膝骨关节炎是与年龄相关的慢性退行性疾病,主要影响膝关节活动,且致畸、致残率高,严重影响中老年人的生活质量。晚期膝骨关节炎主要依赖膝关节置换术达到根治目的,以阻断疾病继续发展,但由于手术创伤、活动量减少等因素,术后常遗留下肢...膝骨关节炎是与年龄相关的慢性退行性疾病,主要影响膝关节活动,且致畸、致残率高,严重影响中老年人的生活质量。晚期膝骨关节炎主要依赖膝关节置换术达到根治目的,以阻断疾病继续发展,但由于手术创伤、活动量减少等因素,术后常遗留下肢肿胀这一问题,影响关节功能恢复。西医对于该问题治疗手段较为单一,且长时间使用消肿药物具有较大副作用。近年来中医药对于患者术后下肢肿胀的研究层出不穷,可通过多模式方案对患者进行干预且疗效确切。本文综述了近五年中医药治疗膝关节置换术后下肢肿胀的临床进展,以期为中医药在治疗膝关节置换术后下肢肿胀方面提供科学依据。Osteoarthritis of the knee is an age-related chronic degenerative disease that mainly affects knee joint activities and has a high rate of deformity and disability, which seriously affects the quality of life of middle-aged and elderly people. Late-stage osteoarthritis of the knee mainly relies on knee arthroplasty to achieve the goal of eradication, in order to stop the disease from continuing to develop, but due to surgical trauma, reduced activity and other factors, the problem of lower limb swelling is often left behind after the operation, which affects the recovery of function of knee joint. Western medicine is a single treatment for this problem, and the prolonged use of anti-swelling drugs has greater side effects. In recent years, there have been numerous studies on postoperative lower limb swelling in Chinese medicine, which can intervene in patients through multi-modal programs with precise efficacy. This article summarizes the clinical progress of Chinese medicine in the treatment of postoperative lower extremity swelling after knee arthroplasty in the past five years, with a view to providing a scientific basis for the use of Chinese medicine in the treatment of postoperative lower extremity swelling after knee arthroplasty.展开更多
膝关节置换术后假体周围感染是膝关节置换术后最严重的并发症之一,不仅严重影响患者生活质量、增加患者负担,也给医师造成一定的影响。随着对该疾病的研究,临床上的治疗方案也越来越多,目前常见的治疗方案有保守治疗(如单纯抗生素治疗...膝关节置换术后假体周围感染是膝关节置换术后最严重的并发症之一,不仅严重影响患者生活质量、增加患者负担,也给医师造成一定的影响。随着对该疾病的研究,临床上的治疗方案也越来越多,目前常见的治疗方案有保守治疗(如单纯抗生素治疗、中医药治疗)、手术治疗等,本文对当前膝关节置换术后假体周围感染的中西医治疗进行综述,为临床研究和临床治疗提供一定的参考。According Periprosthetic joint infection after knee replacement is one of the most serious complications after knee replacement surgery, not only seriously affecting the quality of life of patients and increasing the burden of patients, but also causing certain impact on doctors. With the research on this disease, the clinical treatment schemes have become more and more, and the common treatment schemes at present include conservative treatment (such as simple antibiotic treatment, Chinese medicine treatment), surgical treatment, etc. This paper reviews the current Chinese and Western medicine treatment of periprosthetic joint infection after knee replacement surgery, providing certain reference for clinical research and clinical treatment.展开更多
杵针疗法是一种有效且无创的治疗方式,也是一种独特的中医外治疗法,广泛应用在各种内外科疾病的治疗中。腰椎间盘突出症发病率高,给患者带来了巨大痛苦,治疗手段多种多样,目前在临床中已有不少学者运用杵针治疗腰椎间盘突出症取得了良...杵针疗法是一种有效且无创的治疗方式,也是一种独特的中医外治疗法,广泛应用在各种内外科疾病的治疗中。腰椎间盘突出症发病率高,给患者带来了巨大痛苦,治疗手段多种多样,目前在临床中已有不少学者运用杵针治疗腰椎间盘突出症取得了良好疗效,但目前还未有综述类文章对杵针治疗腰椎间盘突出症的治疗现状进行总结。本文通过阐述杵针治疗腰椎间盘突出症的治疗现状,期望推广杵针疗法的临床应用,为腰椎间盘突出症的临床诊断和治疗提供新的思考方向和方法。Mortar and pestle needle therapy is an effective and non-invasive treatment modality and also a unique external therapy in traditional Chinese medicine, which is widely used in the treatment of medical and surgical diseases. Lumbar disc herniation has a high incidence rate, causing great pain to patients. There are various treatment methods available. Currently, many scholars in clinical practice have achieved good therapeutic effects by using pestle and mortar therapy for lumbar disc herniation. However, there is currently no review article that summarizes the current status of pestle and mortar therapy for lumbar disc herniation. This article describes the current status of pestle and mortar therapy for lumbar disc herniation, hoping to promote the clinical application of pestle and mortar therapy and to provide new ideas and means for the clinical diagnosis and treatment of lumbar disc herniation.展开更多
