hyperosteogeny
3 OverviewOsteomalacia is a pathologically proliferating condition of the bone that causes impaired mobility of the local joints, muscles, and ligaments with pain as the main symptom. It is a disease characterized by pathologic enlargement of bone, resulting in impaired mobility of local joints, muscles, and ligaments, and associated pain. It can occur in the cervical vertebrae, lumbar vertebrae, joints and heel bones, including hypertrophic spondylitis, hypertrophic osteoarthropathy, and heel bone spurs. The disease occurs in middle-aged and old people over 40 years of age and workers engaged in weight-bearing, long standing, sedentary staff, with a large range of motion of the joints, spine of the lesion is common. The etiology of osteomalacia is still unknown, mostly belongs to the category of senile degenerative diseases, and there are many hypotheses about its etiology, such as mechanical, functional, vascular disorders, metabolic disorders, endocrine disorders, etc. The basic understanding is that the disease is based on endogenous factors. The basic understanding is that on the basis of endogenous factors, the onset of the disease is triggered by exogenous factors. At present, Western medicine uses non-hormonal anti-inflammatory and pain-relieving drugs, physical therapy and surgical treatment, which has a certain effect on relieving symptoms, but so far there is no special effective therapy.
In Chinese medicine, there is no name for osteomalacia, but its pathology can be attributed to the category of "bone paralysis" in Chinese medicine. In the "Yellow Emperor's Classic of Internal Medicine", there is the name of "bone paralysis", pointing out that its clinical "bone weight can not be lifted, bone marrow pain" as the main symptom, and the mechanism of the disease, "the kidney does not produce the marrow can not be full" and "cold to". What do you mean? What is the meaning of "what is wrong with you"?
The modern Chinese medical treatment was not titled "osteomalacia", but in 1961 there was a report on the treatment of cervical pain, which actually included cervical spondylolisthesis. It was not until 1973 that there was a special report on "osteomalacia": with the aging of the society, osteomalacia of the middle-aged and the elderly has been increasing year by year, and reports on the treatment of this disease with traditional Chinese medicine (TCM) have also been increasing one after another, and there is a review of the relevant literature. Clinically, not only have we explored the differentiation and treatment of osteomalacia,
In recent years, under the premise of preliminary affirmation that renal deficiency is the intrinsic mechanism of the disease, some experimental studies have been conducted, such as the determination of trace elements in the hair of patients with renal deficiency type osteomalacia. It was found that the content of zinc and calcium in the hair of such patients decreased, while the content of calcium in the bones increased, which provided clues and basis for further screening of effective therapeutic drugs. We have also developed the Bone Spur Pill, Anti-osteoporosis Pill, Chondroitin and other adult medicines, which have been clinically verified in many cases, with an effective rate of 86% to 97%. In addition to drugs, a variety of other therapies have also been carried out. Such as the use of traditional Chinese medicine iontophoresis, so that the drug directly to the place of disease, as well as acupuncture and moxibustion therapy, etc., showing the advantages of traditional Chinese medicine treatment.
4 etiology and pathogenesisFrom the Chinese medicine, the internal cause of this disease is often blamed on old age, liver and kidney deficiency, stagnation of blood stasis, the external cause is mainly wind, cold and dampness, and traumatic injuries and injuries, which are described as follows:
Liver and kidney yin deficiency The liver is the main tendon, the kidneys are the main bones, the bones are strong, tendons are light, are relying on the liver, blood, kidney essence of the moisturizing, so the liver and kidney are full of, then the tendons and bones are strong, joints are slippery, and the movement of the flexible. To be stepping into middle age, liver blood and kidney essence gradually loss, resulting in the loss of muscle and bone nourishment, the external evil causative factors to take advantage of the weakness, resulting in the brewing of disease. True, as "in the Tibetan scripture" said: "Bone paralysis, the essence of the day decline, the evil gas into."
Liver and kidney yang deficiency, sinews certainly rely on the liver blood and kidney essence of the buckwheat, but the functional activity of the sinews depends on the stretching of the liver qi and kidney yang of the healthy. Liver and kidney yang deficiency, the sinews lose their daily function, turn the center has been less flexible, and yang deficiency guard outside not solid, more susceptible to wind, cold and damp and other external evils of the erosion, resulting in cold and damp stagnation, bone deformation and hyperplasia, further affecting the sinews of the smooth, a series of symptoms.
