Which one is better to take and which one is better (to get a job), orthopedic surgery, hand surgery, neurology, rheumatology or interventional oncology, relatively speaking? Thanks!

"Rheumatism", generally considered to be rheumatoid arthritis, which is incorrect, in fact, "rheumatism" is not a disease, rheumatism, rheumatism, bone, joints, muscles, ligaments, bursa, fascia pain as the main manifestation of the largest class of diseases in general. The most common and dangerous rheumatic diseases are acute rheumatism (rheumatic fever), rheumatoid arthritis, ankylosing spondylitis, osteoarthritis and gout. Chinese medicine believes that the human body is infested with rheumatism is cold dampness that closes blocks of meridians, causing pain and numbness in the muscles and joints caused by travel of the blood flow is not smooth, and the area is not favorable for stretching or enlarged.

What are the causes of rheumatism?

Immune disorders, environmental factors such as wind, cold, dampness, etc.; infections; 4, trauma and strain; 5, degenerative changes (aging); 6, genetic factors, metabolic diseases.

What are the common clinical symptoms of rheumatic diseases?

, pain, tenderness, 3, 4 5, swelling, stiffness with impaired mobility.

What is rheumatoid arthritis?

Rheumatoid arthritis (referred to as inflammation of the rheumatoid arthritis) is an allergic disease associated with group A streptococcal infection. One of the main manifestations of rheumatic fever in adults is relatively common. Typical manifestations of migratory arthritis, often asymmetric tired, knee, ankle, shoulder, wrist, elbow joints, localized redness, redness, swelling, heat, pain, acute inflammation subsides back to normal joint function, do not leave bony ankylosis and deformity.

How is rheumatoid arthritis diagnosed? (Diagnostic criteria)

Pre-morbid polyhemolytic streptococcal infection.

2, Symptoms remission. Large joints of the limbs (wrists, elbows, shoulders, ankles, knees, hips) go painful or swollen.

3 symbols. Affected joints are red, swollen, hot, painful or swollen, painful, function is limited, and in some cases may be low-grade fever, erythema nodosum or erythema annulare or heart attack.

4 Laboratory tests. Active erythrocyte sedimentation rate (ESR) and more generally faster normal inactive periods, with positive anti-O (ASO) and more positive (1:600?units or more), such as anti-O (ASO) negative (1:400 units or less) must be seen in erythema annulare or erythema nodosum pleomorphicum or cannot confirm the diagnosis of WT-related inflammation.

5, X-ray. Swelling of the soft tissues of the affected joints and bony changes.

6, Impact on prognosis. Relief or cure of affected joints without deformity.

What is rheumatoid arthritis (RA)?

Rheumatoid arthritis (RA), ankylosing spondylitis is a traditional Chinese medicine paralysis in the region, vulgar bone paralysis, calendar wind. It is a chronic joint inflammation as the main manifestation of systemic disease onset of small joints, hands, feet, often with symmetry, affected joints pain, swelling, difficulty in the early symptoms and stiffness, long lasting late symptoms compared to joint deformity. One of the important reasons for the prevalence of this disease in our population is 0.3%, the cause of reduction of the working population and disability. The disease can occur at any age, the incidence generally increases with age, the peak age of onset is 20-40, while women aged 40-60 years, rheumatoid arthritis, the prevalence of female male patients, female patients 2-3 double

Rheumatoid arthritis and the course of the pathology?

The main pathologic change in rheumatoid arthritis is synovitis. Under normal conditions, the fine synovial membrane secretes synovial fluid the surface layer within the joint to lubricate and protect the joint. With rheumatoid arthritis, the synovium produces inflammation of the joints due to the accumulation of inflammatory cell redness, swelling, heat and pain. This inflammation is severe and even invades the entire joint, destroying cartilage and even bones. Without proper treatment, the joints become deformed, stiff and immobile. In addition, about 5-15% of subcutaneous nodules, rheumatoid arthritis patients with activity, which is a place after the action of the skin, due to inflammation and degeneration of fibrous tissue into a widely distributed, but preferably occurs on the extensor side, scalp and other more sensitive parts, such as the joints, usually does not have too much problem, sometimes can cause infection. Occurs in the pleura, eyes, etc., which will lead to more serious consequences.

