| Purpose:1.Through literature, the system summarizes modern medicine and traditional Chinese medicine on degenerative arthritis of the knee (bone weakness, Bi Syndrome) disease areas, epidemiological characteristics, pathophysiology, pathogenesis, efficacy evaluation, clinical diagnosis and treatment Research Survey.2. Pittosporum through the skin with warm soup acupuncture treatment outside the Alpine-type wash, damp-heat in the clinical study of degenerative arthritis of the knee was observed that the method of clinical treatment of degenerative arthritis of the knee results, compare the approach of the two cards type of degenerative arthritis clinical efficacy of the treatment of degenerative arthritis of the knee two kinds of syndromes efficacy mechanism.3. Observation of Acupuncture and Pittosporum warm damp skin type Arthralgia Treatment efficacy analysis method of treatment of damp warm efficacy mechanism. 4. For the prevention and treatment of degenerative arthritis of the knee, especially in hot and humid type of degenerative arthritis of the knee to provide guidance and reference, to explore a simple and effective treatment of degenerative arthritis of the knee inexpensive solution.Method:1. Literature:The Search China Academic Journal (China Knowledge Network) literature, summarized in the Western study of degenerative osteoarthritis of the knee and treatment progress.2. Clinical Research:According to the diagnosis of inclusion, exclusion criteria and the standard collection of alpine-type TCM degenerative arthritis of the knee (Tong Bi, the Bi) and damp-heat in degenerative arthritis of the knee (hot Bi) cases of 30 cases. Degenerative arthritis of the knee are two types of acupuncture Pittosporum skin temperature taken outside the washing method of treatment of soup. Acupoint prescription:the main point:Ashi point, the eye within the knee, calf nose, Yin Ling Quan, Yang Ling Quan, a sea of blood, Liang Qiu; Distribution Point: alpine type-full three years, hanging bell, Ojo; damp-heat--Venezuela, in chambers, between the lines; acupuncture may air will cover the main points Moxa needle shank needle acupuncture on the temperature, day 1. Pittosporum skin soup recipes, Pittosporum Paper 2 Qian, wire grass Speranskia 2 Qian, bright and clean 2 Qian frankincense, myrrh 2 Qian, Angelica (Jiuxi) 15 Chuanjiao 3 Qian Qian Qian Chuanxiong 1, safflower 1 Qian, Clematis 8 points, Angelica 8 points,8 points licorice, wind 8 points; will apply the medicine to wash Jianshui local, day 1. Treatment for 1 month. Clinical observations, respectively, before and after treatment in the treatment of the use of simplified form McGill pain score and knee function score sheet for evaluating knee function in patients with the experimental data using SPSS 17.0 for Windows for statistical analysis. Results:1. Baseline indicators of the comparison:alpine type and damp-heat in sex, age and disease duration there was no significant difference (P> 0.05).2. Before treatment of the McGill pain score there was no difference between the indicators (P> 0.05). Mann-Whitney test showed that the patients before treatment, the swelling alpine humid patients than in severe (Z= 5.394, P 0.0015), while the hot and humid group were up and down stairs (Z= 2.074, P= 0.038) and symptom score twist (Z= 2.292, P= 0.022) higher than the alpine group of patients, and other indicators of knee function was no significant difference between the two groups.3. After treatment, the index McGill pain scores compared with those before treatment were significantly improved (P<0.001). In the knee score, in addition to swelling and alpine twist group did not significantly change the situation, and other various symptoms were significantly improved (P<0.001). Analysis of covariance found that patients after treatment of the McGill alpine pain scores were lower than the hot and humid patients (P<0.05). On the difference between the two groups before and after treatment were Mann-Whitney analysis showed that patients treated Alpine pain than the hot and humid conditions to improve more significantly in patients (Z= 2.410, P= 0.016), while the hot and humid patients improved after treatment, swelling more pronounced than the alpine group of patients (Z= 2.717, P = 0.007), while treatment Other indicators of the two groups were not significantly different (P> 0.05)4. By the Wilcoxon rank sum test showed no effect of the two groups were significantly different (Z= 0.299, P= 0.765).Conclusion:Knee arthritis is a chronic degenerative joint disease, its main change is the degeneration of articular cartilage and secondary bone hyperplasia, the main performance is joint pain, swelling and other activities are not flexible. Higher prevalence was mainly due to chronic fatigue, obesity, bone density, trauma and force to bear, genetic factors, are traditional Chinese medicine "Arthralgia", the Chinese believe that "wind, cold, wet" evil of the invasion, and blood stasis, the production of qi, meridians Spasm lead nowhere, while the incidence of poor blood stagnation. Are commonly used in clinical and non-drug and drug combination therapy, modern medicine and traditional Chinese medicine on the treatment of this disease are many, clinical observation and experimental study found that treatment effects are more reliable.Pittosporum warm acupuncture and Washing of the skin soup-and damp-heat in alpine patients with knee pain, swelling, flexion and extension is limited, the clinical symptoms are difficulty walking good effect, with a total effective rate were 90% and 87% but both have no significant difference in efficiency (P> 0.05); evaluation before and after treatment there were significant differences (P<0.01); the method of alpine-type symptoms in patients with pain were significantly better than the damp-heat (P< 0.05). Studies have shown that acupuncture Pittosporum warm wash of the alpine type of skin and damp-heat treatment of osteoarthritis of the knee have a significant effect, on the alpine type of knee pain in patients with more pronounced improvement.
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