Study On The Relationship Between Meridian And Tendon Injuries In Patients With Knee Osteoarthritis In Northern Cold Area And TCM Syndrome Differentiation

Purpose:The climate of the northern region is cold and dry,the demography factors,the etiological factors and the TCM syndrome differentiation of the disease have its unique characteristics.This study takes the patients of knee osteoarthritis in Liaoning Province as an example,and uses a cross-sectional survey to collect Shenyang,Dalian,Dandong,Benxi and Suizhong cities of different climate and environment in Liaoning province.Linghai City knee osteoarthritis patients,through the questionnaire survey and palpation analysis of the general situation of patients,TCM syndrome differentiation,tendon injury.The correlation of age,course of disease,living environment and the situation of syndrome differentiation of traditional Chinese medicine and the condition of tendon injury were analyzed by data analysis.The clinical characteristics and the characteristics of tendon injury were explored in the northern region of the knee osteoarthritis,which lay the foundation for the formulation of the KOA acupuncture and moxibustion treatment scheme with the characteristics of the north.Materials and methods:621 cases of KOA patients in Liaoning Department of orthopedics,Shenyang Department of orthopedics,Liaoning University of Traditional Chinese Medicine Affiliated Hospital,Dalian neck and shoulder lumbago and leg pain hospital,Benxi Hospital of Traditional Chinese Medicine,Shandong Province,Linghai City traditional Chinese medicine hospital were collected.According to the clinical diagnostic standard of knee osteoarthritis revised by the Chinese Medical Association of Chinese Medical Association in 2007,the patients were divided into a unified method of inclusion,exclusion and elimination.According to the syndrome differentiation and classification method of "arthralgia syndrome" of Chinese medicine,the knee osteoarthritis was divided into wind cold wet arthralgia,rheumatic heat and heat arthralgia,qi stagnation and blood stasis and spleen.Kidney yang deficiency,yin deficiency of liver and kidney,deficiency and excess syndrome.A questionnaire was made to record the basic data of the patient’s name,age,weight and residence.According to the clinical manifestations of various TCM syndromes,local symptoms of local pain in the knee joint,the function of the knee joint,and the manifestations of the patients’ tongue and vein and general symptoms were recorded,and the correlation was determined according to the clinical manifestations of the patients.TCM syndrome differentiation.The patients who received the questionnaire were examined for the palpation of the lesion of the lower extremities.According to the nomenclature and anatomical location of the focal point in the Chinese tendons,the chief physician of Xue Ligong determined the possible nodular lesions of the lower limbs of the KOA patients,and the anatomical sites to be examined,according to the order of the lumbar,hip and inguinal parts.The location of the focal point of the three yin meridian of the foot was checked,and then along the Foot Yangming Meridian,the foot Shaoyang meridian,the foot sun meridian,and the foot of the Threeyin Meridian.The tendons of the tendons were used to estimate the injury of tendons.Establish a database and record the results of questionnaire survey and tendon injury in 621 knee osteoarthritis patients in Liaoning area.SPSS17.0 was used to carry out data statistics and SPSS Clementine12.0 was used to analyze the relationship between patients’ general information,TCM syndrome differentiation and tendons injury,as well as the relationship between age,disease course,environment and TCM syndrome differentiation,the relationship between age,environment and meridian injury,and the syndrome of meridian injury and TCM syndrome differentiation The relationship between them.Results: 1.621 patients,the average age of 51.69+12.40 years,253 men and 368 women,the average weight of 63.81+9.52 kg,the average course of 10.75+5.29 years,the distribution of patients in Shenyang and the surrounding area of 193 people,142 in Dalian,Dandong and the surrounding areas of 97,Chaoyang and Huludao region 69,Yingkou Jinzhou and other 12,Jinzhou and other 120 people.2.Chinese medicine syndrome differentiation,wind cold damp arthralgia syndrome in 150 cases,including 40 cases of arthralgia and 70 cases of pain arthralgia,40 