| Knee osteoarthritis is a kind of disease for cartilage denaturation and bone's loss or the joint edges,subchondral bone's hyperplasia. Knee osteoarthritis is most common in the elderly population, which happens in both sexes. As the population life raising in the 20th century, the incidence of osteoarthritis was significantly higher than before, especially in the elderly population. People over the age of 60,50% people have bones arthritis in the X-ray film, of which 35%-50% have clinical manifestations. Pain is the most important features, which can bring a heavy burden on the patient.Huangdi Neijing had written:"Various fascia are belongs to joints". That means 12-Jingjins are together around the joints. The Knees are wrapped by Foot Yangming type-Jingjin Meridian, Foot Taiyang type-Meridian, Foot Taiyings type-Meridian. Thus, Knee osteoarthritis have close connection on Meridian's pathological changes. For Professor Han's years of study, combined with existing clinical and scientific researches, we propose "JinBi" is the essential development stage for Knee osteoarthritis, and "GuBi" is Extension of the "JinBi" development process, and Foot Yangming type-Jingjin Meridian Knee osteoarthritis is the most common type in 12 Jingjins.Now, we have many treatments for the knee osteoarthritis, including acupuncture, massage, joint injection, arthroscopy, joint replacement and other means. Manual therapy has been for the effective treatment of knee osteoarthritis, and easily acceptable treatment. According to historical records, most of the Manual therapy base on meridian theory, but on the basis of Jingjin-meridians theory and use Manual therapy to knee osteoarthritis are lacks of records. Therefore, this issue will use Jingjin-meridians theory and Jing-jin Manual therapy for the treatment of knee osteoarthritis to evaluate the effect. The main features of Jingjin Manual therapy are "combing" the Jingjin-Meridian, and" release "tendon junction, and by the methods of"combing" and "release" to achieve the ideal treatment.ObjectiveThrough the Jingjin-type manual therapy treat on Foot Yangming type-Jingjin Meridian knee osteoarthritis, and the collection rates before and after treatment to assess efficacy.MethodsAll patients from March 2009 to January 2010 were treated in Guangzhou University of TCM Orthopedics Hospital, who correspond the diagnostic. According to the number of patients randomly divided into treatment group and the control group (each has 31 patients).Treatment group received Jingjin manual therapy:the first step ("combing" the Jingjin-Meridian):Patients supine position, the surgeon massages along the direction of Yangming meridians (foot away from the head), include the whole knee and soft tissues sort surrounding the knee. The surgeon use thumb tip do some pressing, kneading, pointing, dialing and other practices on Jingjin-Meridian (away from the foot first). The second step ("release" tendon junction):focus on tendon junction of the rectus femoris, hip adductors, tensor fascia lata and so on. The manual therapy should be gentle, soft and strong to achieve the analgesic effect. Once a day, for two weeks as a course.The control group, oral diclofenac sodium sustained-release tablets (Novartis, Voltaren) 75mg, Once a day for two weeks as a course. Clinical assessment score statistics uses the WOMAC score.ResultsAfter 2 weeks of treatment, WOMAC score in two groups were significantly lower than before treatment. The treatment group's overall effective rate was significantly higher than the control groups. The difference between two group was significant (P<0.01); That is the treatment group to ease the main clinical symptoms more than the control group.ConclusionJingjin-type manual therapy treat on Foot Yangming type-Jingjin Meridian knee osteoarthritis is effective and easy way to mass acceptance. |
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