Diagnosis of rheumatoid arthritis, the necessary conditions (diagnostic criteria)

The diagnosis of rheumatoid arthritis is mainly based on clinical manifestations (symptoms) are generally based on remotely one or two small joints starting with pain, swelling, gradually progressing to multiple joints, symmetrical migratory intermittent attacks. More than half of the patients may develop morning stiffness (stiffness of the hands in the morning inflation), which disappears after activity.

How to recognize rheumatoid arthritis and rheumatoid arthritis?

Rheumatoid arthritis

Rheumatoid arthritis

Affected joints

Mainly the large joints of the limbs (knees, hips, ankles, elbows, shoulders, wrists)

Smaller joints of the limbs (fingers, metacarpals, toes) Mainly

Clinical manifestations

Acute onset of acute disease, fever, joints, redness, swelling, heat, pain, chronic Joint wandering pain or part of the low heat

Hands, feet, joints, swelling and pain, morning stiffness, may violate the large joints, often symmetrical, size can be deformed joint.

Labs and X-rays

Negative with nodular or annular erythema this disease, how fast the ESR, rheumatoid factor negative ASO positive (1:600?)

Positive rheumatoid factor, such as in the relatively stable late rheumatoid factor negative fluoroscopy, with typical rheumatoid fluoroscopy results

Other complications and prognosis

Skin nodular or annular erythema, as well as heart disease related to the limbs, the joints of the limbs do not remain deformed

This disease is a systemic disease, anemia, insomnia, loss of appetite, most of the stiff and deformed joints, and even loss of ability to work, life can not take care of themselves.

Rheumatoid arthritis is not scary

Rheumatoid arthritis is an inflammatory, progressive, destructive autoimmune disease, greatly damaging to the human body, a disease, individual patients if the treatment is not timely, and soon develop joints ankylosis, deformity, muscle atrophy, resulting in a lifelong disability, in the past, it is known as the "cancer of the undead! ", it sounds terrible, but in reality, rheumatoid currently a tricky disease, but it is a disease that can not be cured, but not every patient has to develop into a lifelong disability, with the continuous progress of human society, the continuous development of science and technology, many medical problems, is a breakthrough in the past, it would have been unimaginable to the people of organ transplantation, kidney transplantation, liver transplantation surgery has changed the way of organ transplantation, kidney transplantation, liver transplantation, and so on. Transplantation, liver transplantation surgery changed my heart, and not in one case it's an example of success? Speaking of rheumatoid DO? In recent years, a great deal of manpower and resources have been devoted to rheumatoid. Mining the treasure trove of Chinese medicine for a new drug to treat rheumatism, rheumatoid continues to produce. After looking at a large number of patients in the past few years, our clinical observation, many patients adhere to the regular treatment, set up confidence to overcome the disease and a good state of mind, correctly treat their own disease, adhere to the functional exercise, close cooperation with family members, is fully able to restore and maintain normal physiological function.

What factors may be associated with rheumatoid arthritis?

The etiology of rheumatoid arthritis is complex, and is the category of "paralysis" in traditional Chinese medicine. Bi blocked intended for the cold damp and hot evils to take advantage of the weakness of the invasion of the human body, resulting in poor blood circulation, stagnation of the meridians, or phlegm and stagnation of each other, blocking the meridians, the incidence of deep joints and tendons. Occurrence of paralysis ups and downs as well as constitutional climatic conditions, living environment is closely related. There are endocrine, metabolic, nutritional, geographic, occupational, psychological and social environmental differences in the pathogenesis of rheumatoid joints. The incidence of bacterial and viral infections and genetic cables can also have some relationship. Rheumatoid arthritis is recognized as an autoimmune disease.

Is rheumatoid arthritis hereditary?

Rheumatoid arthritis is a hereditary disease, but it can be related to genetic factors. We have genealogical surveys, close relatives of patients with rheumatoid arthritis, rheumatoid factor positive rate than the general population, 2 - 3 times. Families with rheumatoid arthritis patients have a higher incidence of rheumatoid arthritis patients, 2 - 1D times, than the general population.

How many patterns are there in the development of rheumatoid arthritis?

The onset of rheumatoid arthritis is more varied, but the two main modalities are insidious and acute.

