Femoral head necrosis, what types are there?

There are six types of TCM syndrome differentiation for femoral head necrosis:

1, kidney-yang deficiency and blood stasis type

It is more common in people who use a lot of hormones because of a certain disease, or femoral head necrosis caused by other reasons. Experimental studies have proved that long-term use of hormone drugs can lead to low immune function and kidney-yang deficiency.

The main symptoms: dull pain in the buttocks, aggravation after exercise, chills and cold limbs, limp waist and knees, stumbling, fatigue, pale or dull complexion, pale white or slightly silted tongue, thin white or no fur, and deep and thin pulse.

Complications: Relieve fever, aggravate chills and low back pain, or suffer from hip pain, groin pain, or knee pain, weakness after long-term activities, or pain and fatigue. Walking pain or limping, or dysfunction, limping, walking difficulties, pain, muscle atrophy, lower limb weakness.

2. Qi stagnation and blood stasis type

It is more common in poor reduction of femoral neck fracture, or femoral head necrosis will still occur about 6 ~ 18 months after fracture healing, or in femoral head necrosis caused by other reasons. All avascular necrosis of femoral head, which is mainly pain, belongs to this type.

Main symptoms: swelling or tingling of buttocks, fixed pain, aggravated pain after sitting for a long time, relieved pain after proper exercise, pale and dark tongue and heavy pulse.

Complications: Hip pain, or knee pain of the affected limb, or weakness after long-term activities. Walking pain, or claudication, or dysfunction, claudication is more serious, walking is difficult, muscles are obviously atrophied, and lower limbs are weak.

3. Qi deficiency and blood stasis type

It is more common in middle-aged and elderly patients with femoral head necrosis after femoral neck fracture, patients with femoral head necrosis caused by fracture healing or non-union for more than one year and other reasons, with dysfunction and pain as the main cases.

Main symptoms: Middle-aged and elderly people have a history of femoral neck fracture, hip pain, dysfunction, difficulty squatting, or limping, difficulty walking, pain, muscle atrophy and weakness of lower limbs. The complexion is dark, the expression is lazy, the tongue is dark, the fur is thin and white, and the pulse is fine and astringent.

Complications: Hip pain, or knee pain of the affected limb, or weakness after long-term activities, or pain and fatigue.

4. Deficiency of both qi and blood

It can be seen in the late stage of femoral head necrosis or degenerative diseases, accompanied by severe osteoarthritis, or in other diseases with severe deformation of femoral head, long-term dysfunction, poor body resistance, poor food intake, general weakness and pain.

The main symptoms: dull pain or tingling in the buttocks, long-term dysfunction, limping, or difficulty in moving, even lying in bed most of the time, sometimes the pain radiates to the knees along the inner thigh, the pain is not obvious at rest, and it gets worse after exercise, the muscles of the affected side atrophy, pale face, pale labial nail, shortness of breath, fatigue, pale tongue with thin white fur and thready pulse.

Complications: low back pain, or knee pain in the affected limb, or chills in the affected limb, or weakness in activity, or pain, fatigue and weakness in the lower limb.

5. Deficiency of both liver and kidney

It is more common in congenital dysplasia of hip joint, and generally necrosis of femoral head occurs gradually with age, often accompanied by osteoarthritis or dislocation of hip joint.

Main symptoms: mild hip pain, aggravated during exercise and relieved after rest. Muscle atrophy, spontaneous sweating or night sweats, amnesia, insomnia, upset fever, red tongue with little coating, and rapid pulse.

Complications: long-term dysfunction, difficulty in moving, excessive activity aggravating pain, and sometimes the illness is heavy and sometimes light. Low back pain, or knee pain of the affected limb, or the affected limb is afraid of cold, or weak after long-term activities, or pain, fatigue, or claudication, or dysfunction, and claudication is more serious, obviously feeling short legs and muscle atrophy.

6, calendar festival disease Yang deficiency type

It is more common in ankylosing spondylitis or rheumatoid arthritis with femoral head necrosis, which is characterized by joint deformation pain, limited activity and stiffness.

Main symptoms: mild pain, stiff hip joint, no flexion and extension, pale face, dizziness and tinnitus, chills and spontaneous sweating, soreness of waist and legs, long urination, nocturia, thready pulse, pale tongue and thin white fur.

Complications: back pain, or hip pain on the affected side, or knee pain on the affected side, or chills on the affected side, or weakness after long-term activities, or pain and fatigue. Walking pain, or limping, or dysfunction, walking pain, obvious muscle atrophy, weakness of lower limbs, chills, difficulty in squatting, abduction and adduction.