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Suppurative arthritis treatment technology, traditional Chinese medicine

 

 

 

China's traditional Chinese medicine reported

 

 

 

        Fester sex to bacteria intra-articular infection, called suppurative arthritis. The disease most often involving the knee and hip, followed by cubits, shoulder and ankle.

 

        Cause pathology

 

        TCM holds that the disease because of human body always deficiency, warm and poison delay completely joints. Evil poison source summed up roughly three aspects:

 

        Are virtual evil invade, feel the heat ShiXie poison: in summer and the wet from is not the, the guest in camp guard, resistance to points meat, after add cou justified not close, with qi and blood and lingers in the joints cardiac ".

 

        YuDu lingers: Ding, sore carbuncle furuncle, lost, in treatment or YuDu not completely, or for extrusion, collision, the toxin factor become separated, lingers in the extremities caused by joints.

 

        Yu blood stagnation, turn heat into poison: for JiLao excessive, body meridian damage, or because of the fall PuShan file, yu blood stagnation, yu and turn heat, heat poison lingers joint and disease.

 

        symptoms

 

        (1) the slurry) : joint synovial congestion, edema, leukocyte infiltration. Joint canaliculi serous exudate, pale yellow, liquid are a number of white blood cells. This one phase of articular cartilage was not destroyed, if appropriate treatment, transudate fluid can be fully absorbed, joint function returns to normal.

 

        (2) grout fibrin exudate period: inflammation continue to develop, the exudate because contain cell components increase and become quantity, sticky and dirty. Joint inflammation and appear because of the synovial edema, permeability increase, a lot of the plasma protein penetrate the articular cavity, fibrin attached on the articular cartilage surface of articular cartilage and affect the normal nutrition metabolization, slip the liquid most neutrophils release a lot lysosome kind material make articular cartilage destruction, cause joint adhesion and cause dysfunction.

 

        (3) purulent exudate period: exudate into purulent sex, consists of a large number of bacteria and purulent cells, a yellowish-white. Synovial and articular cartilage is destroyed, joint activities appear serious obstacle, even completely stiffness.

 

        treatment

 

        The disease treatment principle: early diagnosis and correct treatment in time, to retain joint function. According to different pathological stage and patients' physical condition, combined with the etiology, targeted to choose party drug use, internal and external partners, combine traditional Chinese and western medicine.

 

        1. The initial

 

        (1) comes in

 

        Treatment: qingrejiedu, removing stasis and wet.

 

        Agent: huanglian jiedu decoction and five god soup, medicinal coptis chinensis franch 9 g, radix scutellariae 6 g, cortex phellodendri 6 g, gardenia 9 g, poria cocos 12 grams, honeysuckle 15 grams, ~ 10 grams, CheQianZi 12 grams, purple flower DeDing 15 grams.

 

        The wet with the person that weigh PeiLan, kindhearted, June 1 YiRen scattered, etc.; And the person that weigh more than toxic heat with raw dihuang, peony skin; Storage of fever and add peachseed, danshen, notoginseng, etc.

 

        But at the same time cooperate with systemic support treatment and choose to pathogenic bacteria sensitive antibiotics, drug use period for temperature returning to normal after continue to use 2 ~ 3 weeks.

 

        (2) the external treatment

 

        Limb brake: the application of gypsum, splint or a braking traction in function, help to relieve muscle spasm and pain, to prevent the spread of infection, prevent deformity and pathological dislocation.

 

        Local dressing: choose the golden paste, cough anointed, etc. To help ease the pain of the joints is known to heat.

 

        Articular cavity puncture: lesions joint effusion swelling, have volatility articular cavity were targeted, smoke after fluid into the ice yellow liquid or antibiotics. Daily or tertian. Can in time to flush out fibrin and white blood cells release lysosome and other harmful substances, and local injection antibiotics enhance joint action to fight infection.

 

        2.) pus, period

 

        (1) comes in

 

        Treatment: qingrejiedu, cool blood to solve.