Gas-logged blood stasis Bone metaplasia is mostly in the form of deficiency, but gas stagnation and blood stasis is the essence of its embedded pathology, because bone metaplasia in the pathology is persistent, and the clinical symptoms of its triggering, mostly due to the proliferation of organisms caused by the inflammation of peripheral soft tissues, swelling, fibrosis, or scarring, and local muscle spasms, resulting in the place of the obstruction of blood flow, blood stasis, and the emergence of symptoms and aggravation of the blockage of collaterals. And some of the flash twist trauma as a trigger, but also local qi stagnation and blood stasis, meridian damage, the blood line is not smooth factors.
Cold-dampness paralysis wind-cold-dampness invasion, often triggered the external factors of this disease, which is based on the kidney deficiency, the evil multiply and people. This disease is mostly seen in labor injury or long standing, sedentary people, are due to long standing injury meat, long sitting injury bone, long labor injury kidney, external evil invasion and injury bone. In some therapeutic drugs, the use of wine, hot compresses is to dispel wind, cold and dampness in order to alleviate the symptoms.
5 identification and typingAlthough the pathology of osteophytes is basically the same, but with its impact on the surrounding muscles and tendons, and physical condition, the course of the disease is different, clinical symptoms are different. In this regard, there are two types of clinical diagnosis and typing, four types and six types, and even cervical spondylosis alone has three types and thirteen types of differentiation. The synthesis of the discussion, combined with the etiology and pathology, the clinical main can be divided into four types.
1. Yin deficiency of the liver and kidneys, thin body, bone and joint pain, local burning sensation, heat is increased pain, cold is reduced pain, joint flexion and extension of unfavorable, or even joint deformity or ankylosis, flushed face, dry lips and bitter mouth, short stools, or accompanied by dizziness and ringing in the ears, lumbar acidity and knee softness, agitation and restlessness, sleeplessness at night, the tongue is red, or red tongue red, red tongue, the pulse is thin and countless. This type is mostly seen in the body of Yin deficiency or overwork, *** loss of energy. The disease is usually short, with the young and middle-aged people more.
2. Liver and kidney yang deficiency: Abundance or bloating of the body, bone and joint distension, cold pain, flexion and stretching are not favorable, like *** and warm ironing, cold pain, fatigue, cold limbs, fatigue and weakness, face white or floating, mouth pale and tasteless, urination, stools are loose, the tongue is pale and slippery, and the pulse is thin and weak. This type is mostly seen in the elderly or those who are usually under-endowed and weak. The course of the disease is longer, usually have cold and damp stagnation, easy to feel the wind and cold.
3. Qi and blood stasis obstruction Bone joints localized pain for a long time, pain like pins and needles, day light and night heavy, a little activity after the local pain can be reduced, the tongue is dark purple, or petechiae, moss is thin white, the pulse is thin and astringent. This type is mostly seen in middle-aged and old people with chronic diseases. The disease has been a long time, repeated, or due to flash twist trauma and other triggers.
4. Cold-dampness paralysis pain Bone and joint pain is sometimes light and sometimes heavy, often related to climate change, usually bad wind and cold, easy to suffer from external evils, accompanied by dizziness, sweating, fatigue, numbness of the limbs, pale, pale tongue, thin white moss, pulse moistening fine string or sinking tight. This type is mostly seen in the acute attack of osteomalacia, often accompanied by yang deficiency, and after the cold-damp paralyzing pain is relieved, the signs of yang or yin deficiency can be seen.
6 Treatment 6.1 Efficacy criteriaThe efficacy of this disease is judged mainly on the basis of the relief of clinical symptoms, the pathological changes of osteomalacia, can not be eliminated, so the clinical generally divided into four levels.
Clinical recovery: disappearance of clinical symptoms, freedom of local activities, return to normal work, no growth of osteomalacia in x-ray review, no recurrence after 1 year of follow-up.
Effective: clinical symptoms basically disappeared, no obvious limitation of local activities, can resume work.
Effective: clinical symptoms improved significantly, symptoms may appear after exertion or cold, but less than before, can participate in lighter work.
Ineffective: 2 to 3 courses of treatment, clinical symptoms do not improve significantly, no change in joint mobility disorders, or even aggravated.
6.2 Types of treatment(1) Yin deficiency of the liver and kidney
Treatment: nourish Yin and clear heat, nourish the liver and kidney.
Prescription: 20 grams of each of the raw and cooked rhizome, 8 grams of cornelian cherry, 10 grams of Chinese yam, 12 grams of poria, 10 grams of Dampy, 10 grams of Zelda, 10 grams of Zhimu, 8 grams of cypress, 12 grams of Paeonia lactiflora, 12 grams of Wilsonia, 0.3 grams of strychnine (to be taken).
