Chinese medicine treatment of shoulder periarthritis analysis of drug law
Author: Huei Hsu Li-gang Liu Yanting Sun Chongqiu cited
【Abstract】 Objective: To attempt to summarize oral administration of Chinese medicine treatment of periarthritis of the drug laws. Methods: The retrieval methods to collect experiences of treatment of periarthritis of shoulder side 39, TCM 74, flavor, taste a total of 647 times for analysis. Results: The drug in liver and kidney tonic Tongluo rheumatism analgesic drugs blood circulation drugs, drugs mainly in the liver spleen and kidney meridian through the main.
Key words Oral medicine periarthritis
Shoulder periarthritis is due to the shoulder joint capsule and surrounding ligaments, tendons and bursa of chronic non-specific inflammation. , mainly in the
50-year-old patient, women outnumber men (about 3:1), the left shoulder over his right shoulder. Characterized by shoulder pain and shoulder joint activities, barriers to gradually increase after several months or even longer, the pain gradually subsided, function gradually restored, the last self-healing.  medicine in the treatment of
shoulder periarthritis has accumulated rich clinical experience, but they vary in clinical medicine, this article over the last decade treatment of periarthritis of the intake into the body to sum up traditional Chinese medicine, Chinese medicine treatment of the disease attempt to explore the The basic drug laws, a better clinical application.
An object and methods
1.1 The object of study options in January 1996 ~ January 2008 domestic core medical journals published a database of Chinese medicine Oral treatment of periarthritis of the literature and prescription side effects documented in the book,
prescription. Following these reports for the clinical use of drugs periarthritis characteristics and laws of both to conduct investigations.
1.2 to study ways to "periarthritis" "TCD", "Oral medicine" to match the keywords in the domestic core medical journals published a database of Chinese medicine Oral treatment of periarthritis of the literature, with the manual search in the recipe book documented side effects, prescription. According to Chinese medicine prescriptions collected to establish oral administration of Chinese medicine treatment of the disease database, and database-based data analysis.
Table of Chinese medicine classification and frequency of use than the core journals in the medical journal nets and hand-search a total of 39 experienced side 74 Chinese
herbal medicines, taste 647 times. In the treatment of this disease, whether from the use of drugs the frequency and types of medication point of view, the application of tonic medicines are all in the dominant position can not be replaced, while rheumatism medicine and promoting blood circulation drugs also have an important role. Shoulder periarthritis of shoulder pain and shoulder joint are mainly the activities of the main obstacles, so pain is the key to treatment of the disease. Therefore, in the above-
mentioned three types of drugs, most have a blood circulation and pain relief, rheumatism and cold-dispelling pain, pain and other effects Tongluo fully embodies the principles of traditional Chinese medicine treatment of specimens chih. Table 221
Frequency and efficacy of Chinese herbal medicines (abbreviated)
3.1 periarthritis evidence-based classification
"TCM Disease Diagnosis and Treatment of Standards and prescription use"  will
periarthritis norms wind cold dampness card, stasis certificates of qi and blood deficiency. Depalma  (1983) will be frozen shoulder pathologic process is divided into three phases: The early period for the condensation into the final period of the freeze
thaw. Down  will be divided into early and mid-2 clinical, Liang  is divided into
three early in the evening, Chou Shi  will be divided into wind cold dampness type, stasis type, blood type virtual ; Chu Shi  to be divided into two camps Wei deficiency
exogenous cold, cold dampness obstruction to stagnate network, lack of precision of blood loss moisten tendons Run, lost Shu Jin Luo Qi stagnation blood stasis. Cheng  will be divided into four types, cold resistance network type, network-type resistance
phlegm, blood stasis type, qi deficiency blood stasis. Although the clinical treatment of periarthritis of the card type is not yet uniform, but most authors believe that the disease-based virtual multi-standard false cards, and many more qi and blood
deficiency mainly wind cold dampness certificate, certificate-based stasis. Reposted
elsewhere in the paper for free download http://
3.2 Drugs with tonic medicine, promoting blood circulation drugs, rheumatism medicine-based
Chinese medicine treatment of shoulder periarthritis a wide range of drugs, involving tonic medicine, rheumatism medicine, promoting blood circulation drugs, Relieve drugs, drugs love hot, warm inside medicine, Huashi medicine, such as diuresis
Shenshi 10 extra medicines, clinical use of drugs frequently with tonic medicine, rheumatism medicine, promoting blood circulation drugs most used. Three accounted for 66.87% of clinical use of drugs, including tonic medicines accounted for 26.84%,
rheumatism drugs accounted for 18.56%, promoting blood circulation drugs accounted for 21.47%. Is close to the three frequency of use, we can see that the etiology and pathogenesis for the old and feeble, qi and blood deficiency, muscle loss Ru Yang, insufficient kidney qi, qi and blood waning, combined with the long-term fatigue
compounded by the first cold shoulder, Hanning fascia caused by the disease.
3.3 Drugs with tonic medicine, promoting blood circulation drugs, rheumatism medicine-based
21 flavor commonly used in traditional Chinese medicine, promoting blood circulation drugs six flavor, rheumatism medicine four flavor, Xie Table drugs four flavor, a taste Pinggan Xifeng medicine. The portal triad in which the 12-flavor, Rupi
by 12 taste, into the kidney of the five taste, warm nature of medicine 13 flavor, taste tonic medicine 6. The first 21 Chinese herbal medicines, of which Guizhi, mulberry stalk whichever solution is not the function table and rheumatism, but he has a stretch of up to red and the comfortable nature of the cited by the drug. "Materia Medica summary": "mulberry stalk, and the credit professionals to rheumatoid
Ju Luan, may Gui Zhi Jian Bi Bi Tong. "Thus, the pathological features of periarthritis mainly true, stasis, cold, wet-based. Therefore, tonic, Tong Luo, Wen-
based drugs in the treatment of the alpine disease when the utmost importance.
Judging from Chinese medicine treatment of shoulder periarthritis the medication is somewhat different, but the general direction is the same drug treatment when the
blood deficiency mostly Rehmannia, Chinese angelica, astragalus, peony root of the drug mainly liver and kidney tonic; wind cold dampness of the card to cold-dispelling
pain dehumidifier mulberry stalk, Notopterygium, Chuan Wu, Clematis-based; stasis
by promoting blood circulation disorders pain safflower, Asarum, Millettia centering.
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