2 disease families belong to orthopedics and traumatology.
3 disease overview injury meniscus injury is one of the common knee injuries, also known as meniscus cartilage injury of knee joint, which is more common in young people.
4 diagnostic points 1, most patients have a history of knee sprain.
2. At the time of injury, there was a tearing sensation and noise in the knee joint, that is, severe pain, joint swelling and dysfunction of flexion and extension.
3, knee joint pain, especially when walking and going upstairs and downstairs, some patients may have knee soft legs and wringing.
4. When the knee joint is extended, there is a snapping sound in the knee.
5. During the examination, muscular atrophy of quadriceps femoris can be found, there is tenderness in the knee joint space, and the knee joint cannot be overstretched or overstretched.
6. Meniscus snap test (McBride's syndrome): The patient lies on his back, fully bends his hips and knees, and the examiner holds his foot with one hand and puts it on his knee with the other hand. First, the calf is rotated inward, then abduction is straightened, and then the calf is rotated outward and abduction is straightened. If there is pain or snap, it is positive. Most patients are positive.
7. Grinding test: The patient is prone, and the affected knee flexes 90 degrees. The examiner presses down hard on the ankle and grinds it in rotation, and it is positive when a certain * * * feels pain. Some cases can be positive.
8, when necessary, make knee air radiography, iodine solution radiography or arthroscopy.
5 dialectical analysis 1, the external factors that cause meniscus rupture include tearing external force and abrasive external force. Tearing external force, which occurs in the one-step rotation of the knee joint in the semi-flexion state, causes the femur to pull the lateral collateral ligament, and the ligament pulls the edge of the meniscus to tear. Abrasive external force mostly occurs in the lateral meniscus, especially the congenital discoid meniscus, which occupies a large position in the joint and is inflexible, and is easy to be abraded by the articular surface for a long time, resulting in injury.
2. After the meniscus injury, the collaterals are injured at any time, and qi stagnation and blood stasis cause the meridians to be blocked, so local swelling, pain and dyskinesia may occur in the early stage. After a few weeks, although the swelling subsided, due to stagnation of qi and blood, blood was weak, and muscles and bones were malnourished, so the muscles and muscles contracted and shrank, and the knee joint was unstable and weak. In the process of extension and flexion of knee joint, because the front or rear end of the ruptured meniscus is embedded between the articular surface of femur and tibia, joint locking and snapping may occur.
6 Treatment of meridian massage based on Syndrome Differentiation.
1, acute injury, treatment should remove the lock, swelling and pain relief, should first make a meridian massage. Ask the patient to lie on his back and relax the affected limb. The operator holds the knee with one hand, gently rubs the pain point with the thumb, slowly flexes and stretches the knee with the other hand, and gently rotates the calf inside and outside until the interlocking symptoms disappear. From now on, massage and rub the affected knee * * *1~ 2 times a day, each time 15 minutes, which is suitable for local warmth and comfort.
2. For patients with medium-term and chronic injuries, nourishing blood and activating blood, relaxing tendons and activating collaterals should be treated, and/kloc-0 should be given once a day for local * * *. First, the operator presses the pain point in the joint space with his thumb to make him feel pain, and with the acupuncture method, the acupoints can be Fengshi, Xuehai, Liang Qiu, Knee Clothing, Yanglingquan, Yinlingquan and other acupoints, each for 2-3 minutes, taking 3-5 acupoints at a time, and then massaging and kneading the affected knee. medication
1, initial treatment: promoting blood circulation and removing blood stasis, reducing swelling and relieving pain.
⑴ Main prescription: Huoxue Zhitong Decoction (Zhao Zhuquan's Traumatology Dacheng) Prescription: Angelica sinensis12g, Ligusticum Chuanxiong 6g, Olibanum 6g, Sappan 6g, Safflower 5g, Myrrha 6g, Eupolyphaga Seu Steleophaga 9g, Notoginseng 3g, Radix Paeoniae Rubra 9g, Pericarpium Citri Tangerinae 3g, and Radix Bauhiniae 9g.. Decoct with water, daily 1 dose.
