Clinical Experience of Acupuncture Treatment for Knee Osteoarthritis
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1.School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China
2.International Acupuncture and Moxibustion Innovation Institute, Beijing 100029, China
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LIU Cunzhi, WEI Xiaoya. Clinical Experience of Acupuncture Treatment for Knee Osteoarthritis[DB/OL].(2022-12-07)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=27730497&Fpath=home&index=0
病史摘要,2,房某,女,52岁,双侧膝关节疼痛发凉2年余,左膝疼痛加重1周。晨起膝盖僵硬,行走距离受限,膝关节酸胀肿痛,膝眼处疼痛明显,受凉时加重,活动受限。四诊信息 舌淡红,苔薄白,脉弦滑中医病证 痹证,痛痹中医治法 活血行气,通络止痛中医诊断 痛痹,气滞血瘀证西医诊断 双侧膝骨关节炎干预措施 针刺;①主穴:犊鼻、内膝眼、膝阳关、曲泉、阿是穴;②循经配穴:足阳明经取足三里、梁丘,足少阳经取阳陵泉。取0.22 mm×40 mm毫针针刺,膝阳关透刺曲泉,每穴行针10 s,以患者局部有酸胀感得气为度。每次留针30 min,局部红光照射。每周2次,6次为1个疗程。疗效转归 针刺治疗两周,膝盖僵硬程度和活动度方面明显好转,状态良好
Summary of case history ,The patient, female, 52-year-old, had bilateral knee pain for more than 2 years and aggravated left knee pain for 1 week.In the morning, knee stiffness, walking difficulties, showing a progressive aggravation trend, knee acid swelling swelling pain, knee eye pain, cold aggravation, limited activity.,Symptoms and signs ,Light red tongue, thin and white moss, smooth pulse strings,TCM disease and syndrome ,Bi syndrome, pain bi,TCM treatment ,Promote blood circulation, promote qi, connect collaterals and relieve pain,TCM diagnosis ,Pain bi, qi stagnation and blood stasis syndrome,Western medicine diagnosis ,Bilateral osteoarthropathy of the knee joint,Therapeutic methods ,Acupuncture, ①Main points: Dubi (ST 35), Neixiyan (EX-LE 4), Ququan (LR 8), Xiyangguan (GB 33), Ashi points; ②Meridian points: Foot Yangming meridian: Zusanli (ST 36), Liangqiu (ST 34), Futu (ST 32), Fenglong (ST 40); Foot Shaoyang meridian: Fengshi (GB 31), Xuanzhong (GB 39), Zulinqi (GB 41), Yanglingquan (GB 34). Acupuncture was performed with 0.22 mm×40 mm needles, and Ququan was penetrated through Xiyangguan, and acupuncture was performed at each point for 10 s. The needles were retained for 30 minutes each time, and red light was added. Twice a week, six for 1 course,Clinical outcomes ,After two weeks of acupuncture treatment, the activity degree was improved significantly, and the emotional state was good.
膝骨关节炎针刺
knee osteoarthritis (KOA)acupuncture【Suitable majors】 acupuncture and moxibustion
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