2012年1月24日星期二

China's Cancer Drug - China

Many of our patients travel to Guangzhou from all over the world for medical treatment and tourism. China medical tourism can help with becoming a patient, travel arrangements and language assistance. If you want to know more about our services, please browse the web:h http://www.medicaltourism.hk/
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Philomina Moniz was given six months to live by Australian doctors. Her bladder cancer had spread into her abdomen, and there seemed no chance of controlling further spread. She heard of the Gendicine treatment in an article on the internet, and traveled to China where she was given an 80% chance of survival. Professor John Rasko admits that, "In cancer medicine it's always important to allow for hope", but he worries that there is still "no compelling evidence" that Gendicine is the miracle cure it is billed as.
The treatment does not come cheap with a full course costing as much as 0,000, and while for some the price of life can never be too high, Rasko worries that not only are people wasting their time, they are also subjecting themselves to "considerable extra suffering" and "unexpected side-effects". Philomena's cancer ultimately proved not to respond to the Gendicine therapy. But she does not regret her trip, "at least I've tried everything in the book" she says. For her, like the hundreds of other patients in the clinic, "seeing people walk out of the clinic cancer free" provided the hope needed to go on fighting this deadly disease.

The famous China Medical tourism website www.medicaltourism.hk

Is Medical Tourism the Future of Healthcare?

Many of our patients travel to Guangzhou from all over the world for medical treatment and tourism. China medical tourism can help with becoming a patient, travel arrangements and language assistance. If you want to know more about our services, please browse the web:h http://www.medicaltourism.hk/
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How far would you go for affordable dentistry work, a hip replacement, or plastic surgery? The high cost of healthcare throughout the world has caused millions of patients to cross international borders to receive healthcare in a growing trend called medical tourism.

China Japan Thailand India Mexico
Even though it's just catching on, medical tourism isn't new. In fact, it's been around hundreds of years. In the past, many patients looking for better quality care would travel to the U.S. or other Western nations for treatment. However today, researchers are finding a reverse trend in medical tourism, where Westerners, particularly Americans, are going oversees to countries like India and Korea for more affordable care.


According to Treatment Abroad, most of the surgeries done overseas are non-emergency or elective procedures. Popular treatments include dentistry work (crowns, veneers), plastic surgery (breast augmentation, liposuction, facelift), and elective surgeries, such as laser eye surgery and hip or knee replacement.


Medical tourists in most cases aren't sacrificing quality for value. For example, Sun Yat-sen University Cancer Center (SYSUCC) in China is a World Health Organization (WHO) Collaborating Center for cancer research. Since 2003, SYSUCC became a sister institution of the University of Texas MD Anderson Cancer Center, SYSUCC gives the hospitals access to cutting edge research. Many hospitals abroad are also certified by the U.S.-based Joint Commission and staff doctors trained in the U.S. or UK.


Deloitte Consulting estimates that 1.6 million Americans will travel abroad to receive medical treatment in 2012. According to KGI Securities, 33 percent of medical tourists are from America, followed by China (29 percent), and Japan (18 percent). Most American patients travel either just across the border to Mexico or fly across the globe to Asian hubs, such as India. Of those American patients, 86 percent said they would travel overseas again for healthcare in a 2009 Medical Tourism Association survey.

There's no denying the value in traveling internationally for a procedure. In the United States an average hip replacement would cost about $43,000. This same procedure in Singapore or Thailand would cost as little as $12,000 and $9,000 in China.

There are, however, risks associated with traveling abroad for medical care. After returning home, patients won't be able to have the same contact with their surgeon, in case of complications or infections. The U.S. government also warns potential medical tourists of the different malpractice laws in each country.

Medical tourism isn't just good business for overseas hospitals, but also for countries' overall tourism industry. The Medical Tourism Association found that in 2009, almost 83 percent of patients traveled with a companion and that 90 percent of patients or companions engaged it tourism-related activities.

The famous China Medical tourism website www.medicaltourism.hk

Concerns Grow Over Medical Tourism in Asia

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One of the fastest growing businesses around the world, particularly in Asia, is medical Tourism.

How fast is medical tourism growing? Dr David Vequist, who heads the Center for Medical Tourism Research in San Antonio, Texas says one medical research organization predicts explosive growth.

“According to Fox and Sullivan, by 2012, it’s expected to be worldwide about a $100-billion business, and it’s growing worldwide from 20 to 30 percent. There was a recent estimate that in Asia alone, it was growing as much as 17 percent," he said.