⑵ External prescription: Xiaoyu ointment (Guangdong College of Traditional Chinese Medicine, Traumatology of Traditional Chinese Medicine) Prescription: rhubarb 1 portion, gardenia 2, papaya 4, dandelion 4, turmeric 4 and phellodendron 6. * * * Grind into fine powder, and apply water and honey to the affected area.
⑶ Single prescription: No.1 external application for meniscus injury (Zheng Huaixian Traumatology Clinic) Prescription: Cortex Phellodendri15g, Cortex Albizziae15g, Rhizoma Bletillae15g, Radix Dipsaci15g, and Millennium Health15g. * * * Grind into fine powder, apply a little boiled water and honey to the affected area, and change the dressing every other day 1 time.
2. Treatment of chronic injuries in the middle stage: nourishing blood and activating blood, relaxing muscles and activating collaterals.
(1) The main prescription: Zhuangjin Yangxue Decoction (Qian Xiuchang's "Bu Yao for Traumatology") Prescription: 9 g of Angelica sinensis, 6 g of Chuanxiong, 9 g of Angelica dahurica, 5 g of Radix Dipsaci 12 g, 5 g of Carthami Flos, 9 g of Radix Rehmanniae 12 g, 9 g of Achyranthes bidentata, 9 g of Cortex Moutan and 9 g of Eucommiae Cortex. Decoct with water, daily 1 dose.
⑵ Externally applied prescription: External Washing Prescription for Orthopedics (Traumatology, Guangdong College of Traditional Chinese Medicine): Cinnamomum cassia twig15g, Radix Clematidis15g, Radix Saposhnikoviae15g, Cortex Acanthopanacis15g, Herba Asari10g, Herba Schizonepetae. Wash the affected knee with boiling water.
⑶ Single prescription: meniscus injury No.2 external application (Zheng Huaixian Traumatology Diagnosis and Treatment) Prescription: Rhizoma Bletillae15g, Cortex Albizziae15g, Rhizoma Drynariae15g, Radix Astragali15g, Radix Dipsaci 9g, and Placenta Hominis 9g. * * * Grind into fine powder, apply a little boiled water and honey to the affected area, and change the dressing every other day 1 time.
3, the late treatment: warming meridians and dredging collaterals, tonifying kidney and strengthening tendons.
⑴ Main prescription: Bushen Zhuangjin Decoction (Qian Xiuchang's "Supplement to Traumatology") Prescription: Radix Rehmanniae Preparata12g, Radix Angelicae Sinensis12g, Achyranthes bidentata10g, Cornus officinalis12g, Poria12g, continued. Decoct with water, daily 1 dose.
⑵ External prescription: Tiefeng Powder (Chen Wenzhi's Selected Works of Diseases) Prescription: Notopterygium Rhizoma, Radix Angelicae Dahuricae, Radix Angelicae Sinensis, Herba Asari, Cortex Longi, Radix Paeoniae Alba, Fructus Evodiae, and Cortex Cinnamomi, all in equal amount, with appropriate amount of scallion. Medicine powder is * * *. Take appropriate amount of medicine powder at a time, mash and mix it with appropriate amount of red onion with beard, stir-fry it in vinegar, wrap it in cloth, and hot iron the affected area.
⑶ Single prescription: external application of meniscus injury No.3 (Zheng Huaixian Traumatology Diagnosis and Treatment) Prescription: Placenta Hominis 30g, Rhizoma Bletillae 30g, Eupolyphaga Seu Steleophaga 30g, Catechu15g, Sanguis Draxonis15g, Salvia Miltiorrhiza15g and Rhizoma Drynariae/kloc-0. * * * Grind into fine powder, apply a little boiled water and honey to the affected area, and change the dressing every other day 1 time. Fixation method for acute injury, after manual unlocking, fix it with splint or long wire support. If the anterior and middle meniscus injuries can be fixed in the knee extension position, the posterior meniscus injuries can be fixed in the knee flexion10 position, and it is forbidden to get out of bed. For those with acute injury in acrobatic activities, after the swelling and pain are slightly reduced 3-5 days after the injury, the quadriceps femoris should begin to relax and contract to prevent muscle atrophy. After 3 weeks of fixation and chronic injury, we should strengthen quadriceps femoris exercise, and gradually practice knee flexion and extension activities and walking exercises. Other therapies
Acupoint eye for treating meniscus