冻结肩是一种以肩关节疼痛和活动受限为特征的一种疾病,严重影响患者生活质量。临床上冻结肩的治疗方法很多,如口服药物、物理治疗、针灸推拿、针刀、手术治疗等,其中针刀技术作为具有中西医结合特色的治疗手段,在缓解疼痛和改善肩关节...冻结肩是一种以肩关节疼痛和活动受限为特征的一种疾病,严重影响患者生活质量。临床上冻结肩的治疗方法很多,如口服药物、物理治疗、针灸推拿、针刀、手术治疗等,其中针刀技术作为具有中西医结合特色的治疗手段,在缓解疼痛和改善肩关节功能方面疗效显著,近年来在临床上得到了广泛的应用。本文通过整理针刀治疗冻结肩的相关文献,从机制研究和临床应用等方面对针刀治疗冻结肩的研究进展作一概述,对今后冻结肩的认识及治疗提供一定参考。Frozen shoulder is a condition typified by pain in the shoulder joint and restricted movement, which can have a severe impact on patients’ quality of life. Clinically, numerous treatment approaches are available for frozen shoulder, including oral medications, physical therapies, acupuncture, massage, needle-knife therapy, and surgical interventions. Among these, needle-knife technology, as a therapeutic modality integrating traditional Chinese and Western medicine, has demonstrated remarkable efficacy in alleviating pain and enhancing shoulder joint function. In recent years, it has gained extensive application in clinical settings. By collating relevant literature on the needle-knife treatment of frozen shoulder, this paper provides an overview of the research progress in this regard, covering aspects such as mechanism studies and clinical applications, aiming to offer some references for future understanding and treatment of frozen shoulder.展开更多
甘姜苓术汤,又名肾着汤,最早见于《金匮要略》,后亦见于《三因极一病证方论》卷之十七,主治妊娠腰脚肿痛。此方常见于骨科临床,对于腰痹之寒湿腰痛有较好的临床疗效。此症起于脾虚土衰不能制水,或因平素停饮聚集,清浊不分,以至于此。《...甘姜苓术汤,又名肾着汤,最早见于《金匮要略》,后亦见于《三因极一病证方论》卷之十七,主治妊娠腰脚肿痛。此方常见于骨科临床,对于腰痹之寒湿腰痛有较好的临床疗效。此症起于脾虚土衰不能制水,或因平素停饮聚集,清浊不分,以至于此。《黄帝内经》中基于“五行郁甚”提出了五种治法,其分别为:木郁达之,火郁发之,土郁夺之,金郁泄之,水郁折之,以此来恢复五行的正常生理状态,达到治疗疾病的效果。其中,水运所主之时出现异常则可引起水湿内停或引起肾病,水湿郁于腰部,气血瘀滞,故而为痹,此为水郁。甘姜苓术汤由干姜、茯苓、白术、甘草四味药构成,其意不在于补肾,而在于取其中药物辛热之性,温中燠土以散寒湿,加之利以渗湿而治水。正如张介宾所云:折,调制也。甘姜苓术汤以扶阳、实土之法以调制水郁,从而达到治疗临床寒湿腰痛的效果。文章将以此治法为基点,探析临床上以甘姜苓术汤治疗寒湿腰痛的治疗思想。Ganjianglingzhu decoction, also known as Shenzhuo decoction, was first seen in the “Synopsis of Golden Chamber”, and later also seen in the “Three Causes and One Disease Prescription”, Volume 17, treating pregnancy waist and foot pain. This prescription is commonly used in orthopedic clinics and has a good clinical effect on lumbago with cold-damp syndrome. This disease is caused by the deficiency of the spleen and the failure to make water, or because of the normal stop drinking and gathering, clear and turbidity so that this. In “Huangdi Neijing”, five treatment methods were put forward based on “five depression syndromes”, which were: stagnation of wood should be treated by smoothing, stagnation of fire by dispersing, stagnation of earth by attacking, stagnation of metal by dredging, and stagnation of water by inhibiting, in order to restore the normal physiological state of the five depression and achieve the effect of treating diseases. Among them, when the water transport is abnormal, it can cause water wetness or kidney disease, water wet stagnation in the waist, Qi, and blood stasis, which is pain, which is water stagnation. Ganjianglingzhu decoction is composed of dry ginger, poria, white atractylodes, and licorice. Its intention is not to tonify the kidney, but to take the nature of the drug to hot, warm soil to dispel cold dampness, plus the benefit to ooze dampness and control water. As Zhang Jiebin said: To restrain is to regulate. Ganjianglingzhu decoction is used to modulate water depression by supporting Yang and consolidating soil to achieve the treating effect of clinical cold dampness lumbago. Based on this treatment method, this article will explore the therapeutic idea of treating cold dampness lumbago with Ganjianglingzhu decoction in the clinic.展开更多