And Vequist says many of the medical facilities around the world are giving the best medical facilities in the United States a run for their money.

“The Johns Hopkins, the Mayo Clinic, the Texas Medical Center, MD Anderson, Cedar Sinai, these really great facilities in the United States that arguably are among the best in the world are receiving more and more competition from best in class facilities in places like Turkey at Parkway Hospital or Bumrungrad in Thailand or Severance in Korea. These locations around the world are getting very good," he said.

But then there is the down side. Glen Cohen, Co-Director of the Petrie-Flom Center for Health Law Policy, Biotechnology and Bioethics at the Harvard Law School says there is evidence that profitable medical tourism is taking away medical services from the poor in some host countries

“In India, for example, there have been a number of anecdotal claims that the existence of the medical tourism industry has siphoned doctors away from treating poor Indian patients and has basically resulted in a net loss for India’s poor. There are others who say no, it’s quite the opposite, that there is an infusion of technology, there is trickledown economics. Again, it’s a contested empirical claim. But beyond that, there is an ethical claim about whether you’ve done something wrong," he said.

Much of China’s medical tourism industry has focused on organ transplants, reportedly about 10,000 of them a year, mostly kidney and organ transplants. The Chinese government has admitted that some of the organs for transplantation have come from executed prisoners.

Nancy Scheper-Hughes, a professor of medical anthropology at the University of California at Berkley and a co-founder and director of the medical rights organization Organs Watch says many of those have lead to very bad results.

“I am in touch [with] a number of families who have had disastrous transplants in China because it was so unregulated. A family named the McGalkers, in Israel, they were of Indian background, went to China in 2009. It was just a horror show. The father had a botched transplant with a 15 year old village girl. Mr. McGalker died and as a result had to be air shipped out, the young donor died. This is serious business. Not just using executed prisoners but setting up living liver transplants and no regulation," she said.

That has recently changed as China has enacted new regulations surrounding transplants. One proposed law would give the death penalty to anyone found guilty of illegal organ trafficking. However Scheper-Hughes says the entire process brings up troubling consequences.

“It does turn doctors and ministries of health into brokers because you still have to find people and it’s not going to be your children or my children. It’s going to be ethnic minorities, the poor, the desperate, the imprisoned people, the people who are looking for visas, the displaced populations of the world, the refugees," she said.

China is also moving forward on plans to set up and market treatment using stem cell therapy that, for the most part, is unavailable in the United States.

Professor Glenn Cohen of the Harvard law school said, “Many scientists think in the next 50 years or so, many of the breakthroughs in medicine may be related to stem cell therapies. So obviously this is promising and obviously with terminally ill patients who have exhausted all approved therapies or clinical therapies in the U.S., the calculus is quite different in terms of the safety and efficacy. But there are significant risks when you engage in any experimental therapy and stem cells are no different. And I’m not really aware of too many success stories in this regard.”

If you are considering availing yourself of the ever growing medical tourism offerings, Cohen said in addition to ethical concerns, there are at least three concerns that must be addressed.

“One is the quality of service that’s being provided to you abroad. The second concern is that if something does go wrong, what is your ability to recover a medical malpractice by suing the doctors abroad, and the third maybe is the willingness to get a doctor in your home country to engage in follow up care, the availability of health records and what the quality of care will be back home," he said.

Even with all of these concerns, medical tourism continues to expand. Reasons why and some services that are likely to become available, are the subject of the next report.

The famous China Medical tourism website www.medicaltourism.hk

China will be the world leader in stem cell research

Many of our patients travel to Guangzhou from all over the world for medical treatment and tourism. China medical tourism can help with becoming a patient, travel arrangements and language assistance. If you want to know more about our services, please browse the web:h http://www.medicaltourism.hk/
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Stephen Minger is director of the biology laboratory of stem cells of the Wolfson Centre for Age-Related Diseases of King’s College London. He has been pioneer in embryonic stem cell research in the United Kingdom. In 2001 he obtained one of the two first licences that the British Human Fertilisation and Embryology Authority (HFSA) conceded for the derivation of embryonic stem cells. The following year, his group generated the first line of these cells in the United Kingdom, one of the first in the world.

Cristina Jiménez | 24 September 2009

The United Kingdom is one of the most prolific countries in stem cell research.
In the last years there has been a lot of public investment in this field, for both lines of adult and embryonic stem cells. Moreover, the British public generally welcomes this kind of research. The strong collaboration between the different British universities is also important. In London, for example, there is the London Network of Regenerative Medicine and at national level, the UK Stem Cell Network. The United Kingdom has to maintain these investment levels if it wants to remain competitive. China and the United States are investing astronomic quantities and the UK could be left behind.


