基于中医“筋-膜-骨”体系探讨慢性筋骨病防治策略*

作者：王如意1，李 璐1，陈 俊1，吴广文1,2

单位：1.中医骨伤及运动康复教育部重点实验室，福建 福州 350122； 2.福建中医药大学中医学院，福建 福州 350122

引用：引用：王如意，李璐，陈俊，吴广文.基于中医“筋-膜-骨”体系探讨慢性筋骨病防治策略[J].中医药导报,2025,31(10):200-202,225.

DOI：10.13862/j.cn43-1446/r.2025.10.036

PDF： 下载PDF

摘要：慢性筋骨病是指因骨关节退变、继发周围软组织病损，以“筋-膜-骨”体系失和为特征的一种慢性、进展性骨与关节疾病，属于中医“骨痹”“骨痿”范畴。“膜”具有向内与骨包贴、向外与筋交联的功能，以其为支点的“筋-膜-骨”体系具有参互其用、错综其道的作用，参与慢性筋骨病的始终。故本文在整体观念的指导下，以“筋-膜-骨”体系为主线，探讨通过气之周通以纠正“筋-膜-骨”体系失和防治慢性筋骨病的新策略。

关键词：慢性筋骨病;“筋-膜-骨”体系；和合思想；中医骨伤

Abstract：

Chronic musculoskeletal diseases refer to chronic and progressive bone and joint diseases characterized by the imbalance of the "tendon-membrane-bone" system, caused by osteoarticular degeneration and secondary surrounding soft tissue lesions, and belongs to the category of " bone impediment" and "bone wilting" in traditional Chinese medicine (TCM). The "membrane" has the functions of adhering to bones internally and connecting with tendons externally. The "tendon-membrane-bone" system, with the membrane as the fulcrum, features mutual interaction and interlaced pathways, and is involved in the entire course of chronic musculoskeletal diseases. Therefore, under the guidance of the holistic concept, this article takes the "tendon-membrane-bone" system as the main thread to explore a new strategy for preventing and treating chronic musculoskeletal diseases by regulating the unobstructed circulation of Qi to correct the imbalance of the "tendon-membrane-bone" system.

Key words：chronic musculoskeletal diseases; "tendon-membrane-bone" system; harmony thought; tradtional Chinese medicine orthopedics and traumatology

发布时间：2026-01-08

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