대해부학론치，이국부취혈위주。단재장기적림상실천중발현，배합복부수혈능획득경호적료효，고이차위절입점，탐심이론연원，인위취“표、결”부수혈치료사지질병，료효왕왕우우단순기우경근이론적취혈방법。본문종기본함의입수，탐토표본적상하련계여기혈승강재질병중적상호관계、기가대우표본근결적통도화련계작용，병결합림상보도，제출표、결부배혈치료사지질병적관점。
Knee osteoarthritis is a common disease, and also one of the acupuncture advantage treatment disease. Usually the clinicians choose local acupoints based on the characteristics of tendon bone and joint. After a long-term clinical practice, we found that the curative effect could be better if we additionally combine with the abdominal acupoints. We regard this as the breakthrough point to explore the theoretical origin and found that the curative effect of taking the “biao”or“jie” acupoints to treat disease of the limbs is better than just taking the acupoints according to channel tendon therapy. In this paper, we started discussing the basic meaning of “biao”“ben”“gen”“jie”,then studied the relationship between the vertical connection of“biao”“jie” with blood lifting in disease and qi jie playing as a channel in theory. Comparing with clinical report , I proposed the view which is to choose the points of “biao”“ben”to treat limbs disease. This view enriches the theory of acupoints of the treatment of pain diseases, and expends the clinical acupoints in the treatment of osteoarticular diseases.