Does the recent move of Barack Obama to lift the veto on embryonic stem cells influence it?
The decision of Obama is important, but symbolic at large. I am not very optimistic because in the United State there isn´t a coherent scenario in the federal field for the research on embryonic stem cells. Even if a scientist receives federal money from the National Health Institutes, the state can decide if it can be used or not. Therefore many scientists don’t feel too comfortable working with these cells: if the state goes from having liberal politicians to conservative, the researcher can see how his researchers fall flat on their face. Whilst the States have the last word, things will not change too much. And the problem is not due to lack of money, but to the regulation imposed by Bush; they are four to five years behind other more advanced countries. China will soon be the world’s leader in stem cell research.

China?
The quantity of money invested in China is enormous. They have laboratories equipped with the latest technologies and their scientists are very prepared. The laws that regulate the research with embryonic stem cells are similar to those from the United Kingdom, very strict, but generally accepted. From the Buddhist-Confucian perspective, the embryo is not considered a human being until one day after it is born. At King’s College we collaborate with scientists from the University of Zhejiang [Hangzhou], Fudan and Jiao Tong [both in Shanghai] and from the Institute of Biomedicine and Health of Canton.

With the current techniques of cell reprogramming, there are scientists that believe that therapeutic cloning is redundant.
The technology of cell reprogramming is a big step, but it cannot meet all expectations. For this motive it is necessary to research in parallel with conventional embryonic stem cells. The technique is so new that the iPS cells [induced pluripotent stem cells] are not properly characterized. Parallel research consists in cloning the same individual with two types of cells and compare properties and differences. But therapeutic cloning requires a large quantity of ova in order to be able to carry it out. Therefore, Lyle Armstrong, from the University of Newcastle, Justin St John, from Warwick University, and me encouraged a change in legislation at the end of last year; it allows the creation and use of human-animal hybrid embryos.

Something which at the beginning was very critical for British legislation…
It is the test where scientific rationality can omit often religious pressures. The United Kingdom is one of the most advances and progressive countries in the world regarding its legislations on cell therapy, but it is extremely strict.
In order to carry out studies on hybrid embryos one has to ask for its approval, as well as justify why such research cannot be carried out in another way. Also, hybrids cannot be kept alive for more than 14 days, when the embryo starts to develop. In any case, even though the legislation allows it, the team and necessary reagents for this type of research are extremely expensive, and the majority of the projects presented have not managed to get government funding.

Will this situation prolong itself in the future?
Regenerative medicine has a hopeful future, and therapies will be developed with both types of stem cells. Some will consist of injecting stem cells to substitute dead tissue; others will stimulate them from damaged tissue. Methods will be invented to repair tissues, especially those of the brain and heart, and work will be carried out with them to study new drugs, especially to measure their toxicity.

What has your group focused on?
We are interested in Parkinson’s disease and type 1 diabetes. Introducing cells to patients with these disease works; the problem is that there are not sufficient stem cells available for transplant. Our objective is to mange to change defective cells for others that produce dopamine or insulin.

PROGRESS IN TRADITIONAL MEDICINEMinger´s team has recently initiated a very special collaboration with China. With the use of stem cell biology, the scientists from King´s College aim to understand better the chemistry if traditional Chinese medicine to try and convert traditional remedies in future pharmacological products. The objective is to study the active principles in different stem cell types and see how these act.

The investment dedicated to this type of research is necessary not only to unblock the enormous potential of traditional medicine to treat common western disease.

It is also important to protect the public from insecure natural remedies. The complex differences between the western pharmacological products and the natural oriental products present a significant challenge for the development of conventional drugs based on traditional Chinese medicine.