Addition and subtraction: for obvious pain, add Yanhusuo, frankincense, myrrh; for activity inconvenience, add papaya, mulberry branches, cow's knee, gentiana; with deficiency heat, add Artemisia, turtle shell; with dampness-heat, add Poria cocos, Haitongpi; for cervical vertebrae, add Pueraria; thoracic vertebrae, add turmeric; lumbar vertebrae, add Duchenne; heel pain, add cow's knee (the same as the following).
Dosage: 1 dose per day, decocted with water, taken in 2 times.
Commonly used prescriptions: Zhi Bai Ba Wei Wan, Consistent Decoction, Zi Yin Paralyzing Soup.
(2) Liver and kidney yang deficiency
Treatment: warm the liver and kidney, dispel cold and dampness.
Prescription: 12 grams of cooked epiphyllum, 8 grams of cinnamon sticks, 12 grams of codonopsis, 20 grams of astragalus, 10 grams of Chinese yam, 15 grams of bone marrow, 10 grams of dog spine, 10 grams of epimedium, 8 grams of Chuanqiuwu, 12 grams of antler flakes, 0.3 grams of strychnine (to be taken).
Addition and subtraction: with rheumatic activity, add five plus bark, qiangwu, duhong, bone wind; with yin deficiency, add sasanqua, schizandra; cold limbs, cold, pulse delayed, add xinxin, ephedra; bone joints soreness, add gentian macro macrocephala, weiling Xian; with blood stasis, add rhizoma ligusticum, dangshen; with qi and blood deficiency, add chickweed vines, angelica sinensis.
Dosage: 1 dose per day, decocted with water, to be taken in 2 times.
Commonly used prescriptions: Gui Xiang Bawei Pill, Right Angelica Pill, Wen Yang Zhen Wei Tang.
(3) Qi and blood stasis
Treatment: regulate qi to stop pain, activate blood to dispel paralysis.
Prescription: 12 grams of angelica, 10 grams of peach kernel, 10 grams of safflower, 8 grams of qiangwu, 8 grams of gentiana, 8 grams of cinnamon, 12 grams of poria, 10 grams of danshi, 15 grams of peony, 10 grams of hyssop, 15 grams of wulingyi, 6 grams of dilong, and 12 grams of chickweed vine.
Addition and subtraction: local stabbing pain, plus ground beetles, andrographis paniculata; pain above the waist, plus turmeric; pain below the waist, plus cynomolgus; pain is not more than frankincense, myrrh, and Chuan CaoWu; with Yang deficiency, plus baked astragalus, Codonopsis; with Yin deficiency, plus wolfberry, zhi shao; with vein and channel paralysis, plus LuLuTong, WeiLingXian; unfavorable joints, plus papaya, mulberry branches.
Commonly used prescriptions: Gui Zhi Fu Ling Pill, Hematopoietic Blood Stasis Tang, Body Pain and Blood Stasis Tang.
(4) Cold-damp paralyzing pain.
Treatment: dispelling wind and dispersing cold, and removing dampness and paralysis.
Prescription: 10 grams of Duhuo, 15 grams of Morus alba, 10 grams of Gentiana Macrophylla, 8 grams of Fenghuang, 4 grams of Sinapis, 12 grams of Angelica sinensis, 12 grams of Paeonia lactiflora, 12 grams of Ligusticum chuanxiong, 20 grams of Radix et Rhizoma Shengdi, 10 grams of Duchen, 10 grams of hyssop, 10 grams of Dangshen, 8 grams of Cinnamon twigs, 12 grams of Poria.
Addition and subtraction: if the joint movement is unfavorable, add deer title grass, Xuanmuqua; if the pain is obvious, add Chuancaowu, make milk not; if there is phlegm and dampness, add Gallus gallus and Dioscorea; if the paralysis does not get better, add centipede, Wuzui Snake.
Commonly used prescriptions: Duhuo Sheng Tang, Gui Zhi Tang with flavor.
Therapeutic efficacy: according to the traditional Chinese medicine diagnosis and treatment to be divided into types of treatment of patients **** there are 386 cases, 309 cases of clinical cure, 27 cases of apparent effect, 27 cases of effective, 23 cases of ineffective, the total effective rate of 94%.
6.3 Specialized treatment(1) Lingxian Wuwu Tang (loose)
Composition: Lingxian 3O grams, 10 grams of bitter ginseng, 10 grams of mountain armor, 10 grams of fragrant adenosine, 10 grams of Turbinaria.
Usage: ① 1 dose per day, decoction in 2 doses; ② dregs of water 1500 ml, decoction to 800 ml, local fumigation hot compresses immersion; ③ will be on the drug *** research fine powder, 60 mesh sieve, 10 ~ 20 grams a time, 2 times a day; rinse; ④ external, the powder appropriate amount of white wine (or vinegar) into a paste on the local area for 10 consecutive days as a course of treatment, an interval of 5 days and then the second! The second course of treatment will be carried out at an interval of 5 days.
