Problem description:
The patient's right knee pain has been more than two years, and it has recently worsened. The patient reported numbness in his right leg, aggravation of rainy days, tenderness of knees, eyes and joints. Excuse me, what disease is this? How should I treat it?
Analysis:
Hello; Arthritis;
Magnetic therapy
Magnetic therapy, also known as magnetic field therapy, refers to the method of applying magnetic lines generated by magnetic materials to generate magnetic fields and treating them according to human meridians and acupoints. Has analgesic, sedative, anti-inflammatory and repercussive effects. It provides a powerful means for the rehabilitation and treatment of patients with rheumatoid arthritis. Treatment methods can be divided into application, gyromagnetic therapy, vibration magnetotherapy and so on.
Usage: Usually, take a disk with a diameter of 10 mm, a thickness of about 5 mm, and a surface magnetic field intensity of 500- 1500 gauss, directly stick it on the local or painful part, and fix it with an adhesive tape, 1 time for 3-6 points, and 1 time for 20-30 times each time.
2. Hot ironing therapy
Scalding therapy is one of the commonly used external treatments. It is a therapeutic method that some Chinese herbal medicines or other heat transfer objects are heated, wrapped in cloth and placed in a certain part of the human body for reciprocating or rotating motion. Ironing has the functions of relaxing muscles and tendons, activating blood circulation, removing blood stasis, dispelling cold and evil spirits, and relieving pain by heating the skin at specific parts or forcibly sending hot air into the body with the help of heat. It is suitable for rheumatoid arthritis, which belongs to cold arthralgia, joint cold pain, clearing away heat and relieving exterior syndrome.
Scalding therapy can be divided into brick ironing, salt ironing and medicine ironing.
(1) Brick ironing: put the brick on the stove, heat it, wrap it with thick cloth, and iron it flat on the affected part. The treated parts should be covered with 3-5 layers of cloth to prevent burns. After the heat is reduced, the 1 hot brick can be replaced and repeated many times.
(2) Salt scalding: put salt in the pot and simmer until it is hot. Half of it is put into a cloth bag, and the mouth of the bag is tightly tied. Put it back and forth on the painful part. After it cools, put the other half of the hot salt in the bag for later use, 1-3 times, once a day. About 40 minutes at a time.
(3) Drug ironing: Aromatic drugs, such as warming channels and dredging collaterals and regulating qi and blood, are mostly used to grind into powder. After being fried with hot wine and vinegar, they are wrapped in cloth or bagged, ironed in the affected area, or moved back and forth in the affected area, so that the skin is heated evenly. If the temperature is too low, replace it and repeat it many times. There are many drugs and methods to choose from. Here is a brief introduction:
Break 250g of scallion, put it in 250g of fried green salt, stir-fry for 1-2 minutes, put it in a cloth bag, and scald the sore spot. The medicine bag should be replaced as soon as it gets cold. 30 minutes twice a day.
3. Wax therapy
Because of the large heat capacity and low thermal conductivity of paraffin, skin burns will not occur even if the temperature is higher than 75 degrees. Paraffin slowly transfers heat energy to human body by means of heat conduction, so as to achieve the purpose of treating diseases. This is the so-called paraffin therapy. After wax therapy, adjacent small blood vessels dilate, which can promote blood circulation, soften tissues, improve skin nutrition and accelerate tissue regeneration. With the decrease of temperature, the volume of partially coated paraffin gradually decreases, which is generally 65438 00%. Therefore, wax therapy can put pressure on the local area to prevent blood and lymph from oozing out of the tissue. Wax therapy is particularly useful for chronic rheumatoid arthritis.
Wax therapy can be done at home. Buy 500 grams of medical paraffin with 53-56 degrees, put it in an aluminum plate or an enamel plate, melt the wax completely with a small fire and let it cool gradually. In order to make the surface layer and bottom layer of the lump solidify almost at the same time, some cold water can be added to the plate. Water is heavier than wax, and it will flow to the bottom of the plate. When the wax on the surface and bottom is almost solidified, it becomes a "wax cake" with solidified periphery and melted center. At this time, the water is poured out to dry, and the "wax cake" is poured on the plastic cloth or blanket. Wrap the "wax cake" quickly on the part that needs treatment, and keep it warm with a blanket for 30-60 minutes. After completion, paraffin wax can be easily peeled off. If there is a little water locally, it should be dried. Paraffin wax can be reused and is economical.
4. Cupping therapy
Cupping therapy is a method to treat diseases by using cupping instruments to buckle on the affected parts or acupoints, and by burning, heating or directly pumping air out of the cupping, negative pressure is generated in the cupping, which is tightly sucked on the skin. Cupping has the functions of warming and dispersing cold pathogens, promoting blood circulation and qi circulation, pulling pus and removing rot, and is a commonly used adjuvant therapy for rheumatoid arthritis. ?