The famous China Medical tourism website www.medicaltourism.hk

2012年1月18日星期三

Sofastin injection needle-knife with the treatment of knee osteoarthritis clinical

Many of our patients travel to Guangzhou from all over the world for medical treatment and tourism. China medical tourism can help with becoming a patient, travel arrangements and language assistance. If you want to know more about our services, please browse the  web: http://www.medicaltourism.hk/
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Knee osteoarthritis (Osteoarthritis, OA) is a chronic joint disease, mainly characterized by degeneration of articular cartilage and inflammatory bone hyperplasia. Common in the elderly, the disease mechanism is currently unknown, most scholars believe that with aging, inflammation and metabolism. With the accelerated aging of our population, the incidence rate increased subsequently, in the middle-aged Chinese are now up to 7.8%, seriously affecting the quality of life of older persons. Although the treatment of OA more, but the effects are not ideal, can not prevent or delay the occurrence of disease and development. To study Sofastin injection needle-knife with the clinical efficacy of OA, the author will be from March 2003 to March 2007 were treated 230 cases of OA were randomly divided into two groups, its effects were compared. Reported as follows.
A clinical data
1.1 General information on the observation group 120 cases, male 42 cases, female 78 cases; aged 43 to 86 years of age; course of disease 7 months to 6 years. Danxi 56 cases, 64 cases of both knees, a total of 184 knee. Kellgren X ray classification: Ⅰ grade 31 knees, Ⅱ grade 86 knees, Ⅲ grade 43 knees, Ⅳ grade 24 knees. Control group, 110 cases, male 35 cases, female 75 cases; aged 45 to 87 years of age; course of 8 months to 6 years. Danxi 43 cases, 62 cases of both knees, a total of 167 knees. Kellgren X ray classification: Ⅰ grade 25 knees, Ⅱ grade 83 knees, Ⅲ grade 39 knees, Ⅳ grade 20 knees. Patients had varying degrees of knee pain, manifested as morning stiffness, pain started moving, after the event reduced, then increased walking activity and rest can be characterized by partial remission. Assessed by VAS pain score of 56 cases of mild, moderate 93 cases, 81 cases of moderate and severe. By knee function score method evaluation, 60 patients with mild activities, barriers, obstacles to the activities of 120 cases of moderate and severe obstacles to the activities of 50 cases.

1.2 diagnostic criteria adopted in 1995 revised American Rheumatism Association diagnostic criteria for OA, ≥ 3 of which would be consistent with these conditions, X-ray confirmed OA performers. OA X-ray film changes according to Kellgren classification method.
1.3 Treatment (1) General treatment:
① acute phase: joint effusion clear who puncture fluid, elastic bandage fixed. General puncture 1 ~ 3 times, and gradually ambulation.
 ② traditional Chinese medicine fumigation: fumigation using self-prepared Chinese medicine, the application of Chinese medicine products Dalian bed fumigation fumigation treatment, 2 times / d, 4 weeks for a course of treatment.
③ Oral: Nuosong tablets 0.4,1 times / d, Kangguzhengsheng films, 4 / time, 3 times / d, 4 weeks for a course of treatment.

(1) needle-knife therapy: patient supine knees, knees pads, pillows, regular elections point after disinfection, the application needle-knife around the right knee patella, suprapatellar bursa, infrapatellar pouch, infrapatellar fat pad, cruciate ligament, intercondylar eminence and , the lateral collateral ligament and biceps femoris, semitendinosus, semimembranosus, iliotibial tract, etc. attached to the point of tenderness and bone hyperplasia Department degeneration, scarring, adhesions and contracture of the soft tissue release and shovels to cut grinding, leveling, etc. The treatment facilities within the surgery. Needle-knife treatment options depending on the specific point of knee localized disease may be more of a one election 8:00, less of a one 3:00, the election mostly 5 to 6 o'clock.

[2] needle-knife treatment of postoperative external means, ie prior to flat direction of the patellofemoral joint surface pushed by the upper and lower left patella, do not push to the rear, loosen patellofemoral adhesions, and then the passive knee flexion and extension, loosen tibial-femoral joint adhesion.

(3) intra-articular injection: The Sofastin (sodium hyaluronate injection) 2ml intra-articular injection, 1 times / week, were injected four times.
(4) treatment options: observation group were treated with the general treatment, needle-knife therapy combined with intra-articular injections of Sofastin the control group using the general treatment, both after treatment effects were evaluated after 3 months.
1.4 Efficacy in VAS pain score assessed pain intensity before and after treatment changes: O into painless, 1 ~ 3 were divided into mild, 4 to 6 is divided into moderate, 7 to 9 pm was severe, 10 were divided into severe pain. More down the stairs, squatting activities, assessment of knee joint function; O sub-normal, a sub-mild, 2 points moderate, 3 severe, 4 points loss of function.
1.5 Statistical analysis measurement data in order to (x ± s), said the use of statistical data analysis and processing SPSS10.0 statistical software.
2 Results
Treatment of a course of treatment in both groups, at the end of treatment within a specified time after the follow-up, according to the VAS pain score assessed before and after treatment efficacy, the results shown in Table 1,2, the two groups after treatment in patients with joint pain were alleviated knee joint function of the observation group improved significantly better than the control group. The two groups were not related complications occurred. Table 1 the two groups before and after treatment VAS pain score comparison table two groups before and after treatment of knee joint function score comparison (Note: △ before and after treatment P <0.01, ▲ after treatment the two groups P <0.01.