cases of rheumatism,29 rheumatism and heat arthralgia,57 cases of qi stagnation and blood stasis syndrome,96 cases of Yang deficiency syndrome of spleen and kidney,141 cases of deficiency of liver kidney yin,148 cases of deficiency and real inclusion syndrome.3 The relationship between the 3 age and the TCM syndrome differentiation was tested by chi square,with the age increasing,the differentiation of TCM syndrome differentiation from empirical to deficiency syndrome was statistically significant(P<0.05).The distribution of the empirical types from multiple to few was in the order of pain arthralgia,arthralgia and heat arthralgia(P>0.05),deficiency of spleen and kidney yang and liver kidney yin.Compared with the age,the disease changes from spleen to kidney yang to yin deficiency of liver and kidney.The difference was statistically significant(P<0.05).4 There is no statistical difference between the 4 areas and the TCM syndrome differentiation,and there is no statistical difference(P>0.05),but the most common cases are cold evil and qi stagnation and blood stasis.However,the difference has the difference in different areas.The difference has statistical significance(P<0.05),and there is no statistical significance(P>0.05).5 The relationship of syndrome differentiation and traditional Chinese medicine is similar to the age.With the chi square test,with the increase of the course of disease,the differentiation of TCM syndrome differentiation from empirical to deficiency syndrome is statistically significant(P<0.05).The distribution of the empirical types from many to less are pain arthralgia,and heat arthralgia,the difference is not statistically significant(P>0.05),deficiency syndrome differentiation and syndrome differentiation In contrast,as the course of disease increases,the disease changes from spleen yang deficiency to liver kidney yin deficiency.The difference was statistically significant(P<0.05).6 The statistics of the frequency of tendon injuries were from high to low in the order of 408 cases of foot three yin meridian injury,333 cases of foot Yang Ming meridian injury,331 cases of foot Shaoyang meridian injury and 293 cases of foot sun tendon injury.According to statistics,there was no significant difference between age group and tendon injury(P>0.05),and there was no significant difference between TCM syndrome differentiation and tendon injury(P>0.05).7 The relationship between TCM syndrome differentiation and tendons injury was analyzed by SPSS Clementine 12,among which,the confidence between the TCM syndrome differentiation and the tendon injury was from high to low,respectively,with the Bi and the foot three yin tendons.With three yin meridian tendon injury,confidence of 0.875,confidence level 0.064,increase 1.34,falsesolid inclusion and foot three yin meridian injury,confidence 0.6959,support 0.2368,promotion 1.07,spleen kidney yang deficiency and foot three yin meridian injury,confidence 0.6875,support 0.1536,promotion 1.05,Bi and foot three yin meridian injury,confidence degree 0.675,The support degree was 0.064,increased by 1.03;the pain and pain of foot three yin and meridians were0.6714,the support was 0.112,and the promotion rate was 1.03.Conclusion: 1 In the cold regions of North China,TCM syndrome differentiation of knee osteoarthritis is mainly caused by cold evil.The more moist the living environment is,the higher the proportion of rheumatic fever and arthralgia and arthralgia patients,the more dry,the higher the proportion of arthralgia.The syndrome type is related to the patient’s course and age,the greater the age and the course of disease,the more vulnerable to the deficiency of the liver and kidney yin deficiency type KOA.2 The most common tendons of knee osteoarthritis in the northern cold region are the injury of the three yin meridians of the foot of the knee joint,followed by the injury of the foot Yang Ming meridian,the injury of the foot Shaoyang meridian and the injury of the foot sun.This provides a theoretical basis for clinical treatment of knee osteoarthritis.3 There is no obvious difference between the tendon injury and the age,the course of disease and the living environment,but the relationship between the tendon injury and the syndrome differentiation of the Chinese medicine related to the viscera of the meridian collaterals is related to the tendon injury.This provides an objective basis for further study on the relationship between meridians and viscera.