Therapeutic effect: *** treatment of 368 cases, cured 128 cases, 121 cases of apparent effect, effective 112 cases,
invalid 7 cases, the total effective rate of 98.1%.
(2) cartilage Dan
Composition: 40 grams of ripened earth, 40 grams of antler gel, 40 grams of turtle plate, 3o grams of Angelica sinensis, 30 grams of Rhizoma Ligustici Chuanxiong, 30 grams of safflower, 30 grams of Ephedra, 30 grams of cinnamon, 30 grams of wind 30 grams of sizzling strychnine, 10 grams of centipedes, 10 grams of softshell turtle, sizzling Chuanwu 5 grams of sizzling Caowu 5 grams of sizzling Caowu.
Methods of use: the above drugs *** research fine powder, honey for the pill, each pill weighs 9 grams, every morning and evening to take 1 pill, 1 month for a course of treatment.
Therapeutic effect: *** treatment of 575 cases, 355 cases cured, 103 cases of apparent effect, 94 cases of effective, ineffective 23 cases, the total effective rate of 96%.
(3) bone shaving pill
Ingredients: 60 grams of ripened earth, bone marrow, hot strychnine, chicken blood vine, Cistanche, Panax ginseng, net frankincense, myrrh, Rhizoma Ligustici Chuanxiong 30 grams.
Methods of use: the above medicines **** for fine powder, refined honey for pills, each pill weighs 6 grams, morning and evening each take 1 pill.
Efficacy: treatment of 317 cases, 21 cases of apparent effect, 259 cases of effective, ineffective 8 cases, 29 cases of unknown efficacy, the total effective rate of 88.3%.
(4) Bone fairy cream (external)
Composition: the system of Chuanwu, Caowu 250 grams, the system of frankincense, myrrh 100 grams, 60 grams of scorpion, centipede 60, 120 grams of eupolyphaga, 180 grams of Wellington, leeches 60 grams, 50 grams of spicery, and so on.
Usage: the above medicine research very fine powder, mixed with ginger juice into a thick paste, and set the pot to steam for 15 minutes, take out a moment to wait for the paste on the acupoints, fixed with adhesive tape, and then infrared irradiation for 20 minutes, 1 time a day, 6 times for a course of treatment.
Therapeutic effect: *** treatment of 879 cases, 101 cases of apparent effect, 720 cases of effective, ineffective 58 cases, the total effective rate of 93.4%.
(5) pillows (external)
Composition: white aconite, fine Xin, Rhizoma Ligustici Chuanxiong, Angelica dahurica, chrysanthemum, peppermint, mulberry leaves, mugwort leaves, Xiaku Cao, ice chips, magnets and other more than 20 flavors.
Usage: make a long 40 cm, 13 cm diameter oblong cervical spine health pillow, instead of sleeping pillows, the pillows are placed under the neck, in the ear under the shoulder, the head is suspended from the bed 2 to 3 cm, the head and face backward, the formation of the head and trunk against the pull, morning and evening 1 times a day, each lying pillow for 30 minutes.
6.4 Experiences of Old Chinese Medicine PractitionersWang Zhiju medical case
Gao × ×, male, 47 years old, scientific and technical personnel i Date of first consultation: December 8, 1976. Complaint: lumbar pain for 27 years, serious bedridden, recurring condition, once ***, acupuncture, western medicine and other various treatments, has not been cured.
Examination: lumbar stiffness such as board, activity is limited, sacrospinal muscle on both sides of the equivalent of lumbar 4, 5 vertebrae have obvious pressure points, the right side of the lumbar 5 vertebrae have radiating pressure points, straight leg raising right 30 °, left 45 °, Lassic's sign right (+) left ()，the lock dorsal extension is strong, lumbar spine x-ray: lumbar 4, 5 vertebrae, the anterior and posterior margins of the body have proliferative changes, lumbar 5 vertebrae, right edge of the more prominent, the physiological curve disappeared.
Impression: lumbar hyperplastic spondylitis. It is characterized by deficiency of the liver and kidney, and constriction of the ducal vein. The treatment is to cultivate and tonify the liver and kidney, and to benefit the ducal and glorify the tendons.
Prescription: 30 grams of white peony, 15 grams of papaya, 15 grams of chicken blood vine, 12 grams of eucommia, 15 grams of wilsonia, 12 grams of hyssop, 12 grams of licorice.
