中医杂志2026，Vol.67Issue(6)：686-690,5.DOI:10.13288/j.11-2166/r.2026.06.015
整体观下"筋膜-宗筋-骨"三位一体辨治类风湿关节炎
Syndrome Differentiation and Treatment of Rheumatoid Arthritis from the"Sinews and Membranes-All Sinews-Bone"Trinity Theory Under the Concept of Holism
摘要
Abstract
It is considered that the synovium,cartilage,and bone in modern anatomy correspond to"sinews and membranes","all sinews",and"bone"in traditional Chinese medicine(TCM).The basic pathogenesis of rheuma-toid arthritis is that wind-cold-dampness pathogens transmit layer by layer from membranes to sinews,and from sinews to bones-eventually leading to disorder of the joint ecosystem.Under the guidance of TCM holism concept,this disease is treated based on the"sinews and membranes-all sinews-bone"trinity theory.When the disease located in sinews and membranes,treatment should focus on regulating qi and harmonizing blood to eliminate pathogens and nourish the membranes;when the disease involves all sinews,treatment should focus on nourishing the liver and un-blocking collaterals to relax sinews and benefit joints;when the disease invades the bone,treatment should focus on tonifying the kidney and replenishing essence to strengthen bones and prevent damage.Meanwhile,attention should be paid to harmonizing zang-fu organs,qi and blood,treating both manifestation and root cause,so as to restore the ecological balance of joints.关键词
类风湿关节炎/筋膜/宗筋/骨Key words
rheumatoid arthritis/fascia/sinews/bone引用本文复制引用
庞枫韬,唐晓颇..整体观下"筋膜-宗筋-骨"三位一体辨治类风湿关节炎[J].中医杂志,2026,67(6):686-690,5.基金项目
中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP2023087,HLCMHPP2023002) （HLCMHPP2023087,HLCMHPP2023002）