文摘膝骨关节炎是与年龄相关的慢性退行性疾病,主要影响膝关节活动,且致畸、致残率高,严重影响中老年人的生活质量。晚期膝骨关节炎主要依赖膝关节置换术达到根治目的,以阻断疾病继续发展,但由于手术创伤、活动量减少等因素,术后常遗留下肢肿胀这一问题,影响关节功能恢复。西医对于该问题治疗手段较为单一,且长时间使用消肿药物具有较大副作用。近年来中医药对于患者术后下肢肿胀的研究层出不穷,可通过多模式方案对患者进行干预且疗效确切。本文综述了近五年中医药治疗膝关节置换术后下肢肿胀的临床进展,以期为中医药在治疗膝关节置换术后下肢肿胀方面提供科学依据。Osteoarthritis of the knee is an age-related chronic degenerative disease that mainly affects knee joint activities and has a high rate of deformity and disability, which seriously affects the quality of life of middle-aged and elderly people. Late-stage osteoarthritis of the knee mainly relies on knee arthroplasty to achieve the goal of eradication, in order to stop the disease from continuing to develop, but due to surgical trauma, reduced activity and other factors, the problem of lower limb swelling is often left behind after the operation, which affects the recovery of function of knee joint. Western medicine is a single treatment for this problem, and the prolonged use of anti-swelling drugs has greater side effects. In recent years, there have been numerous studies on postoperative lower limb swelling in Chinese medicine, which can intervene in patients through multi-modal programs with precise efficacy. This article summarizes the clinical progress of Chinese medicine in the treatment of postoperative lower extremity swelling after knee arthroplasty in the past five years, with a view to providing a scientific basis for the use of Chinese medicine in the treatment of postoperative lower extremity swelling after knee arthroplasty.
文摘膝关节置换术后假体周围感染是膝关节置换术后最严重的并发症之一,不仅严重影响患者生活质量、增加患者负担,也给医师造成一定的影响。随着对该疾病的研究,临床上的治疗方案也越来越多,目前常见的治疗方案有保守治疗(如单纯抗生素治疗、中医药治疗)、手术治疗等,本文对当前膝关节置换术后假体周围感染的中西医治疗进行综述,为临床研究和临床治疗提供一定的参考。According Periprosthetic joint infection after knee replacement is one of the most serious complications after knee replacement surgery, not only seriously affecting the quality of life of patients and increasing the burden of patients, but also causing certain impact on doctors. With the research on this disease, the clinical treatment schemes have become more and more, and the common treatment schemes at present include conservative treatment (such as simple antibiotic treatment, Chinese medicine treatment), surgical treatment, etc. This paper reviews the current Chinese and Western medicine treatment of periprosthetic joint infection after knee replacement surgery, providing certain reference for clinical research and clinical treatment.
文摘杵针疗法是一种有效且无创的治疗方式,也是一种独特的中医外治疗法,广泛应用在各种内外科疾病的治疗中。腰椎间盘突出症发病率高,给患者带来了巨大痛苦,治疗手段多种多样,目前在临床中已有不少学者运用杵针治疗腰椎间盘突出症取得了良好疗效,但目前还未有综述类文章对杵针治疗腰椎间盘突出症的治疗现状进行总结。本文通过阐述杵针治疗腰椎间盘突出症的治疗现状,期望推广杵针疗法的临床应用,为腰椎间盘突出症的临床诊断和治疗提供新的思考方向和方法。Mortar and pestle needle therapy is an effective and non-invasive treatment modality and also a unique external therapy in traditional Chinese medicine, which is widely used in the treatment of medical and surgical diseases. Lumbar disc herniation has a high incidence rate, causing great pain to patients. There are various treatment methods available. Currently, many scholars in clinical practice have achieved good therapeutic effects by using pestle and mortar therapy for lumbar disc herniation. However, there is currently no review article that summarizes the current status of pestle and mortar therapy for lumbar disc herniation. This article describes the current status of pestle and mortar therapy for lumbar disc herniation, hoping to promote the clinical application of pestle and mortar therapy and to provide new ideas and means for the clinical diagnosis and treatment of lumbar disc herniation.
