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从“溪谷属骨”理论探析创伤性异位骨化

Analysis of Traumatic Heterotopic Ossification from "Xigu Belongs to Bone" Theory
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摘要 “溪谷”的概念首见于《黄帝内经》,定位于筋骨肉间,深入及骨并与其相连属。“溪谷属骨”理论出自《素问·阴阳应象大论篇》,该理论明确指出“溪谷”作为筋骨肌肉的间隙,从结构和生理上与附属肌肉和血液循环密切相关。创伤性异位骨化为创伤后骨外成骨,中医学属于“瘀血痹”的范畴。文章梳理挖掘和深入研究古籍中对“溪谷”及“溪谷属骨”理论的论述,从溪谷的解剖学定位与溪谷间“血气凝结,积聚成痕”的角度阐释创伤性异位骨化的病因病机,丰富“溪谷属骨”理论的现代科学内涵,为中医药防治创伤性异位骨化提供理论依据。 The concept of “river valley” was first seen in the “Huangdi Neijing”.It is located between the muscles,bones and flesh,penetrates deep into the bones and is connected with them.The theory of “rivulets belong to bones” comes from “Suwen·Yin and Yang Yingxiang Daluan”.This theory clearly points out that “rivulets” are the gaps between muscles,bones and muscles,and are closely related to accessory muscles and blood circulation structurally and physiologically.Traumatic heterotopic ossification is post-traumatic extraosseous osteogenesis,which falls into the category of “blood stasis paralysis” in traditional Chinese medicine.The article combs through the excavation and in-depth study of the discussion of “valleys” and “valleys belong to bones” in ancient books,and explains traumatic heterotopia from the perspective of the anatomical positioning of the ravines and the “blood condensation and accumulation into scars” between the ravines.The etiology and pathogenesis of ossification enriches the modern scientific connotation of the “River Valley Belongs to Bone” theory,and provides a theoretical basis for traditional Chinese medicine to prevent and treat traumatic heterotopic ossification.
作者 纪金斗 于波 JI Jindou;YU Bo(Shandong University of Traditional Chinese Medicine,Shandong Jinan 250014,China;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Shandong Jinan 250014,China)
出处 《中医药临床杂志》 2024年第3期475-478,共4页 Clinical Journal of Traditional Chinese Medicine
基金 山东省自然科学基金面上项目(ZR2022MH021)。
关键词 溪谷 溪谷属骨 创伤性异位骨化 间充质干细胞 Valley Valley bone Traumatic heterotopic ossification Mesenchymal stem cells
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