How to operate: Hold a jar (glass jar, bamboo jar, ceramic jar) in one hand. If you don't have this kind of jar, you can replace it with a teacup and a jar with a smooth bottle mouth. Hold the lighted alcohol cotton ball with chopsticks or a clamp with the other hand (the cotton ball should not be too wet, so as to avoid scalding the skin by dripping wine), quickly rotate it into the jar 1-2 times, take it out, buckle the jar on the acupuncture point or pain point with the hand holding the jar, and place it 10-65438. Precautions: Be careful not to expose the patient to the cold wind when cupping. Before the blood stasis in the previous cupping has subsided, cupping should not be done at the same place. Women with local skin ulcers, or children under 6 years of age within 3 months of pregnancy, severe heart disease, hemophilia and mental illness should be banned.
5. Ant therapy
Ants are social insects of Insecta in Arthropoda. Because ants live in a humid environment for a long time and will not get sick, people attach great importance to it. More and more attention has been paid to the treatment of rheumatoid arthritis with ants. According to relevant research, ants contain high-energy compounds, adenosine triphosphate, steroids, androgen, estrogen, adrenocortical hormone, formic acid, ammonia and 17 kinds of free amino acids. Ants can also synthesize oxaldehyde, which is a rare tonic. The zinc content in ants is very rich, which is the highest among known animal and plant foods. Every1000g of ants contains more than120mg of zinc. Physicians found that the serum zinc content of patients with rheumatoid arthritis generally decreased, and many reports showed that ants had achieved good results in treating rheumatoid arthritis.
Specific usage, there is a separate administration: dry with big black ants, grind into fine powder, take half a spoonful each time, three times a day, and take it with boiling water. Or put the ant powder into ordinary hollow capsules, 2-3 times a day, and take 4 capsules each time. Q produced ant king powder and ant king essence, which are convenient supplies for ant therapy. It can also be used in combination with other Chinese medicines (omitted).
6. Diet therapy
Treatment 1: sesame porridge
Black sesame 15g, rice 50g, and proper amount of honey. Function: Nourish liver and kidney. ?
Suitable for joint pain, especially lower limbs, recurrent attacks, even joint stiffness, deformity, dizziness, backache.
Treatment 2: red bean porridge
30g adzuki bean, white rice 15g, and proper amount of sugar. Boil adzuki beans until cooked, then add white rice porridge and sugar to remove damp heat.
Treatment 3: dried ginger and barley porridge
50g of coix seed, 50g of sugar and 9g of dried ginger. First, add appropriate amount of Coix seed and dried ginger to water to make porridge, and then adjust the sugar to take it. 1 month/day 1 time.
Treatment 4: chestnut pig kidney porridge
7 chestnuts, 1 pig kidney,1000g rice. Dry chestnuts, wash rice, remove membrane from pig kidney, wash and dice, and cook porridge with rice. Eat 7 chestnuts every day and then eat their porridge. Efficacy: tonify kidney and strengthen tendons. Indications: joint pain, even rigidity, deformation, soreness of waist and knees, dizziness and tinnitus.
7. Qigong therapy
(1) detention period
Fever, severe joint pain, unfavorable flexion and extension. Treatment is mainly static work.
Treatment 1: Quick method on Sunday: don't wash and dress for a period of time every morning, rinse your mouth with light salt water, sit in a sitting position, breathe naturally, and bleed air along the route of Rendurmai (the circle line in the middle of the upper body) for 10 minute each time.
Treatment 2: invigorating qi: sitting or lying (on the right side), breathing in the right abdomen (starting from the abdomen when inhaling and abdomen when calling), staying in the abdomen 2-3 times a day for 30 minutes each time.
Treatment 3: For those who have no fever, you can rub your shoulders and knees and gently pat your whole body twice a day for 10-20 minutes each time.
(2) remission period
After long-term recurrent joint pain, the affected joint is stiff and the activity is limited. Treatment should actively cooperate with dynamic exercises, harmonize qi and blood, dredge meridians, and make bones and muscles flex and stretch.
Treatment 1: quick method of static work, method of nourishing qi and method of gathering energy.
The second therapy: choose health care sword finger post, pupa dynamic ventilation method and thriller, which can be practiced with reference to Zhonggong three-dynamic conduction belt.
8. Therapy
(1) Self-kneading: Knead the left upper limb with your right hand, from top to bottom, and repeat several times; Then change hands and rub the right upper limb with your left hand several times.
(2) Clamping elbows: alternately clamping elbows with one hand.
(3) Twist the wrist: twist the wrist on the opposite side with your thumb.
(4) Finger traction: alternately traction on both sides of finger joints.
(5) Swing in circles: Hold the left elbow with the right hand, and swing the forearm in circles. The direction can be forward or reverse. Then change hands, hold your right elbow with your left hand, and swing your forearm in circles.
(6) Fist-making method: separate your hands and fingers, then make a fist and repeat it several times.
(7) rubbing hands and backs: rubbing hands and backs with both hands.
(8) Embrace your knees: Embrace your knees with both hands, and then do one side after finishing one side.
(9) Swing your ankle in circles: When sitting, put your right leg on your left knee, hold your right ankle with your right hand, and hold the tip of your right foot with your left hand, and swing back and forth in circles. Then, move your left ankle in the same way.
(10) Toe rubbing: Sit and rub the toes on both sides with your hands.