康复学报2025，Vol.35Issue(4)：418-423,6.DOI:10.3724/SP.J.1329.2025.04012
"筋骨合和"理论指导下的慢性筋骨病临床治疗策略及实践路径
Clinical Treatment Strategies and Practical Pathways for Chronic Musculoskeletal Disorders Guided by"Harmony of Tendons and Bones"Theory
摘要
Abstract
Chronic musculoskeletal disorders(CMSDs)are a class of chronic and progressive osteoarticular diseases resulting from the combined effects of biological and biomechanical factors,which severely impair patients'quality of life and impose a sub-stantial socioeconomic burden.Based on classical traditional Chinese medicine(TCM)theory,Professor MU Xiaohong from Dong-zhimen Hospital,Beijing University of Chinese Medicine,proposed the theory of"Harmony of Tendons and Bones"and applied it in the clinical management of CMSDs.This study elucidates the origins and connotations of the"Harmony of Tendons and Bones"theory,and explores the pathogenesis,treatment,and innovative development pathways of CMSDs under this theoretical framework,aiming to provide a theoretical basis and practical support for TCM interventions in CMSDs.The"Harmony of Tendons and Bones"theory,roots in the Huangdi Neijing(Yellow Emperor's Inner Canon),emphasizes the mutual coordination of tendons and bones,achieves biomechanical balance and functional integration through the nourishment of meridians and qi-blood.The theory posits that tendon-bone imbalance is the core mechanism underlying the dynamic and static instability of CMSDs;disharmony of meridians and qi-blood is the pathological nexus of tendon-bone imbalance;and deficiencies of the liver,kidney,and spleen are the fundamental causes of qi-blood disharmony.At different stages of disease progression,CMSDs manifest as pathological states of tendon-bone im-balance,malnourishment,and flaccidity or weakness.Therapeutic strategies should follow the principles of regulating tendons and correcting bones,attaching equal importance to tendons and bones,tonifying the liver and kidney,harmonizing qi and blood,and im-plementing stage-specific and dynamic interventions.A combination of internal therapy,external therapy,surgery,exercise therapy,and modern rehabilitation methods is recommended,with emphasis on the integration of medical treatment and health maintenance,to achieve the therapeutic goals of"utilizing smoothness"and"pursuing balance",restore the harmonious state of tendons and bones,improve disease progression,and enhance quality of life.Furthermore,the study proposes multidimensional innovations through equipment upgrading,technological development,and system reconstruction,to promote the deep integration of the"Harmony of Tendons and Bones"theory with industrial and scientific advancements,providing a continuous source of innovation and momentum for the modernization of TCM in CMSDs management.关键词
慢性筋骨病/"筋骨合和"理论/筋骨并重/康复治疗/数智化创新Key words
chronic musculoskeletal disorders/"Harmony of Tendons and Bones"theory/integrated tendon-bone therapy/reha-bilitation treatment/intelligent innovation引用本文复制引用
李晋玉,岳佳书,邓博文,刘港,霍路遥,白惠中,周卓荦,穆晓红.."筋骨合和"理论指导下的慢性筋骨病临床治疗策略及实践路径[J].康复学报,2025,35(4):418-423,6.基金项目
中央高水平中医医院临床科研业务费资助项目(DZMG-XZYY-23007) （DZMG-XZYY-23007）
北京中医药大学"揭榜挂帅"自然科学项目(2022-JYB-JBZR-041) （2022-JYB-JBZR-041）
