Article(id=1307264892789085152, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1307264617252680149, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260159, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1751558400000, receivedDateStr=2025-07-04, revisedDate=1779292800000, revisedDateStr=2026-05-21, acceptedDate=null, acceptedDateStr=null, onlineDate=1789605838248, onlineDateStr=2026-09-17, pubDate=1787155200000, pubDateStr=2026-08-20, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1789605838248, onlineIssueDateStr=2026-09-17, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1789605838248, creator=13701087609, updateTime=1789605838248, updator=13701087609, issue=Issue{id=1307264617252680149, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='8', pageStart='1', pageEnd='128', issueExtLink='null', onlineDate='null', pubDate='1787155200000', pubDateStr='2026-08-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1789605772555, creator='13701087609', updateTime=1789605772555, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=46, endPage=50, ext={EN=ArticleExt(id=1307264894382920673, articleId=1307264892789085152, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Application Observation of Acupuncture Combined with Motion Acupuncture Based on the Theory of " Treating Lower Diseases by Acting on the Upper Body" for Chronic Ankle Joint Synovitis, columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective: To investigate the application of acupuncture combined with sports acupuncture in the treatment of chronic ankle synovitis based on the theory of " Treating Lower Diseases by Acting on the Upper Body".
Methods: 98 patients with chronic ankle synovitis admitted to the Department of Soft Tissue Injury of Sichuan Orthopedic Hospital from September 2024 to April 2025 were selected and divided into two groups using the random number method, each with 49 cases. The control group was given conventional treatment, and the treatment group was treated with the 'lower disease upper treatment' theory of acupuncture combined with sports acupuncture for two consecutive weeks. Clinical efficacy, Visual Analog Scale (VAS) scores, degree of ankle swelling, most painful point, pain threshold, ankle joint range of motion, American Orthopaedic Foot and Ankle Society (AOFAS) scores were compared between the two groups.
Results: Treatment group had a higher clinical efficacy rate in contrast to control group (P < 0.05). After treatment, the VAS score, degree of ankle joint swelling and pain threshold in both groups decreased compared with those before treatment, while the AOFAS score and range of motion of the ankle joint increased compared with those before treatment (P < 0.05). Compared with the control group, the treatment group exhibited lower VAS scores, reduced ankle swelling, and lower pain thresholds, while demonstrating higher AOFAS scores, greater ankle range of motion, and a higher number of patients with improvement in the most painful point (P <0.05).
Conclusion: Under the guidance of the " treating the lower disease from the upper" theory, acupuncture combined with sports acupuncture therapy can effectively relieve the pain and swelling symptoms of patients with chronic ankle synovitis, promote the recovery of joint function, and significantly improve the therapeutic effect.
, authors=Shengwu LI, Yi WANG, Yefang LU, authorsList=Shengwu LI, Yi WANG, Yefang LU, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1307264894752019426, articleId=1307264892789085152, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=基于“下病上治”理论的针刺联合运动针刺治疗慢性踝关节滑膜炎的应用观察, columnId=1303760931671011820, journalTitle=中医药学报, columnName=针灸经络, runingTitle=null, highlight=null, articleAbstract=
目的： 探讨基于“下病上治”理论的针刺联合运动针刺治疗慢性踝关节滑膜炎的应用观察。
方法： 选取2024年9月—2025年4月四川省骨科医院筋伤科收治的慢性踝关节滑膜炎患者98例，随机数表法分为治疗组和对照组，各49例。对照组给予常规治疗，治疗组在此基础上根据“下病上治”理论针刺联合运动针刺治疗，连续治疗2周。比较两组临床疗效、视觉模拟评分（VAS）、踝关节肿胀程度、最痛点、痛阈值踝关节活动度、美国足踝外科协会评分（AOFAS）。
结果： 治疗组总有效率高于对照组（P <0.05）；治疗后两组VAS、踝关节肿胀程度、痛阈值较治疗前降低（P < 0.05），AOFAS、踝关节活动度较治疗前升高（P < 0.05）；与对照组比较，治疗组VAS评分、踝关节肿胀程度、痛阈值更低（P < 0.05），AO-FAS、踝关节活动度更高，最痛点改善人数更多（P < 0.05）。
结论： “下病上治”理论指导针刺联合运动针刺疗法能有效缓解慢性踝关节滑膜炎患者疼痛、肿胀症状，促进关节功能恢复，显著提升治疗效果。
, authors=李胜吾, 王一, 卢叶芳, authorsList=李胜吾, 王一, 卢叶芳, authorCompany=null, correspAuthors=null, authorNote=
李胜吾（1985-），女，博士，副主任中医师，研究方向：脊柱及关节退行性疾病和急慢性软组织损伤的保守治疗。
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李胜吾（1985-），女，博士，副主任中医师，研究方向：脊柱及关节退行性疾病和急慢性软组织损伤的保守治疗。
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李胜吾（1985-），女，博士，副主任中医师，研究方向：脊柱及关节退行性疾病和急慢性软组织损伤的保守治疗。
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