| Objective: outside on the humerus condyle inflammation, belong to the elbow lateral pain syndrome, also known as "tennis elbow", is a typical strain in sports injury syndrome, often develops in rotating the forearm, elbow flexion or extension of the crowd, especially in the middle-aged housewife. In recent years, with the in-depth study of the disease found in a unified way to treat all outside humerus condyle has seemed inappropriate, especially some methods fundamentally and medicine with deviating, at the same time for the humerus on the diagnosis of condyle infection is also a lack of objective indicators and basis. Of this study is based on teacher many years of clinical experience and practice, give full play to the advantages of traditional Chinese medicine diagnosis and treatment technology, through the eight principles of TCM syndrome differentiation to cause fever, the use of cold, heat, fever, cold treatment on the outside of the humerus condyle phlogistic treatment based on syndrome differentiation, and arrangements for comprehensive treatment of cold syndrome, heat syndrome, further discussion points of TCM syndrome differentiation treatment on outside humerus condyle phlogistic curative effect and mechanism of in clinic for the future improvement on the humerus outside the treatment method of condyle infection and improve the disease clinical curative effect and further standardize on the outside, optimization of the humerus condyle inflammation in TCM diagnosis and treatment scheme of certain theoretical basis, reduce the recurrence rate of condyle infection on the outside of the humerus. Sufferings method: according to the order will conform to the inclusion criteria, a total of 100 cases of patients, patients with divided into two groups according to random method, with the principle of single blind allocated to treatment group and control group, each group of 50 cases respectively. Experimental group according to the local symptoms and signs combined with infrared thermal imager to result in points card type, and implementation of TCM syndrome differentiation and treatment scheme, quick heat syndromes with ice, needle, apply two hairdresser injury acetanilide ointment treatment; Cold syndrome using TDP light, massage 1 external Ding Gui adjustable cream treatment. 1 week for a period of treatment, four straight course of treatment. Control group in the completion of far infrared ray imaging, in the absence of closed treatment of patients with contraindications to adopt local pain points closed treatment. A week on a regular basis to visit patients, measure and record the patient rotation pain VAS score values, upper forearm circumference, grip strength, and far infrared thermal imaging results elbow joint mobility, for statistical its cure, and the treatment of patients after march phone pays a return visit, adopting Verhaar tennis elbow curative effect evaluation criterion understand its recurrence. Results: evidence-based medicine of traditional Chinese medicine treatment group is better than the closed group, treatment group total effective rate was 89%, better than those of control group 80%. Experimental group and control group before treatment of forearm surrounded degree, grip strength, joint mobility, no difference between the far infrared imaging results, 4 weeks after treatment, treatment group than control group in upper forearm swelling significantly decreases, and grip strength increase, elbows in spin and wrist joints back Angle increased significantly, far infrared imaging temperature difference are obviously reduced. Evidence-based medicine of traditional Chinese medicine to reduce the recurrence rate is better than the closed group, recurrence within 3 month after treatment, the experimental group recurrence rate was 22%, the control group was 36%. Outside on the humerus condyle phlogistic points of TCM syndrome differentiation of the cure rate and recurrence rate is superior to conventional closed control group. |
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