***Take 20 doses of cure, follow-up 2 years without recurrence.
Note: Wang Zhijutsu, an old physician, used white peony and papaya soup to treat osteomalacia, the whole formula has the effect of tonifying the liver and kidney, softening the tendons and veins, activating blood circulation and removing blood stasis, softening the hardness, easing the pain and relieving the urgency. One of the main use of white peony, according to relevant records, white peony has analgesic, drive blood stasis, nourishing Yin and tonifying the kidneys and soften the role of the main drug, reuse 30 grams; and supporting Cortex Eucommia, knee nourishing the liver and kidney, in order to take care of their own; Chicken Blood Vine blood activation and drive away blood stasis; Willow Fairy tendon relaxation and activation of collaterals, softening the splinter, the combination of all the medicines and the effect.
6.5 Patterns of medication Frequency of application (cases)Reported literature (articles)
Drugs ? Substances
>1000
5-6
Radix Rehmanniae Praeparata, Radix et Rhizoma Gastrodiae, Radix Angelicae Sinensis, Rhizoma Ligustici Chuanxiong, Radix Salviae Miltiorrhizae, and Wilsoniae.
801-1000
2-6
Strychnine, Boswellia serrata, Myrrh, Paeonia lactiflora, Safflower, Codonopsis pilosula, Boneset.
401～800
2～4
Panax notoginseng, Pueraria lobata, Cortex Eucommiae, Sanguisorbiae, Qiangwu, Chuanwu, Centipede, Deer Antler Gelatin, Deer Bitternut, Papaya, Cow's Knee, and Turbinaria.
200 to 400
2 to 3
Astragalus, peach kernel, nanxing, donghuo, dog's spine, red peony, dry ginger, dandelion, licorice.
From the analysis of the above table, Chinese medicine treatment of osteomalacia, the main use of blood-activating drugs, which is derived from the theory of "long-term disease will be stasis", "pain evidence of more stasis," in order to activate the blood circulation of the treatment. Secondly, there are analgesic medicines, in which strychnine, a highly toxic drug, is often used as the main drug, and some people have personally tried the toxicity of strychnine to master the dosage of its use. Once again, there is a class of medicines that can induce menstruation. It can be seen that at present, Chinese medicine treatment of osteoporosis is mainly symptomatic treatment, with the main purpose of relieving symptoms, and has not yet been able to completely eliminate superfluous bone spurs and labial hyperplasia. In the future, after in-depth theoretical research, such as from the liver and kidney deficiency manpower, from the root of the treatment, may change this spectrum of medication.
? Chinese medicine for the treatment of osteomalacia is increasingly reported, in recent years, the basic formula based on the addition and subtraction of access to the treatment of more than 100 cases of 13 reports, counting 2,552 cases, *** with 67 flavors of the drug, of which more than two articles with 34 flavors, the statistical list is as follows:
Frequency of application (cases)Reported literature (articles)
Drugs
These are the most common drugs used in the treatment of osteomalacia, and the most common drugs are the most common drugs.
>1000
5-6
Radix Rehmanniae Praeparata, Radix et Rhizoma Gastrodiae, Radix Angelicae Sinensis, Rhizoma Ligustici Chuanxiong, Radix et Rhizoma Ginseng, Radix et Rhizoma Ginseng, Radix et Rhizoma Ginseng.
801-1000
2-6
Strychnine, Boswellia serrata, Myrrh, Paeonia lactiflora, Safflower, Codonopsis pilosula, Boneset.
401～800
2～4
Panax notoginseng, Pueraria lobata, Cortex Eucommiae, Sanguisorbiae, Qiangwu, Chuanwu, Centipede, Deer Antler Gelatin, Deer Bitternut, Papaya, Cow's Knee, and Turbinaria.
200 to 400
2 to 3
Astragalus, peach kernel, nanxing, donghuo, doge's spine, red peony, dry ginger, dandelion, licorice.
From the analysis of the above table, Chinese medicine treatment of osteomalacia, the main use of blood-activating drugs, which is derived from the theory of "long-term disease will be stasis", "pain evidence of more stasis," in order to activate the blood circulation of the treatment. Secondly, there are analgesic medicines, in which strychnine, a highly toxic drug, is often used as the main drug, and some people have personally tried the toxicity of strychnine to master the dosage of its use. Once again, there is a class of medicines that can induce menstruation. It can be seen that at present, Chinese medicine treatment of osteomalacia is mainly symptomatic, with the main purpose of relieving symptoms, and has not yet been able to completely eliminate superfluous bone spurs and lip-like hyperplasia. In the future, after in-depth theoretical research, such as from the deficiency of the liver and kidney manpower, from the root of the treatment, may change this spectrum of medication.
