中国中医骨伤科杂志2026，Vol.34Issue(6)：97-102,6.DOI:10.20085/j.cnki.issn1005-0205.260614
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
Exploring TCM Non-Pharmacological Therapies for Ankylosing Spondylitis from Mechanical Mechanics Perspective Based on the"Soft-Tendon and Bone-Setting"Theory
摘要
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-pharmaco-logical therapies in traditional Chinese medicine(TCM)have attracted increasing attention for symptom relief and func-tional improvement in AS.TCM theory attributes the pathogenesis of AS to"muscle-bone imbalance",while growing evi-dence 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 differ-entiated 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 moxi-bustion,and limited evidence for tuina and traditional exerci-ses.Overall,when performed under standardized protocols and appropriate patient selection,TCM non-pharmacological therapies demonstrate a favorable safety profile.关键词
筋骨平衡/机械力学/强直性脊柱炎/非药物疗法Key words
sinew-bone balance/mechanical mechanics/an-kylosing spondylitis/non-pharmacological therapy分类
医药卫生引用本文复制引用
黄健,魏玉龙,方锦颖,谢存香,李港,王海隆..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(6):97-102,6.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) （DZMYJS2025011）
