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Osteoarthritis treatment technology

 

 

China's traditional Chinese medicine reported

 

 

 

        Osteoarthritis also called degenerative arthritis, joint disease or hypertrophic arthritis, is a common rheumatoid disease. Its pathological characteristics as the articular cartilage damage, joint edge and subchondral bone reactive hyperplasia, major clinical manifestations of slow for joint pain, stiff, and swollen with limited activities. The disease and traditional Chinese medicine "bi syndrome" similar, may be relegated to "bi syndrome" category.

 

        etiology

 

        Traditional Chinese medicine thinks, the happening of the disease in the kidney essence deficiency for this, and also the attacks from excessive, strain, trauma, and so on. The basic causes and mechanism for virtual, blood stasis, and a hot, damp, and JingXie deficiency, kidney Yin deficiency is the key of the disease. A disease in the physique, and liver, kidney closely related. Disease for the empty mark sex more real, episode to standard real is given priority to, the virtual remission give priority to.

 

        Clinical manifestations

 

        The clinical manifestations of involvement with the joints and different. Have disease conceals, progress has been slow. More than 40 years old later in symptoms, along with the age and the increase, the prevalence of women than men.

 

        Pain is the main symptom of the disease, hidden for attack, blunt painful, more than what happens after joint activities, the load the pain worse, after a break of this disease is to ease the characteristics. This time is short morning stiffness, usually less than 30 minutes, the old people's weight joint much gelling feeling, can alleviate after activities. As the disease progresses, can appear joint osseous hypertrophy, function obstacle.

 

        The disease common signs are: joint swelling with local temperature rising and effusion, serious visible joint deformities, subluxation of affected joint tenderness, with synovial inflammation oozy, tenderness heavier. Bone to see more often the knee joint.

 

        Syndrome differentiation type points

 

        1. The wind cold dampness bi syndrome: body, joint ache, adverse joint flexion, local wrappers are not red, the touch is not hot, hot pain reduction, encounter cold increase play, activities pain worse, thin coating on the white or white and smooth, pulse string tight or acerbity.

 

        2. Blood stasis resistance bi syndrome: certified days pain, pain, the lot with the pain, the pain is play, the pain has his place or pain and numbness, do not stretch, repeated attacks, joint stiffness deformation, the joints and dark in color around and blood stasis, tongue body dark violet or have stasis point, bruises, pulse fine acerbity.

 

        3. Kidney empty GuBi card: joint pain, long not more, when when light weight, or channels arrested urgent traction, stretch sport and aggravate, or joint deformation, JinRou atrophy, lumbar debility, form cold, cold extremities, urine more loose stools, palpitation and shortness of breath, eat less weakness, yellow complexion, or dizziness tinnitus, vexed hot night sweats, tongue pale white, or red tongue less tianjin, pulse heavy fine, or heavy fine and number.

 

        4. Hot and humid bi resistance card: joint swelling, effusion, and knee, ankle to lower limbs heavy, with pain, heat, general weary weakness, lower limbs heavy acid bilges (ankylose the sense), tongue body fat, the side have teeth marks, tongue quality red, moss yellow greasy, pulse slippery number.

 

        Syndrome differentiation and treatment

 

        1. The wind cold dampness bi syndrome

 

        [treatment] scattered cold wind, desiccant and dredge collaterals.

 

        [herbs] monkshood tonga decreases. Major drug: astragalus, ephedra sinica, the sichuan, peony, liquorice.

 

        Upper limbs bi, reusable qiang work, cassia twig; Lower limb bi, reusing the beef shanks yourself,; What damp and hot, add cortex phellodendri, lignad, smilax glabra roxb.

 

        2. Blood stasis resistance bi syndrome

 

        [treatment] remove stasis blood, validates the pain.

 

        [herbs] body by reducing pain and tonga. Major drug: peachseed, river xiong, QinJiao, qiang work, myrrh, sweet attached, five spirit fat, beef shanks, dilong, angelica, liquorice.

 

        Pain in the waist, qiang work, and live alone, the snake sought; Pain in the waist above, go to beef shanks, add QingFengTeng.

 

        3. Kidney empty GuBi card

 

        [treatment] keep blood to Yin, WenYangYi gas, promoting blood circulation, dredging the pain.

 

        [herbs] three bi tonga decreases. Major drug: sichuan broken, GuiZhong, breaking the renewal, and Gregory heart, asarum, ginseng, tuckahoe, angelica, peony, astragalus, beef shanks, QinJiao, born rehamannia, river xiong, living alone, dry ginger, liquorice.

 

        The partial cold, and cinnamon, lateral; What waist pain, add eucommia, dog ridge, sichuan renewal break, radix morindae officinalis, live alone; Knee pain worse, add mistletoe, JiXieTeng, liu slave, send tougucao; What with bone pain, add frankincense and myrrh.

 

        4. Hot and humid bi resistance card

 

        [treatment] qingrejiedu, dredging wet.

 

        [herbs] four wulingsan and wonderful. Major drug: cangzhu beef shanks,, golden cypress, kindhearted, sichuan YiRen to break, WeiLingXian, reach muscle grass.