 

        Agent: five disinfection drink combinated huanglian jiedu decoction, medicinal honeysuckle 20 grams, the mother chrysanthemum 15 grams, the dandelion 15 grams, purple flower DeDing 15 grams, purple TianKui son back 15 g, coptis chinensis franch 9 g, radix scutellariae 6 g, cortex phellodendri 6 g, gardenia 9 g.

 

        Hot and humid that add YiRen kindhearted, tuckahoe, ze, diarrhea, CheQianZi; Toxic heat contains the disease see high fever feed god, or even delirium of dangerous hou, add water ox horn, born above rehamannia, peony skin, match take Ann palace bezoar pills or purple snow Dan, etc.; If the hot injury Yin qi Yin two injury, tongue light red no moss adds the life scattered veins.

 

        At the same time can be used with the use of antibiotics, muscle injected with intravenous drip combined. When necessary appropriate input whole blood, pay attention to water electrolyte and acid-base, systemic toxic reaction heavy into shock behavior, according to the toxic shock treatment.

 

        (2) the external treatment

 

        Articular cavity puncture microscopic cells can has purulent antibiotic saline last flush; Local dressing and limb with initial braking method.

 

        3. KuiNong period

 

        (1) comes in

 

        (1) pus will not collapse collapse collapse or at the beginning or confusing

 

        Treatment: "through pus.

 

        Agent: Toni disinfection scattered, medicinal ginseng 3 g, 3 g river xiong, root of herbaceous peony 3 g, born astragalus 3 g, angelica root 3 g, 3 g large-headed atractylodes, poria cocos 3 g, 3 g honeysuckle, a. dahurica 1.5 g, liquorice 1.5 g and 1.5 g soap Angle thorn, platycodon grandiflorum 1.5 grams. Blunt made powder, or by illness discretionary dose, water frying take a daily agent; Or through pus scattered party, the pharmaceutical raw astragalus 12 grams, pangolin piece (fry) 3 g, ligustici chuanxiong rhizoma 9 g, angelica root 6 g, soap Angle stab 5 grams. Toxic heat and adds the forsythia, dandelion, defeated sauce grass, etc.

 

        (2) after the collapse is empty

 

        Treatment: having blood.

 

        Agent: eight Jane soup, medicinal angelica 10 grams, river xiong 6 g, cooked dihuang 10 grams, root of herbaceous peony 10 grams, dangshen 10 grams, white atractylodes 10 grams, poria cocos 10 grams, roasted liquorice 5 g, ginger, 3 pieces, big jujube two MEDALS. Good or for soup, medicinal ginseng, cinnamon (to thick skin), river xiong, r. (wash, wine evaporate, baked), poria cocos (baked), largehead atractylodes rhizome (baked), roasted liquorice, astragalus, angelica root of herbaceous peony, the equal parts. Can be used with the appropriate transfusion, blood transfusion, increase nutrition intake etc, in order to improve the disease resistance.

 

        (2) the external treatment

 

        Local WuJiaPi external use, a. dahurica, MangXiao water frying wet apply to promote its limitations or early wear collapse. Convergent period for external use only born muscle scattered, etc. Poor drainage can be cut open the row of pus. Thoroughly flushed articular cavity, lien drainage tube, until the inflammation be control out after the tube. If this period of articular adhesion, stiffness is inevitable, should make joint stiffness in a function.

 

        4. Recovery and sequela of treatment

 

        After positive the correct treatment, inflammation disappear lesions healing, general condition good recovery, which should be gradual on joint function exercise, for external use only WuJiaPi soup or HaiTong skin soup fumigation stiff joints; Around the articular adhesion of soft tissue contracture, can massage technique to improve the physical therapy or local blood supply and release the conglutination.

 

        Sequela mainly include joint stiffness, pathological dislocation and soft tissue around scar contracture. Legacy joint deformities and function obstacle to a joint stiffness deformity of function, can choose joint angioplasty, ankle arthrodesis even joint replacement to rectify the deformity, improve joint function. Such an operation should be strict indication, the operation time should be in joint infection after a year to cure, in order to avoid the recurrence. (excerpt from "formulary disease treatment technology, traditional Chinese and western medicine") the D4