[1]黄健,魏玉龙△,方锦颖,等.基于“柔筋正骨”理论从机械力学视角探讨强直性脊柱炎中医非药物疗法[J].中国中医骨伤科杂志,2026,34(06):97-102.[doi:10.20085/j.cnki.issn1005-0205.260614]
　HUANG Jian,WEI Yulong,FANG Jinying,et al.Exploring TCM Non-Pharmacological Therapies for Ankylosing Spondylitis from Mechanical Mechanics Perspective Based on the “Soft-Tendon and Bone-Setting” Theory[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(06):97-102.[doi:10.20085/j.cnki.issn1005-0205.260614]
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基于“柔筋正骨”理论从机械力学视角探讨强直性脊柱炎中医非药物疗法()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年06期
页码:
97-102
栏目:
学者论坛
出版日期:
2026-06-15

文章信息/Info

Title:
Exploring TCM Non-Pharmacological Therapies for Ankylosing Spondylitis from Mechanical Mechanics Perspective Based on the “Soft-Tendon and Bone-Setting” Theory
文章编号:
1005-0205(2026)06-0097-06
作者:
黄健1; 魏玉龙2△; 方锦颖1; 谢存香1; 李港2; 王海隆1△
1北京中医药大学东直门医院(北京,100029)
2北京中医药大学针灸推拿学院
Author(s):
HUANG Jian1; WEI Yulong2△; FANG Jinying1; XIE Cunxiang1; LI Gang2; WANG Hailong1△
1Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100029,China; 2School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China.
关键词:
筋骨平衡;  机械力学;  强直性脊柱炎;  非药物疗法
Keywords:
sinew-bone balance;  mechanical mechanics;  ankylosing spondylitis;  non-pharmacological therapy
分类号:
R593.23
DOI:
10.20085/j.cnki.issn1005-0205.260614
文献标志码:
A
摘要:
强直性脊柱炎是一种以中轴关节受累为主的慢性风湿免疫性疾病,主要侵犯脊柱和骶髂关节,病程迁延且致残风险较高。中医非药物疗法在缓解强直性脊柱炎症状及改善功能状态方面受到广泛关注。中医学认为“筋骨失衡”是强直性脊柱炎发生发展的重要病机,而近年来机械力学在强直性脊柱炎发病机制中的作用亦逐渐受到重视。探讨筋骨失衡理论与机械力学之间的关联,并通过系统检索相关文献,基于研究设计层级、方法学质量及结果一致性实施差异化证据整合,综合评估针刺、针刀、艾灸、推拿及传统功法等疗法的循证支持程度。同时,系统梳理各疗法的不良反应特征、危险因素及特殊人群适用性。结果显示:针刺具有较高等级证据支持,艾灸及针刀属于中等等级证据,推拿与传统功法为有限证据。总体而言,在规范操作与适应证筛选前提下,中医非药物疗法安全性较好。
Abstract:
Ankylosing spondylitis(AS)is a chronic rheumatic autoimmune disease primarily affecting the axial skeleton,particularly the spine and sacroiliac joints,with an insidious onset and a high risk of long-term disability.Non-pharmacological therapies in traditional Chinese medicine(TCM)have attracted increasing attention for symptom relief and functional improvement in AS.TCM theory attributes the pathogenesis of AS to “muscle-bone imbalance”,while growing evidence highlights the role of mechanical factors in disease progression.This study explores the relationship between the muscle-bone imbalance theory and biomechanical mechanisms,and systematically reviews the available literature.A differentiated evidence synthesis strategy was applied based on study design hierarchy,methodological quality,and consistency of outcomes to evaluate the strength of evidence supporting acupuncture,needle-knife therapy,moxibustion,tuina,and traditional therapeutic exercises.In addition,adverse events,risk factors,and considerations for special populations were summarized to provide a comprehensive safety perspective.The findings indicate high-level evidence for acupuncture,moderate-level evidence for needle-knife therapy and moxibustion,and limited evidence for tuina and traditional exercises.Overall,when performed under standardized protocols and appropriate patient selection,TCM non-pharmacological therapies demonstrate a favorable safety profile.

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(收稿日期:2025-12-29)

备注/Memo

备注/Memo:
基金项目:北京中医药大学东直门医院研究生自主创新课题 (DZMYJS2025011)
国家重大疑难疾病中西医临床协作项目(ZDYN-2024-A-153)
国家自然科学基金项目(82174336)
国家重点研发计划项目(2022YFC3501203)
首都卫生发展科研专项项目(首发2022-2-7087)
北京市通州区科技计划项目(KJ2022CX045)
△通信作者 E-mail:wyl_5128@163.com(魏玉龙)
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更新日期/Last Update: 2026-06-15