6.6 Other therapies(1) Acupuncture
①Body acupuncture
A. Cervical spondylosis
Acupuncture points: main points: clip spine, large vertebrae. Allocating points: with the evidence: wind evil into the collateral type with wind pool, shoulder salute, quchi, waiguan; cold and damp obstruction type with quchi, foot Sanli, yinlingquan; qi and blood stagnation type with waiguan, shoulder salute, tianquan, sanyangluo points; liver yang hyperactivity type with taichong, chancellor creek, fengchi, yindang and other points.
Operation: the use of flat tonic and flat diarrhea to get the qi maneuver, stay in the needle for 1 hour. Daily or every other day.
Efficacy: *** treatment of 61 cases, 22 cases of basic healing, 36 cases of effective, ineffective 3 cases, the total effective rate of 95.1%.
B. Lumbar spondylosis
Acupuncture points: main points: Hua Tuo pinch spine point, Jiu Gong point. Supporting points: for upper limb pain and numbness, with Quchi, Pension, Hegu; for lower limb pain and numbness, with Huanjiu, Huizhong, Kunlun; for heavy dizziness, with Fengchi.
Nine Palace points location: in the thoracic 12 ~ sacral 1 spine from top to bottom to the pressure point of the most significant lesions of the vertebral joints between the spinous processes as the Palace, along the Directing Vessel in the Palace of the upper and lower spinous processes of the set of points, respectively, known as the dry Palace, Kun Gong, and then clip dry, in the Kun Gong, the side of the Palace to open up 0.5 to 0.8 inches, in order to take the Sundance, Tui, Can, Lei, Burgundy, Zhen six Palace points.
Operation: the main point of choice for 1, Hua Tuo pinch the spine to take the lesion part of the main, to take the flat complementary flat diarrhea to get the gas manipulation. Jiu Gong acupoint stabbing, take prone or lateral position, the order of the needle is: the first prick in the Palace, the second needle dry, Kun Fu, straight or slightly upward oblique 0.8 ~ 1.2 inches, and then according to the Xun, Dui, Kan, Li, Burgundy, Zhen six palace points in turn into the needle, the needle diagonally to the vertebral body, into the needle 1.5 ~ 2 inches, to obtain the feeling of needles, the line of twisting tonic and diarrhea maneuver, plus the use of hot needles, application of the GZH-type thermal needling instrument, the thermal needling temperature indicator 40 ℃ ~ 70 ℃, the needle is left for 20 minutes. Leave the needle for 20 minutes. The matching points were treated according to the conventional acupuncture method, and the needle was left in place for 15 minutes. All daily or every other day.
Efficacy: *** treatment of 177 cases, 21 cases cured, 102 cases of apparent effect, 48 cases of effective, ineffective 6 cases, the total effective rate of 96.6%.
C. Achondroplasia
Acupuncture points: back Hegu, Daling.
Posterior Hegu location: 1 inch after Hegu.
Operation: take one point at a time, stab straight, about 1.5 inches deep, and move the heel of the affected side while the needle is running, and leave the needle for 1 hour.
Efficacy: **** treatment of 167 cases, 124 cases cured, 26 cases of significant effect, 14 cases effective, ineffective 3 cases, the total effective rate of 98.2%.
② acupoints live patch
Acupuncture points: the main point: A is the point. Supporting points: cervical spine hyperplasia with shoulder wells, Quchi, Waiguan; lumbar spine hyperplasia with Zhicheng, kidney Yu; with limb numbness and distension pain with Huanjiu, Yinmen, Commission in the middle of the mountain, Chengshan, Chengtong; knee off the grated hyperplasia with the inside and outside the knee eye, crane tops.
A Yes point location: hyperplasia site.
Methods of use: ointment preparation: raw Cao Wu, raw Chuan Wu, strychnine, angelica, Chuanxiong, Yanhu, cinnamon, raw keel, oyster, Turbinaria, Datura, Weiling Xian, Astragalus, Chicken Blood Vine, Peach kernel, safflower, Qianlong Jian, Sang Mang Sheng, fennel, ephedra, fine Xin, blood depletion, salammoniac, epimedium, cinnamon, andrographis paniculata, Calamus, and ripened earth, each equal parts, add water and cool soaked for 24 hours, and then decoction 1 hour slag juice; and then the dregs of the repeated decoction of two slag juice clarification, will be three times the juice is mixed together and concentrated into a thin paste when added to the blood exhaust, salammoniac sand, stirring, collected in containers and sealed for backup.
Powder preparation: musk, saponaria powder, garcinia cambogia equal parts, crushed into fine powder through 80 mesh sieve, made of powder in a bottle sealed for spare.
