Traditional Chinese Medicine Treatment of osteoarthritis of the knee Overview

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osteoArthritis of the knee is a common disease of the elderly, and frequently-occurring disease has seriously affected the daily lives of the elderly and work with high morbidity and disability. Articular cArtilage in the early stages of a primary or secondary degenerative changes, and accompanied by subchondral bone destruction and bone hyperplasia, so that the gradual destruction of joints and produce deformities. The disease affects not only the whole process of Articular cArtilage, but also meniscus, subchondral bone, ligament, joint capsule, synovial membrane around the muscles and joints. Traditional Chinese Medicine in the treatment of osteoarthritis of the knee has its unique clinical efficacy, treatment methods, including Traditional Chinese Medicine taken orally, for external use, acupuncture, massage and so on.
[Keywords:] Knee Osteoarthritis Knee osteoarthritis of Chinese Medicine
Osteoarthritis (Osteoarthritis, OA) also known as bone and joint disease, degenerative joint disease, hypertrophic arthritis, age-related arthritis is a common to joint pain, swelling, stiffness and deformity characterized by bone and joint disease. Joints osteoarthritis can occur, especially the knee, it has been reported in the literature about the incidence rate of 41% of patients with osteoarthritis. Our country is entering an aging society, and thus the incidence of elderly OA also showed a rising trend year by year, joint pain and disability in the elderly the main reasons [1].
A Traditional Chinese Medicine Oral Therapy
Chinese medicine, osteoarthritis of the knee is Arthralgia, bone Bi category, multi-due to liver and kidney deficiency, bones and muscles lose support, and blood shortage, easy to damage caused by the body and feel the wind cold dampness evil and disease, is a false standard of the virtual card , the treatment can be roughly divided into replenishing liver and kidney, gluten Zhuanggu, promoting blood circulation Qufengchushi, temperature by-pass network, such as governance is nourishing Qi. Yao Shu-Yuen et al [2] The Biqi Capsule (Darren Tang Pharmaceutical Factory, Tianjin Development) in treatment of 94 patients with knee osteoarthritis, efficiency of 98.87%. Zhao Lin et al [3] The Mustard Seed Powder (White Mustard Seed, Eupolyphaga insects, pangolins, safflower, etc.) in the treatment of knee osteoarthritis in 90 cases, with a total effective rate was 86.7%. Lu Jian Guo et al [4] with Bu Shen Huo Xue Prescription (health Astragalus, puerarin, epimedium, Ligustrum lucidum, Dodder, Clematis, Bupleurum, Forsythia, Cyathula, red sage root, Eucommia, Dipsacus, etc.) in the treatment 165 cases of knee osteoarthritis, with a total effective rate 93%. CHENG Yu-to, etc. [5] with the compound Tongbi capsules (Angelica sinensis, ephedra, the herb, Radix Paeoniae Alba, Cortex Moutan, Cyathula, red sage root, Cyperus rotundus, turmeric, Poria, Plantago, papaya, money nosed pit viper, Eupolyphaga insects, Strychnos, Scorpio, Eucommia ulmoides, Phellodendron, Chuanwu, epimedium, Loranthaceae, Atractylodes, Clematis, Rehmannia glutinosa, etc.) in the treatment of 300 cases of knee osteoarthritis, with a total effective rate 92%. Wang Chunqiu, etc. [6] with the self-made Gubi Tung Wan (Rehmannia glutinosa, white peony root, Cistanche, Drynaria, deer rank grass, epimedium, Clematis, Gentiana, Eucommia, Millettia, Radish Seed, Gui branches, Lindera aggregata, licorice, etc.) treatment of 92 patients with knee osteoarthritis, with a total effective rate 94.5%, one-year follow-up cases were cured without recurrence. Bear across the sea, etc. [7] using self-made knee-Bi Shu Tong drink (Epimedium, Rehmannia glutinosa, Chinese wolfberry, Eucommia, Cyathula, Drynaria, astragalus, Chinese angelica, Millettia, Agkistrodon, system gall Southern Star, white peony root , licorice, etc.) Syndrome addition and subtraction and in line with Angelica injection point injection (get ipsilateral Yanglingquan, hanging bell, Ashi points, etc.) treatment of 30 patients with knee osteoarthritis, with a total effective rate 96.7%. Yuan-Lin Chen et al [8] using self-made Bu Shen Huo Xue Fang (Rehmannia glutinosa, Chinese angelica, Chuanxiong, Achyranthes bidentata, Millettia, psoralen, Epimedium, Eucommia, Dipsacus, red peony, Chinese angelica, Gentiana, etc.) in the treatment 49 patients with knee osteoarthritis, with a total effective rate was 93.9%. Gu Qian et al [9] used DUHUOJISHENG soup (independent living, Loranthaceae, Eucommia, Cyathula, Asarum, Gentiana, Poria, cinnamon, wind, Chuanxiong, Codonopsis, Chinese angelica, peony root, Rehmannia glutinosa, licorice, etc.) in the treatment 60 patients with knee osteoarthritis, with a total effective rate was 93.3%, obviously superior to western medicine control group.
