Etiology and TCM Treatment of Femoral Head Necrosis
Traditional Chinese medicine believes that the etiology and pathogenesis of femoral head necrosis is bone malnutrition and insufficient kidney qi, which leads to bone failure to produce marrow. Deficiency of both qi and blood leads to insufficient nourishment of bones and muscles. If you sprain your bones and muscles, you will get hurt from overwork. Stagnation of phlegm and blood stasis leads to blood stasis, which hurts if it doesn't work. "Therefore, the treatment should promote qi and blood circulation, remove blood stasis and tonify kidney, strengthen tendons and bones, resolve phlegm and dredge collaterals. Traditional Chinese medicine can treat both internal and external diseases, so that the efficacy can be superimposed. The experience of treating femoral head necrosis in Luoyang Orthopedic Hospital of Henan Province is introduced as follows. Oral administration: 30g of Salvia Miltiorrhiza, 20g of Astragalus membranaceus, 20g of Angelica sinensis, 20g of Ligusticum Chuanxiong, 20g of Radix Rehmanniae Preparata, 20g of Cornus officinalis, 20g of Lycium barbarum, 0/5g of Rehmannia glutinosa/kloc-,0/5g of Cistanche deserticola, 0/0g of Rhizoma Drynariae/kloc-,Alisma orientalis, Rhizoma Dioscoreae, Epimedii, Radix Paeoniae Alba. For patients with constipation, jaundice is increased by 5 ~ 10g. Cold-dampness arthralgia, aggravated pain in rainy days, Notopterygium Rhizoma, Radix Angelicae Pubescentis, Cortex Acanthopanacis15g, Lycopodium 25g. Pinellia ternata and Rhizoma Atractylodis each 10g, Spatholobus suberectus 30g, and Gentiana macrophylla 15g. For patients with deficiency of both qi and blood, muscular atrophy, palpitation and shortness of breath, 25g of Ginseng Radix, 5g of Atractylodis Rhizoma and Colla Corii Asini each 5- 10/5g, and 5g of cooked Radix Aconiti Lateralis lateralis Preparata. For patients with liver and kidney yin deficiency, 60 grams of tortoise plastron, 25 grams of Radix Rehmanniae and 20 grams of Radix Scrophulariae are added. Morinda officinalis 15g and Psoralea corylifolia 10g are added for patients with liver and kidney yang deficiency. Gastrodia elata 15g, Uncaria rhynchophylla 10g and Papaya 10g are added for patients with lower limb muscle pain. External treatment: The hospital preparation Huoxue Jiegu Zhitong Ointment (yaoyu Zhi Zi Z04030032) was applied externally to the affected hip. Huoxue Jiegu Zhitong Ointment consists of 22 traditional Chinese medicines, including Angelica sinensis, Radix Rehmanniae, Radix et Rhizoma Rhei, Radix Angelicae Pubescentis, Notopterygii Rhizoma, Fructus Forsythiae, Radix Angelicae Dahuricae, Radix Paeoniae Rubra, Olibanum, Myrrha, Radix Dipsaci, Radix Notoginseng, etc. It has strong effects of promoting blood circulation, removing blood stasis, relieving swelling and pain, activating bones and muscles, expelling wind and removing dampness, dredging meridians and improving microcirculation. Clinically, it is better to supplement diet therapy. Dietotherapy: Take pig bones, mushrooms, carrots, Salvia miltiorrhiza 100g, Lycium barbarum 45g, and cook soup 1 dose daily for 3-6 months.