Traditional Chinese medicine internal and external fume to treat knee joint osteoarthritis 
 
 
guoliang Wu Chunbao Chongqing orthopedic hospital of traditional Chinese medicine 
 
 
China's traditional Chinese medicine to 

        The patients with right knee pain more than 1 year, pale tongue, white greasy moss, pulse acerbity. Four diagnostic parameter, Guo Jianhua differentiation of liver and kidney deficiency, the resistance to wind and dampness knee bi disease; Give knee shu tonga, total benefit hepatorenal, moisture, and cold temperature by the effect of t2dm, and clinical curative effect is satisfactory. 
 
        Hu Mou one, female, 67 years old, a retired teacher, was on March 5, 2012. 
 
        Patients because of right knee pain more than 1 year "to see a doctor. V. patients with weakness in his right knee pain, the pain worse than downhill, squat difficulty, stand the pain if the thorn, the knee joint activities with bone, cannot long standing long line, movement and encounter cold symptom is aggravating, slightly reduce after the break, double debility, dizziness tinnitus. Right knee mri slice: right knee degenerative joint disease, right Angle after the lateral meniscus within the knee injury change (2 ~ 3 level), right knee patellar capsule on a little effusion. Physical examination: right knee slight swelling, joint around all have varying degrees of tenderness, quadriceps mild atrophy, McNamara levy (plus or minus), drawer test (-), float patellar test (10), grinding test (10). Laboratory examination: 11 mm/h blood sedimentation, rheumatoid factor negative, "O" test negative. Patients with older women, infirm, strain, liver and kidney deficiency, yuan Yang deficiency, wander for weakness, blood YuZu, channels, bones and muscles alongwith, combined with the cold dampness ChengXu, lingers joints, stasis and result in the veins. Its tongue pale white greasy moss, pulse acerbity. This is sign of liver and kidney deficiency, the resistance to wind and dampness, pulse and tongue, it is bi disease, disease of traditional Chinese medicine syndrome differentiation of liver and kidney deficiency type, the wind cold dampness resistance; Western medicine diagnosis: knee joint osteoarthritis. 
 
        Prescription: from experience "knee ShuShang" add and subtract treatment, medicinal: 20 g dog ridge, cultivated land 15 grams, 15 grams angelica, dangshen 15 grams, eupolyphaga 10 grams, turtle shell 12 g (broken Fried) first, live with 12 g, 12 g clematis root, radix cyathulae 15 grams, 15 grams of radix gentianae macrophyllae, radix paeoniae rubra 15 grams, 15 grams, Chinese wolfberry epimedium 12 grams, water and juice, three times, daily 1 agent. 
 
        Remnant liquid to add pittosporum skin 30 grams, pepper stem 30 grams, 30 grams of cortex periplocae, tendons grass 30 grams, 15 grams, frankincense and myrrh 15 grams, 50 grams of ginger. 2500 ml of water, water frying, fume wash hot compress with knee, in the morning and 1 times, each time for 20 minutes, 5 doses for a period of treatment. Instruct patients at the same time to strengthen risk of knee joint after fumigation appropriate functional exercise, pay attention to the knee to keep warm. 
 
        Two diagnosis (March 10, 2012) : visit this weakness in his right knee pain in patients with symptoms relief, double debility fatigue, dizziness, tinnitus, suffer from knee joint swelling disappeared basically, still more pain especially when down the stairs, long lines and meet the cold symptom is aggravating, the squat and still more difficult. 5 agent, usage with former, daily 1 agent. To pay attention to rest, the adjustment of modern, cold wind, with the knee joint functional exercise. 
 
        Three diagnosis (March 16, 2012) : after the treatment, patients with right knee pain symptoms significantly reduce, double debility fatigue, dizziness, tinnitus disappeared basically. But what is the pain is still a bit up and down the stairs, in recent period of time prescribed pay attention to the knee to keep warm, not long, and long standing. Continue forward 5 agent to continue treatment. 
 
        Four patients (March 21, 2012) described the symptoms disappeared basically, up and down the stairs and next crouching start OuGan right knee mild pain, stomach recently noisy feeling, no food, the original party plus 15 grams of dried tangerine peel, costus root 12 grams, 15 grams of codonopsis pilosula, poria cocos 15 grams, 15 grams of Fried atractylodes, 5 agent, usage with former, daily 1 agent. 
 
        Five diagnosis (March 21, 2012) in patients with the disease disappeared basically, instruct patients to strengthen the function of knee joint suitable exercise, followed up for 1 year patients did not relapse.
 
 
 
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