When used, 1 gram of ointment into 8 small "point", each point is 0.125 grams, pressure paste in, 2.5 × 500 cm of tape, spacing 1 cm can be, and then arranged into two "point" a pair of 10 points, a group, paste in non-toxic Plastic film to be used. When used according to the needs of the hyperplasia site, the ointment surface of the plastic film off, each ointment "point" sprinkle powder 10 mg, affixed to the hyperplasia site, and then fixed with adhesive tape. General paste cervical vertebrae with 14 points, paste lumbar vertebrae with 20 points, knee joints 10 points, heel bone 4 to 6 points, 7 days to change the medicine once, 20 times for a course of treatment.
Therapeutic effect: *** treatment of 700 cases, cured 398 cases, 165 cases of apparent effect, 72 cases of effective, ineffective 65 cases, the total effective rate of 91%.
(2) single prescription
Tincture of bones
Composition: 500 grams of quadrangular wood bark, 500 grams of war bones, 100 grams of saffron.
Usage: 60% to 70% ethanol 3000 ml soak 15 days, slag filtering spare. Depending on the size of the lesion, the use of 10-20 cm square gauze 3 to 4 layers, soaked in tincture of bone flat on the affected area, and then irradiated with infrared light, to slightly hot, one irradiation 20-30 minutes, once a day, 10 times for a course of treatment.
Therapeutic effect: *** treatment of 1086 cases, cured 397 cases, 378 cases of apparent effect, 273 cases of effective, ineffective 38 cases, the total effective rate of 96.5%.
(3) Tui Na
① traction under the manipulation:
in the use of electric against traction, the line to implement the following techniques:
Pressure trembling technique: in the traction of 2 to 3 times after the addition of the patient lying down, hip and chest cushion height of 20 centimeters, the operator with the root of the palm of the hands pressed on the pressure of pain in the most pronounced sphenoidal, for the rhythm of elasticity of the pressure trembling, 5-10 times for a limit. The operation can be heard in the "kakak" reset sound.
Oblique lifting maneuver: the patient is lying on the side in a bow shape, the lesion in the lumbar vertebrae 4 to 5 or less, the lower limbs by the side of the bed straight, the upper side of the lower limbs were flexed at the hip flexion; the lesion in the lumbar vertebrae 4 to 5 or more, the two lower limbs flexion and extension of the state is opposite. The operator stands opposite to the patient, the right elbow on the hip, the left hand presses the shoulder, for opposite push plate movement, the healthy side of the first position, and then for the affected side of the position, in order to hear the "click" sound is good.
Hip flexion and leg extension method: the patient is supine, the operator to hold down the patient's knee with one hand, one hand to hold the lower 1/3 of the calf, the first limb was flexed at the hip flexion 90 ° position, and pressed hard to the abdomen, 2 to 3 times, back to the flexion of the hip 90 ° position, one hand to push down on the knee, one hand will be the calf gradually straighten, and then back. Repeat this 2 to 3 times. Do the healthy side of the limb first, and then do the affected side of the limb.
Tendon manipulation: the patient is lying down, the operator with the root of the palm of the hand for the bilateral sacrospinal muscle pressure and push maneuver, from top to bottom, from light to heavy, 3 to 5 times on each side.
The patting technique: the operator uses the empty palm to pat the patient's lumbosacral area, from top to bottom, from light to heavy, patting 2 to 3 times.
Efficacy: **** treatment of 34 cases, 24 cases cured, 10 cases effective.
② Tui Na *** method
relaxation method: take the prone position, the first roll method, kneading method applied to the patient's back, waist and buttocks and double Burgundy lower extremities, from the top down and back for more than 10 times, and then push the method from the back down to the sacrum, for 3 save ~ 5 times.
plucking method: on both sides of the patient's spine, along the bladder meridian with the thumb for the tendon plucking method, on both sides of the stomach Yu, Sanjiao Yu, kidney Yu, Yu, Yu, Yu, Yu, Yu, Yu, bladder Yu, sub-morbid and other acupoints on the weight of the force plucking, 4 to 5 times, and then point pressure several times.
Vibratory method: the right palm root placed in the patient's waist, the left palm pressure on the back of the right hand, vibration, frequency of about 200 times / min, the speed should be uniform, about 2 minutes.
Extrusion: the left palm root against the patient's left sacroiliac joints, the right palm root against the upper right side of the waist, the relative strength of the push, squeeze action, and then the same method applied to the other side, each 5 to 7 times, the right palm root against the upper lumbar spine, the left palm root against the lower lumbar spine, for more than 10 times to push the lower extrusion action.
Moving and shaking the hip joint method: one hand to press any waist, one hand to support a knee, for moving, shaking, rotating movements, the same method applied to the opposite side of each 10 times, and then one hand against the waist, one hand to support bilateral thighs, upward for moving, left and right, shaking, rotating 3-5 times, pay attention to the size of the force in order to the patient to tolerate as a limit.
