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| Experience of Zang Fuke proved recipe Xiaojiye Decoction in the treatment of synovitis of knee osteoarthritis |
| GUO Hongyu WANG Bin YUAN Yi FAN Xiran LI Duoduo ZANG Fuke |
| Department of Tuina Pain, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China |
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Abstract This paper summarizes the experience of professor Zang Fuke on the treatment of synovitis of knee osteoarthritis, comprehensive the four diagnosis of traditional Chinese medicine and pathological anatomy of western medicine, emphasize on the combination of overall syndrome differentiation and local disease differentiation combined with each other in dialectics. The overall concept of syndrome differentiation and treatment is to protect the spleen and stomach and prevent recurrence, and local differentiation of disease is reflected in the principle of three stages of bone injury treatment, that is, “promoting blood circulation for removing blood stasis for the first-stage, regulating the motion of Yingqi for the mid-stage, strengthening the function of kidney and bone for the last-stage”. In the early stage, traditional Chinese medicine orthopedic diseases must injure qi and blood, damage bones and muscles, and involve liver and kidney more in the middle and late stage. Therefore, spleen, liver and kidney deficiency and wet stasis mutual junction are established as the core pathogenesis of this disease. Through the clinical diagnosis and treatment approach of “making the etiology and disease name consistent, identifying the diseased nature and position, making it disease correlated with syndrome”, the diagnosis and treatment of the disease and syndrome are divided into two types of clinical staging: “qi stagnation, blood stasis, and water accumulation type” (swelling phase) and “yang deficiency type of spleen and kidney” (non-swelling phase). In the swelling stage, the method of “soothing the liver, activating the blood and benefiting the water” should be adopted; in the remission stage, the method of “strengthening the spleen and benefiting the kidney” should be adopted; the prescription of “Xiaojiye Decoction” should be adopted to add or decrease the dosage and apply, both samples should be taken into consideration, and the curative effect is confirmed.
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