文摘冻结肩是一种以肩关节疼痛和活动受限为特征的一种疾病,严重影响患者生活质量。临床上冻结肩的治疗方法很多,如口服药物、物理治疗、针灸推拿、针刀、手术治疗等,其中针刀技术作为具有中西医结合特色的治疗手段,在缓解疼痛和改善肩关节功能方面疗效显著,近年来在临床上得到了广泛的应用。本文通过整理针刀治疗冻结肩的相关文献,从机制研究和临床应用等方面对针刀治疗冻结肩的研究进展作一概述,对今后冻结肩的认识及治疗提供一定参考。Frozen shoulder is a condition typified by pain in the shoulder joint and restricted movement, which can have a severe impact on patients’ quality of life. Clinically, numerous treatment approaches are available for frozen shoulder, including oral medications, physical therapies, acupuncture, massage, needle-knife therapy, and surgical interventions. Among these, needle-knife technology, as a therapeutic modality integrating traditional Chinese and Western medicine, has demonstrated remarkable efficacy in alleviating pain and enhancing shoulder joint function. In recent years, it has gained extensive application in clinical settings. By collating relevant literature on the needle-knife treatment of frozen shoulder, this paper provides an overview of the research progress in this regard, covering aspects such as mechanism studies and clinical applications, aiming to offer some references for future understanding and treatment of frozen shoulder.
文摘甘姜苓术汤,又名肾着汤,最早见于《金匮要略》,后亦见于《三因极一病证方论》卷之十七,主治妊娠腰脚肿痛。此方常见于骨科临床,对于腰痹之寒湿腰痛有较好的临床疗效。此症起于脾虚土衰不能制水,或因平素停饮聚集,清浊不分,以至于此。《黄帝内经》中基于“五行郁甚”提出了五种治法,其分别为:木郁达之,火郁发之,土郁夺之,金郁泄之,水郁折之,以此来恢复五行的正常生理状态,达到治疗疾病的效果。其中,水运所主之时出现异常则可引起水湿内停或引起肾病,水湿郁于腰部,气血瘀滞,故而为痹,此为水郁。甘姜苓术汤由干姜、茯苓、白术、甘草四味药构成,其意不在于补肾,而在于取其中药物辛热之性,温中燠土以散寒湿,加之利以渗湿而治水。正如张介宾所云:折,调制也。甘姜苓术汤以扶阳、实土之法以调制水郁,从而达到治疗临床寒湿腰痛的效果。文章将以此治法为基点,探析临床上以甘姜苓术汤治疗寒湿腰痛的治疗思想。Ganjianglingzhu decoction, also known as Shenzhuo decoction, was first seen in the “Synopsis of Golden Chamber”, and later also seen in the “Three Causes and One Disease Prescription”, Volume 17, treating pregnancy waist and foot pain. This prescription is commonly used in orthopedic clinics and has a good clinical effect on lumbago with cold-damp syndrome. This disease is caused by the deficiency of the spleen and the failure to make water, or because of the normal stop drinking and gathering, clear and turbidity so that this. In “Huangdi Neijing”, five treatment methods were put forward based on “five depression syndromes”, which were: stagnation of wood should be treated by smoothing, stagnation of fire by dispersing, stagnation of earth by attacking, stagnation of metal by dredging, and stagnation of water by inhibiting, in order to restore the normal physiological state of the five depression and achieve the effect of treating diseases. Among them, when the water transport is abnormal, it can cause water wetness or kidney disease, water wet stagnation in the waist, Qi, and blood stasis, which is pain, which is water stagnation. Ganjianglingzhu decoction is composed of dry ginger, poria, white atractylodes, and licorice. Its intention is not to tonify the kidney, but to take the nature of the drug to hot, warm soil to dispel cold dampness, plus the benefit to ooze dampness and control water. As Zhang Jiebin said: To restrain is to regulate. Ganjianglingzhu decoction is used to modulate water depression by supporting Yang and consolidating soil to achieve the treating effect of clinical cold dampness lumbago. Based on this treatment method, this article will explore the therapeutic idea of treating cold dampness lumbago with Ganjianglingzhu decoction in the clinic.