3 Discussion
 Knee osteoarthritis (OA) is due to degeneration of articular cartilage and joint synovitis characterized by the transformation of intra-articular lesions. Knee osteoarthritis is a cartilage degeneration, destruction, joint surface, the edge of reactive hyperplasia, osteophytes arising from the formation of secondary inflammatory synovium, joint capsule and soft tissue pathologic changes to joint pain and dysfunction of The main clinical manifestations. With the onset hiding, slow progress, while the prevalence rate increased with age characterized by the elderly of the common and frequently-occurring disease.

Clinically, with joint swelling, pain, stiffness, limited mobility, muscle atrophy, joint distortion characterized. Late medial joint space narrowing, often a result of extensive cartilage destruction flexion deformity. Synovial membrane and joint support structure surrounding proliferative changes were accompanied by chronic damage to the tissues around joints, in tissue repair occurs when the ligaments, muscle and bone between the adhesion.
The formation of local scarring, adhesions, muscle disuse atrophy. There authors found that there is arthritis, the muscles around the trigger point (TrP), the point EMG testing (EMG) activity, especially the inner thigh muscle tension Office. TrP through treatment can effectively eliminate EMG changes.
Needle-knife therapy can be used directly on the patella and the joint space to conduct cutting-week, sneak lysis patellar weeks tendons, ligaments, bursa and other soft tissue scar adhesions, contracture, destruction TrP, improve blood circulation, and soft tissue adhesion, the elimination of nerve endings to stimulate to improve blood circulation and the lifting of reflex muscle spasm, soft tissue to restore knee movement coordination, effectively regulate the balance between structural mechanics around the knee to enhance knee stability, while the needle through the needle-knife effect, and clear the meridians, to reconcile qi and blood, to "General does not hurt," the purpose [2]. YU Jie et al [3] that the needle-knife therapy can gradually restore joint kinetics of dynamic balance, mitigate and alleviate the friction knee injury, relieve pain, swelling, promote the function of the knee to recover. Combination of intra-articular injection of polymers, high-viscosity elastic Sofastin (glass sodium injection), can effectively improve the unit - tibial and femoral - patellar articular and synovial tissues between the coefficient of friction joints to reduce wear and eliminate inflammation.

The famous China Medical tourism website http://www.medicaltourism.hk/

'Catfish effect' theory in the needle-knife treatment of frozen shoulder

Many of our patients travel to Guangzhou from all over the world for medical treatment and tourism. China medical tourism can help with becoming a patient, travel arrangements and language assistance. If you want to know more about our services, please browse the  web: http://www.medicaltourism.hk/
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will 'catfish effect' philosophy applied to needle-knife therapy for frozen shoulder. Protest lysis beak ligament is a needle-knife treatment of frozen shoulder brachial important part.
[Keywords:] scapulohumeral periarthritis; needle-knife therapy; Catfish Effect
Frozen shoulder frozen shoulder is a common type, commonly referred to as frozen shoulder, more likely than referring to the frozen shoulder. Frozen shoulder with rapid onset, severe pain, shoulder muscle protective spasm, caused by the activities of limited shoulder. The acute phase generally lasted 2 to 3 weeks after the chronic phase to enter.

1 'catfish effect' theory in the use of frozen shoulder treatment
Needle-knife therapy is currently in the efficacy of conservative treatment of frozen shoulder sure that a shorter course of treatment, patients more acceptable method of treatment. Treatment typically begins with the needle-knife to find the most obvious point of tenderness, but a lot of history longer or more severe in patients with adhesions are often not very clear, tender points, the chief complaint often only 'pain in the shoulder and upper arm are not out of pain, but the inside pain, hard to explain specifically what point, shoulder limited activity '. At this time we will be based on clinical experience, for the first time prior to the brachial beak ligament, coracoid Department, supraspinatus arrived only side gang under the teres minor muscle and the arrival only for the treatment of end-point, the general election 2 to 3 points, rostral brachial ligament which must be selected for the point, because it is the author use the word 'catfish effect' of the catfish.

