摘要
膝骨关节炎（Knee Osteoarthritis, KOA）属高致残性退行性疾病，病程迁延难愈，严重影响患者生活质量。清宫正骨手法秉持“机触于外、巧生于内、手随心转、法从手出”要旨，能在患者不觉痛苦中调和膝关节气血，改善KOA症状。形气神一体观是对人体生命规律的高度认知，与清宫正骨流派诊治思想相契合。本文基于“形气神”理论，提出KOA核心病机在于形气神三者互扰互损，构建了形气神三维评估框架，并主张治疗应以形气神同调为原则，灵活运用清宫正骨流派的特色手法、中药、功法。
关键词： 形；气；神；膝骨关节炎；清宫正骨流派
Abstract
Knee osteoarthritis (KOA), a highly disabling degenerative disorder characterized by chronic progression and recalcitrant symptoms, severely compromises patients' quality of life. The Qinggong Orthopedic School employs its signature techniques guided by the principle "Diagnostic intuition manifests externally, subtle skill arises internally, hands follow the mind's guidance, techniques flow from the hands", which harmonizes qi-blood dynamics in the knee joint through gentle manipulations, effectively alleviating KOA symptoms without causing noticeable distress. The holistic view of physique, qi, and spirit represents a profound understanding of the principles of human life, aligning with the diagnostic and therapeutic philosophy of the Qinggong Orthopedic School. Based on the "Physique, Qi, and Spirit" theory, this paper proposes that the core pathogenesis of KOA lies in the mutual disruption and impairment among the physique, qi, and spirit. It establishes a three-dimensional assessment framework for physique, qi, and spirit and advocates that treatment should follow the principle of simultaneous regulation of the three, flexibly applying the characteristic techniques of the Qinggong Orthopedic School, herbal medicine, and therapeutic exercises.
Key words： Physique; Qi; Spirit; Knee Osteoarthritis; Qinggong Orthopedic School
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