 

        Joint swelling pain is obvious heat, be guaranteed qushi drugs and increase heat drugs, such as honeysuckle, dandelion root, banlan root, tiger staff, etc.

 

        Experience side

 

        1. The proliferation XiaoTong soup

 

        [drug composition] pangolin 9 g, insect 10 grams, soap Angle, red flowers, ripe dihuang every 12 grams, medicine, do not leave the king of herbaceous peony, only live, deer bit grass every 15 grams, sichuan 18 g beef shanks, kindhearted YiRen 20 grams, the dandelion, honeysuckle every 24 grams, sanqi (panax notoginseng) 2 grams of powder (at).

 

        [efficacy] blood know luo, qingrejiedu, nourishing liver kidney.

 

        [usage] water frying uniform, day once.

 

        2. JianGu soup

 

        [drug composition] danshen, antlers piece, monkey, astragalus each bone 18 g, hideki matsui's day, yuan hu all 15 g, psoralea corylifolia, JiXieTeng, drynaria fortunei each 9 g, a gun mountain 6 grams.

 

        [efficacy] having liver kidney, strong bones and muscles, benefit qi and activate blood circulation, validates the pain.

 

        [usage] water frying uniform, day one agent. 15 days for one period of treatment. 3. Markov bone spur pill

 

        [drug composition] tomato root system, the system of sichuan, the grass, ripe dihuang, psoralea corylifolia, semen raphani, faeries spleen, drynaria fortunei, JiXieTeng, ginger, c. deserticola, etc.

 

        [efficacy] having liver kidney, by the temperature scattered cold, blood know luo.

 

        [usage] made into honey pills, pills containing 10 grams every crude. Oral, every time a pills twice a day.

 

        Appropriate technology

 

        1. The acupuncture therapy

 

        (1) the acupuncture method: choose specific point below.

 

        Elbow: QuChi, hand three mile, courtyards, and close valley.

 

        Wrist: the YangChi, YangXi, customs clearance, and valley.

 

        Refers to the palm: ZhongZhu, close valley, eight evil.

 

        Hip: HuanTiao, rank in the liao, edge, chop off.

 

        Knee: blood, and fell rabbit, YangLingQuan, LiangQiu, knees eye.

 

        The ankle: seal, and the market, the kunlun, XieXi, hang a bell, the three Yin /.

 

        Spinal: wind pool, draft, big vertebral, kidney yu or warren clip ridge acupuncture point; If the spleen deficiency can choose foot three mile, in wan, spleen yu. Such as joint swelling and pain, stretch disadvantage ZhiGou desirable, hang a bell, trapped valley, YangLingQuan, and combining with local location.

 

        Usage: the wind cold dampness the initiative, or phlegm and blood stasis pain and fever of not attack, with the warm needle, LiuZhen 10 minutes, add article--sticks. Attack with phlegm and blood stasis pain is flat flat or reducing method for diarrhoea, LiuZhen 15 ~ 20 minutes per day, or the treatment again.

 

        (2) moxibustion law: (1) direct temperature acupuncture: 4 cm long article ai set in the handle needle lighting. (2) the indirect temperature acupuncture: every ginger (2 ~ 3 mm thick), ginger is put on the article--of needle; Or separate in the garlic slices hub.

 

        (3) acupoint drug shots: (1) will vitamin B1 100 mg and vitamin B120.5 mg mixed, the acupuncture points respectively in injection. (2) the compound angelica injection, every time 5 ~ l0 ml, each hole can be injected 2 ~ 4 ml, daily or tertian. (3) compound danshen injection, each hole can be injected 2 ~ 4 ml, daily or tertian.

 

        2. Cupping therapy method

 

        In the area with three to five cupping jar, every time a tank 5 minutes. All the more painful to use fever cupping therapy.

 

        3. Fumigation law

 

        (1) the sichuan, the grass every 20 grams, a. dahurica 50 grams, asarum 10 grams, 30 grams of river xiong, cassia twig 30 grams, WeiLingXian 60 grams, extend the muscle grass 60 g, tougucao 60 grams. Daily 2 ~ 3 times, each time 15 minutes. Used for cold dampness bi syndrome.

 

        (2) mugwort 9 g, 30 grams of tougucao, Chinese prickly ash 6 grams. Water frying, heat fumigation trouble place, daily 1 ~ 2 times. Solution temperature control in patients tolerated the extent of the advisable, directly affected part or bath column, and immersion, fumigation etc. Twice daily, every time 20 ~ 30 minutes.

 

        4. Put apply patch

 

        Musk strong bone paste, Oriental invigorate the cream, brief on the sore cream.

 

        5. The drugs wipe method

 

        The wind pain, loose oil, spirit bone rather wipe agent, musk rheumatism oil, wipe the nozzle, twice a day.

 

        Preventive care

 

        Try to avoid excessive activity and excessive weight, avoid injury, sprain or damp down, in order to avoid aggravating the original lesions. Positive can cause bone joint disease prevention and control of all kinds of original disease. Temperance sexual desire, protect the kidney essence, avoid cold dampness to invade.