2 treatment
 Patient sitting or lateral position, the skin has fully exposed the ipsilateral shoulder, gentian violet points, or experience pain in the sensitive treatment of fixed points, local disinfection, shop-hole towel, mixed imitation Stejneger's solution (2% lidocaine 5ml, vitamin B122mg, indeed triamcinolone acetonide 20mg, normal saline 10ml), half of mixture into the shoulder joint cavity, and the other half of mixture were injected into each treatment point, the medical Shi pressurized piercing needle-knife technique, needle-knife to reach lesions after incision with dissection or vertical line to clear the stripping method, peel 3 ~ 5-pin, when the needle under the pine needles out of dynamism, when the last band-aid deposited cover.

7d treatment every 1, 3 ~ 5 times for a course of treatment, most patients can be fundamental cure for a course of treatment. The vast majority of patients after the first needle-knife therapy after consciously ipsilateral Jianbi pain better, suffering from shoulder and activity improved. The most important is that the patient was separated 7d hospital for the second treatment can be very clearly pointed out that often the most obvious point of tenderness, pain points, these points with needle-knife as a treatment for lysis, supported by appropriate means traction pull stretch rotation in order to restore the activity of the shoulder joint. Are often subject to a second needle knife, after lysis, the patient will be significant improvement in symptoms, suffering from shoulder activity also improved significantly. Later according to the severity of illness, need a ~ 3 times a needle knife loosen, leak fill a vacancy, the consolidation of efficacy, a course of treatment usually no more than 5 times.
3 experience
Author in clinical profoundly aware that lysis beak ligament is a needle-knife treatment of frozen shoulder brachial important part. Brachial beak ligament is a tough fiber bundles, affixed to the top of the shoulder joint capsule, starting at the outer edge of the Ministry of coracoid process level, down through the supraspinatus and the subscapularis muscle between its fibers to the joint capsule and with the large, small nodules between the transverse humeral ligament connects the proximal fiber spin out when the tension, there are bound shoulder external rotation role. Humeral adduction internal rotation when the beak ligament and joint capsule of brachial beak squeezed in between the gap, resulting in varying degrees of compression shocks and friction, combined with multi-axis position of the shoulder joint activities so that the organization of chronic wear and tear of rotator cuff, shoulder bag degeneration, leading to shoulder around the muscles, ligaments adhesion, particularly adhesion rostral brachial ligament shortening, in varying degrees, the activities of limited shoulder.

Therefore, treatment of frozen shoulder contracture should first be denatured lysis beak to beak brachial brachial ligament gap increases. Needle-knife operation in the coracoid process to clear the lateral longitudinal spin-off, if the beak ligament degeneration of brachial sclerosis, needle under which there is a clear sense of resistance, this time knife-edge lines can be turned 90 degrees, so that the blade with the beak ligament fibers perpendicular to the brachial, top-down followed by cutting, rampant shovel stripping, needle under the loose change is better. Reason refractory frozen shoulder, in fact, because the disease more than the Department of bursa lesions, lesions involving the glenohumeral joint articular capsule, subacromial, or deltoid, the long head biceps tendon bursa, etc.. Early lesions of bursa hyperemia, edema and exudation synovial cavity adhesions post-lockout, fiber-like change. Shoulder pain affected the early events involved in the above inter-organizational development of fibrosis and scar further restrict the activities of the shoulder.
This vicious cycle, causing an objective to extend the course of the disease, adding to the suffering of patients, while the extension of course, exercise pain, short-term cure in patients with remote has led to subjective doctors were unwilling to cooperate actively in functional training, thus greatly reducing the In the hospital physical therapy and oral anti-inflammatory analgesic efficacy, a further blow to the confidence of patients, leading to further vicious circle. Lysis beak as if the entire brachial ligament treatment of frozen shoulder into a 'catfish', after this 'catfish' stimulus, making up the entire treatment interaction, treatment improved the symptoms, functional exercises makes it possible through functional exercises make deep surface of the lesion and the surface adhesion points, giving the direction of the medical treatment, by further treatment, but also to further improve the symptoms and activity.

The famous China Medical tourism website http://www.medicaltourism.hk/

Traditional Chinese Medicine Treatment of osteoarthritis of the knee Overview

Many of our patients travel to Guangzhou from all over the world for medical treatment and tourism. China medical tourism can help with becoming a patient, travel arrangements and language assistance. If you want to know more about our services, please browse the  web: http://www.medicaltourism.hk/
or mail to us: giels-x@medicaltourism.hk,firstcare-china@hotmail.com

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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