基于“筋骨平衡”理论探讨踝部调衡法治疗慢性踝关节不稳

[关键词］慢性踝关节不稳；筋骨平衡理论；病因病机；松筋；正骨；调衡

[中图分类号]R274；R684.7 ［文献标志码］A [文章编号]0256-7415（2026）06-0193-06

DOl：10.13457/j.cnki.jncm.2026.06.030

Exploring the Ankle Regulation and Balance Method in Treating Chronic Ankle Instability Based on the "Tendon-Bone Balance" Theory

GAO Hongwei1²，QI Wei³，PENG Jinyan 1，2 ，LYU Zhongzheng 1，2 ，WU Yuntian 1，2

1.ShenzhenHospital（Futian）ofGuangzouUniversityofChineseMedicine，ShenzhenGuangdong518o，China；2.TheSixthCliical Medical CollgeofGuangzhouUniversityofChineseMedicine，ShenzenGuangdong518oo0，China；3.Bao'anAuthenticTCMTherapy Hospital，Shenzhen Guangdong 518101，China

Abstract：The "tendon-bone balance"theory，proposed by the representative Pingle GUO's school of orthopedics and traumatology in Chinese medicine，serves as thecore academic concept guiding the diagnosis and treatment of musculoskeletal disorders such asankle injuries.The ankle regulationand balance method，developed based on this theory，isapplicable for treating chronicankle instability（CAI）.Thecore pathogenesisofCAIlies injoint instability causedby the imbalance betweentendonsand bones.Therefore，restoring tendon-bone balance iscrucial for reconstructing ankle functionand stability.Basedon the"tendon-bone balance"theory，thisarticlesystematically explores theetiologyand pathogenesisofCAIfrom theperspectiveof thephysiological andpathological interactions betweentendons and bones.It elucidates the mechanism of actionand clinicalapplication valueof theankle regulation and balance methodin treatment，including theoperational principles and holistic therapeutic strategyofthethree-step procedure："tendon relaxation，bone seting，and balance regulation."This providesa theoretical basisand practical reference for the prevention and treatmentof CAI with Chinese medicine.

Keywords：Chronic ankle instability；Tendon-bone balance theory；Etiology and pathogenesis；Relaxing tendons；Bone setting；Balance regulation

慢性踝关节不稳（CAI）是临床常见的运动相关慢性损伤，指踝关节扭伤病程超过1年，仍存在反复扭伤、关节失控感，伴持续疼痛、肿胀、无力及功能受限的病理状态，其多由急性踝关节扭伤反复发作演变而来，常见于运动员及活动量较大的人群，且复发率较高2，严重影响患者运动功能与生活质量。（剩余9006字）