Dampness Decoction in the treatment of knee joint effusion

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The knee joint effusion, is a prominent clinical manifestations of traumatic synovitis and knee bursitis. The usual treatment of compression

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The knee joint effusion, is a prominent clinical manifestations of traumatic synovitis and knee bursitis. The usual treatment of compression bandage after puncture (or drainage after injection of prednisolone) or topical medicine method, curative effect is not ideal, and there is a danger of infection. Ding e with dampness Decoction in the treatment of this disease, the satisfactory curative effect.

The basic recipe:: Xue Yi 30 grams, 10 grams, 30 grams of astragalus root, motherwort 30 grams, 30 grams of Achyranthes root, Poria 30 grams, Poria 30 grams, 30 grams of plantago. On the 1 day, decocted 2 times service. Acute traumatic synovitis with rehmanniae, Cortex Moutan, Phellodendron; chronic synovitis, pigmented villonodular synovitis bursitis, type with Sanleng and Ezhu; inflammatory swelling back. Effusion reduced with tenderness relieved Cornus: secondary infection see local redness, fever and pain or accompanied by fever plus honeysuckle, forsythia, rhubarb and moutan.

Knee joint effusion is the main clinical manifestations of synovitis, caused a lot of diseases such as tuberculosis, rheumatoid synovitis, meniscus injury, etc., this only applies to non specific inflammatory synovial effusion caused by. Therefore, the clinical application must first clear diagnosis, symptomatic treatment.

This disease is caused by the nonspecific inflammatory reaction of synovial membrane of knee joint. Effusion as the target, the inflammation of the. Composition of dampness heat Tangyouli with drugs, including: Xue, Poria, Plantago, motherwort in diuresis, astragalus root, Coix Yiqi Shenshi, Poria cocos, Achyranthes root bones remove unique effective heat. Various drugs played a total of specimens of reactive power. Acute injury with rehmanniae, Cortex Moutan, cypress, cooling blood to stop infiltration; after inflammation and eliminating wet back, with dogwood acid convergence, prevent leakage due to chronic synovitis comeback; synovial thickening and adhesion, with Sanleng and Ezhu poyu Qi to help water. Keep the pathogenesis, syndrome differentiation, treatment is the key point to take effect.

[typical case] Lou Gan, female, 50 years old, doctor. In February 16, 1990. 2 weeks ago, down the stairs to a sprained left knee swelling, limping. Once puncture pumping liquid (blood sample leachate), compression bandage invalid. With local external application of Chinese medicine, is still invalid. Left knee badly swollen, the skin surface miliary papules (dressing reaction), micro red, touch satiety fluctuations, tenderness, floating patella test positive, independent flexion limitation. X-ray film: bone and joint destruction. Diagnosis: left knee traumatic synovitis. Treatment: basic square with 15 grams, 10 grams, 10 grams of phellodendron bark, 5 agent, and make proper rest, reduce limb activity. 5 days later, obvious decrease swelling, will the original 3 following the service agent. In February 23rd before diagnosis, swelling subsided, floating patella test negative. The front plus Cornus 15 grams and 5 agent. After the examination, the effusion disappeared completely, and the flexion and extension were free.

 

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