Oblique moving method: take the side lying position, the upper leg bent at the knee, the lower leg straight, with one hand or elbow pressed in front of the shoulder, an elbow against the iliac wing posterior, at the same time, the shoulder arm pushed backward, the pelvis pushed forward, slowly shaking a few times after the sudden force, can be heard in the lumbar part of the sound of the popping sound. The same method is applied to the other side of the waist.
Pulling method: one hand against the waist, one hand holding the ankle of the upper leg, backward for pulling 3 to 4 times, the same method applied to the opposite side.
Hip flexion: take the supine position, the left hand presses the right shoulder, the right hand supports the right knee, to the chest for the rotary rocking, and press. The same method is applied to the opposite side, the left hand still presses the shoulder, the right hand supports the knees, make the same action 5 to 6 times. Then let the patient bend both knees, both feet flat on the treatment table, both hands force downward pressure on both knees, so that the lumbosacral region of the vacated 3 to 4 times.
Lift the leg method: one hand to hold down one side of the knee, one hand to lift the heel of the same side, try to lift upward, the same method is applied to the opposite side of the back of one hand to hold down the two knees, one hand to lift the heel of both feet, try to straighten the legs, each 4 to 5 times.
The method of lifting and shaking: the patient lies on his back, the operator holds the waist with both hands, and makes lifting and shaking movements for 5 to 7 times; then holds an ankle with both hands and shakes it, and applies the same method to the other side, holds both ankles with both hands, and lifts and shakes them with all his might, although he makes the waist shake, 5 to 7 times each.
Efficacy: treatment of 39 cases, 37 cases of apparent effect, invalid 2 cases, the total effective rate of 94.9%.
(4) Traditional Chinese medicine iontophoresis
① Strong bone and tendon solution iontophoresis ：
Drugs: 10 grams of snakehead, soaked in 100 ml of white wine for 10 days. Ume, papaya, Weilingxian, Turbinaria, Deer Bird's Nest, 10 grams each, Salvia officinalis, Saponaria prepared 30 grams, Boneset, Chickweed, 15 grams each, add about 750 milliliters of water, decoct for 30 minutes, filtered about 500 milliliters of medicinal liquid, blended with Ophiopogon, and sealed for standby.
Usage: Take 2 pieces of gauze pads, soak them with 20 ml of medicinal liquid and apply them to the affected area, put the positive and negative plates of the treatment machine on the gauze pads, fix them and turn on the machine. Once a day, 20 minutes each time, 15 times for a course of treatment, the interval of 5 to 7 days.
Therapeutic effect: **** treatment of 386 cases, 370 cases of significant effect, 14 cases of effective, ineffective 2 cases, the total effective rate of 99.5%.
② Bone Youling Ion Importation
Drug: Bone Youling Apply.
Methods: Bone Friends Spirit 5 ml poured into the heating 60 ℃ wet cloth pad, placed in the lesion local or corresponding points, the lead plate connected to the power negative placed on the cloth pad, on the pressure sandbags, another wet cloth pad heated and placed in the distance from the negative pole of 10 to 20 cm from the point of pain spread parts, connected to the positive, connected to the power supply to adjust to the extent that the patient felt warm and hot numbness to the degree of 30 minutes each time.
Therapeutic effect: *** treatment of 430 cases, cured 156 cases, 124 cases of apparent effect, 133 cases of effective, ineffective 17 cases, the total effective rate of 96%.
(5) medicinal wine therapy
Bone increase wine
Ingredients: Wei Ling Xian, Bone penetrating grass, eucommia, hyssop, andrographis, Salvia miltiorrhiza, white mustard seeds 30 grams, white wine 2000 milliliters (more than 50 degrees). Lumbosacral vertebral hyperplasia plus Epimedium 30 grams, cervical vertebral hyperplasia plus Pueraria lobata 30 grams, heel bone plus papaya 30 grams.
Usage: the above medicine **** for the coarse powder, placed in a porcelain jar or glass bottle, add white wine sealed for half a month to drink, each time 15 ~ 20 ml. Three times a day, serving 25 to 30 days, with an interval of 3 to 5 days.
Therapeutic effect: **** treatment of 100 cases, 48 cases cured, 29 cases of apparent effect, 19 cases of effective, ineffective 4 cases, the total effective rate of 96%.
6.7 Other measuresPhysical therapy: bed rest, physiotherapy, infrared radiation can be used.
Surgical treatment: for those who are ineffective in conservative treatment, resection of hyperplastic lipoid lesion pathological bone can be used to loosen the local adhesion of soft tissues and other methods. But the efficacy is not ideal.
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