叶勇运用“足-膝-髋-腰”力学链动态评估指导 推拿手法治疗膝痛症经验

[中图分类号]R244.1；R249.2 [文献标志码］A [文章编号]0257-358X（2026）04-0409-06

DOI：10.16295/j.cnki.0257-358x.2026.04.012

YE Yong's Experience in Treating Knee Pain with Tuina Manipulation Guided by Dynamic Assessment of“Foot-Knee-Hip-Lumbar” Mechanical Chain

YIN Shangming1，LONG Kangsheng1，MOU Yuting²，LI Wu²，PAN Jiang1 Mentor： YE Yong （1.TheFirst Afiliated Hospital of Hunan Universityof Chinese Medicine，Changsha 41007，China;2.Hunan University of Chinese Medicine，Changsha 4102O8，China）

AbstractKnee pain isa common clinical disease，and Tuina manipulation in traditional Chinese medicine possesses distinctive advantages in treating knee pain.Professor YE Yong summarized the knowledge asciated with the theory of sinews and integrated it with relevant research in modern biomechanics.He posits that the stabilityof the knee joint iscloselylinked tothe“foot-kne-hip-lumbar”mechanical chain.Arch collpse， quadriceps imbalance，meniscus injury，weak hip abduction，and straightening of the lumbar curvature are significantcauses of knee pain.Therefore，ProfessrYE Yong employs dynamicassessment of the“foot-kneehip-lumbar”mechanical chain to guide the treatment of knee pain.He integrates Tuina manipulation ateach stage of the treatment to reverse compensatory paterns at multiple levels andachieve favorable therapeutic outcomes.One proven case is attached.

Keywordsknee pain;lower limb biomechanics;“footknee-hip-lumbar”mechanical chain;Tuina manipulation

膝痛症是一种以膝关节周围疼痛不适、酸软无力为主要症状的运动系统疾病，会对患者的下肢功能造成不良影响，进而降低其自理能力和生活质量[1]。（剩余9454字）