Syndrome Differentiation and Treatment of Rheumatoid Arthritis from the "Sinews and Membranes-All Sinews-Bone" Trinity Theory Under the Concept of Holism

PANG Fengtao; TANG Xiaopo

doi:10.13288/j.11-2166/r.2026.06.015

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Syndrome Differentiation and Treatment of Rheumatoid Arthritis from the "Sinews and Membranes-All Sinews-Bone" Trinity Theory Under the Concept of Holism

更新时间：2026-03-17

- Syndrome Differentiation and Treatment of Rheumatoid Arthritis from the "Sinews and Membranes-All Sinews-Bone" Trinity Theory Under the Concept of Holism
- Journal of Traditional Chinese Medicine Vol. 67, Issue 6, Pages: 686-690(2026)
- 作者机构：
  
  中国中医科学院广安门医院，北京市西城区北线阁5号，100053
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2026.06.015
  CLC：
- Received：07 December 2024，
  
  Revised：2026-01-14，
  
  Published：17 March 2026
- 稿件说明：
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庞枫韬,唐晓颇.整体观下“筋膜-宗筋-骨”三位一体辨治类风湿关节炎[J].中医杂志,2026,67(06):686-690.

PANG Fengtao,TANG Xiaopo.Syndrome Differentiation and Treatment of Rheumatoid Arthritis from the "Sinews and Membranes-All Sinews-Bone" Trinity Theory Under the Concept of Holism[J].Journal of Traditional Chinese Medicine,2026,67(06):686-690.
庞枫韬,唐晓颇.整体观下“筋膜-宗筋-骨”三位一体辨治类风湿关节炎[J].中医杂志,2026,67(06):686-690. DOI： 10.13288/j.11-2166/r.2026.06.015.

PANG Fengtao,TANG Xiaopo.Syndrome Differentiation and Treatment of Rheumatoid Arthritis from the "Sinews and Membranes-All Sinews-Bone" Trinity Theory Under the Concept of Holism[J].Journal of Traditional Chinese Medicine,2026,67(06):686-690. DOI： 10.13288/j.11-2166/r.2026.06.015.

摘要

认为现代解剖学之滑膜、软骨、骨与中医学之“筋膜”“宗筋”“骨”相应。风寒湿邪由膜及筋、由筋及骨，层层传变，终致关节生态体失序，为类风湿关节炎发生发展的基本病机。以中医整体观为指导，从“筋膜-宗筋-骨”三位一体辨治本病，病在筋膜者，治当调气和血以祛邪濡膜；病及宗筋者，治当养肝通络以柔筋利节；病入骨者，治当补肾填精以坚骨防损。同时兼顾脏腑气血调和，标本兼治，以复关节生态体平衡。

Abstract

It is considered t

hat the synovium， cartilage， and bone in modern anatomy correspond to "sinews and membranes"， "all sinews"， and "bone" in traditional Chinese medicine （TCM）. The basic pathogenesis of rheumatoid arthritis is that wind-cold-dampness pathogens transmit layer by layer from membranes to sinews， and from sinews to bones-eventually leading to disorder of the joint ecosystem. Under the guidance of TCM holism concept， this disease is treated based on the "sinews and membranes-all sinews-bone" trinity theory. When the disease located in sinews and membranes， treatment should focus on regulating

and harmonizing blood to eliminate pathogens and nourish the membranes； when the disease involves all sinews， treatment should focus on nourishing the liver and unblocking collaterals to relax sinews and benefit joints； when the disease invades the bone， treatment should focus on tonifying the kidney and replenishing essence to strengthen bones and prevent damage. Meanwhile， attention should be paid to harmonizing

zang

organs，

and blood， treating both manifestation and root cause， so as to restore the ecological balance of joints.

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references

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