2 Chinese Herbs Therapy
External include Traditional Chinese Medicine Fumigation heat or outside the front and Chinese medicine treatments such as iontophoresis. Feng Guojun et al [10] using self-made blood circulation Shujin lotion (raw rhubarb, Speranskia tuberculata, Lycopodium clavatum, Millettia, Sanleng, Drynaria, Cyathula, turmeric, pangolins, Clematis, Chinese angelica, Gui, salt, etc.) after the first heat or fumigation treatment of 150 cases of knee osteoarthritis, excellent rate of 91.9%. Xu two equal [11] The Gubi paste (Pleurotus eryngii, kaempferol, clove, cinnamon, borneol, etc., plus EE into the plaster) Sticking the lesion, treatment, 78 patients with knee osteoarthritis, with a total effective rate 97.44%.
3 Acupuncture Massage Therapy
Zhang Xianwen, etc. [12] the use of small needle-knife aspect of pain points dredge, shovel cut, cutting, in order to loosen adhesion, and clear the meridians, results were satisfactory. Deng et al [13] using manual massage [including acupuncture (take too River, Xie River, foot three years, wind city, ring jump, red door, bearing mountain, Venezuela, Cheng Fu, etc. Point), loose tendons, shaking knees, reduction and other methods] treated 60 patients with knee osteoarthritis, with a total effective rate was 90.00%.
4 Comprehensive Therapy
Zhangxian Yong et al [14] herbal infusion (raw Chuanwu, the health and Aconitum, raw Pinellia, downtown flower sheep, raw gall Southern Star, the health and Strychnos, snow-capped mountains an Artemisia, safflower, Menispermaceae, turmeric, Sanleng, Zedoary, soil Fuling, etc.) and add wet compress to cut out infrared radiation, soft tissue techniques to relax the knee, point by point and pain flexion and extension, ring shake knee (flexion and extension without severe swelling, ring shake knee), and knee with Danshen injection Point (knee eyes, Venezuela, Albania is a hole) injection and knee functional training methods such as treatment of 350 cases of knee osteoarthritis, with a total effective rate 96.6%, cured patients were followed up for more than one year without recurrence. YANG Meng-Lin et al [15] with Chinese Herbs (single live, Loranthaceae, Cyathula, angelica, peony root, Gentiana, papaya Zaocys, frankincense, myrrh, cinnamon, licorice, etc.) and the dregs for external knee and acupuncture (extracted from inside and outside the knee eye, knee-Yang Guan, Yang Ling-chuen, Hong Leong, sea of blood, Zusanli, etc.) in the treatment of knee osteoarthritis 164 cases, with a total effective rate 98.8%. Water Qi Cai et al [16] with the joint puncture (those with joint effusion) and Traditional Chinese Medicine Fumigation (Cyathula officinalis, single live, Gentiana, Pittosporum skin, Lycopodium clavatum, Speranskia tuberculata, turmeric, frankincense, myrrh, safflower, Artemsia argyi, cassia twig, etc.), combined with manual massage and non-weight-bearing knee flexion and extension functions such as training on their own (Tong Shen Mei Luo Xikang of oral capsules, 7.5 mg, day 1) in the treatment of knee osteoarthritis in 126 cases (157 knees ), the total effective rate was 98.7%. Husheng Ping et al [17] to health knee Decoction (Millettia, deer rank grass, Lycopodium clavatum, Speranskia tuberculata, Clematis, Geranium, Cyathula, papaya, Drynaria, Passepartout, etc. ) and the outer wash (the remaining dregs into the daily bag, the release pot add water 1500 mL, heat 20 min boiling, add a small amount of rice wine, while hot Fumigation knee until the temperature when it is appropriate for drug bags placed in hot-iron knee) and with the local massage and functional exercise (including strength training exercises and joint activities) in the treatment of knee osteoarthritis in 53 cases, with a total effective rate was 92.5%.
5 Conclusion
Primary osteoarthritis of the knee lesion was degeneration of articular cartilage and secondary osteoarthritis [18]. Chinese medicine, the incidence of this disease with liver and kidney deficiency, bones and muscles lose support, and blood and injury and feelings of lack of wind cold dampness and other related evil. Chinese medicine treatment can be adjusted from the overall function, replenishing liver and kidney, gluten Zhuanggu, promoting blood circulation, from the outside for the local symptoms Shujin Tongluo, temperature after cold-dispelling dehumidification, rousing played a total of tackling the problem of the Gong embodies the traditional Chinese medicine 'Jane, then, inexpensive and inspection' principle. But there are TCM, such as lack of uniform standards for diagnosis and treatment of evaluation criteria and other issues.

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