1. Insidious onset: about 60% of the 70% incidence of the specific date of the patient is difficult to say. Initial symptoms may be general malaise or localized joint symptoms, fatigue, malaise, fever, loss of appetite, muscle pain, in some patients. After a few weeks or months of joint pain, swelling, often from one or several U.S. parts involved, symmetrically distributed.

2. Acute onset: about 8%?15% of patients with acute onset, rapid progression, in a short period of time, multiple joint pain, swelling, and limited mobility. Often accompanied by fever, swollen lymph nodes or subcutaneous nodules, joint manifestations.

What are the most commonly affected joints in rheumatoid arthritis?

Rheumatoid arthritis, involving the joints of the limbs, small joints of the hands and feet (especially ASK or proximal interphalangeal joints and metacarpophalangeal joints or metatarsophalangeal joints), wrists, elbows, knees, ankles, and shoulders are more common. In addition, there are temporomandibular arthritis, manifested by pain when chewing, severe localized swelling, difficulty in opening the mouth; you can also cervical lesions, manifested by neck pain, and may spread to the clavicle and shoulder, such as cervical subluxation caused by spinal cord compression, serious and even life-threatening.

What is called morning stiffness? How is blood sedimentation calculated?

Patients with rheumatoid arthritis, after waking up in the morning, the muscles around the joints are stiff, standing and walking problems, not tight fist, it is difficult to complete the action of buttoning clothes. Walking difficulty, need to go through the limbs slowly, stiffness to be significantly reduced. When asked to calculate morning stiffness as a starting point, the patient wakes up early in the morning with stiffness for a period of time that significantly reduces the patient's stiffness until that period of time is called the morning stiffness time point. Measured in minutes.

What is early rheumatoid arthritis?

Early rheumatoid arthritis, the inflammatory stage of synovial histology, mainly inflammatory cells infiltrating the slip, from the clinical point of view, the patient has morning stiffness, joint pain, swelling, effusion or limited movement, but no joint deformity, any structural point of view from the X-rays, the affected joints are no abnormal findings. If every doctor or patient can master the early stages of rheumatoid arthritis, which is only about 2 years old, and actively apply changes in the course of medication, this will greatly reduce the adverse consequences of rheumatoid arthritis in the late stages.

What is advanced rheumatoid arthritis?

Have advanced rheumatoid arthritis series synovial thickening. Vascular cataract formation, erosion and destruction of cartilage and subchondral bone, ultimately leading to joint deformity and supplements. In the clinic, patients not only with joint pain, swelling, more importantly, is irreversible, severe joint deformity, stiffness, or complete loss of function. Joint X-rays show severe structural damage or bony fusion of the joint. During this period, patients are often unable to take care of themselves, have trouble walking or are bedridden all day.

Arthropathy rheumatoid arthritis?

1. Pain or swelling in multiple joints (more than 5 over 5 joints) is relatively common.

2. Small joints of the hands and feet, metacarpophalangeal (toe) joints, proximal interphalangeal (interphalangeal) joints and wrists, elbows, knees and ankles are more common.

3 Symmetrical lesions, i.e., on both sides of the joints involved in the extremities.

4. Accompanied by exhibition stiffness, a feeling of stiffness in the joints in the morning, usually lasting more than 30 minutes.

5. Early manifestations include persistent joint pain and swelling, and later joint deformity, stiffness, and loss of function.

What about paralysis in RA patients?

Patients with rheumatoid arthritis often have the fear that the progression of the disease may lead to paralysis, and therefore, a heavy burden of thought. In fact, this does not cause paralysis of the central nervous system, because it does not generally invade. The person referred to is not really paralyzed paralysis, but because of severe joint damage, resulting in deformity or dysfunction, causing the patient to move around, or even bedridden mistaken for paralysis. It must be due to neurological lesions limb paralysis or paralysis, the difference between rheumatoid arthritis disability. Rheumatoid arthritis, such as active treatment with drugs, joint function has not been completely lost, the patient is a serious deformity and ankylosis, joint function exercise will reduce joint dysfunction, there will be long-term bedridden.

Rheumatoid arthritis symptoms, what are the factors that make patients get worse?

Damp environment, cold weather, rainy weather, excessive fatigue, mental stimulation, irregular life can make the symptoms worse.

What is ankylosing spondylitis?

It is a chronic, progressive, inflammatory disease, the first violation of bilateral sacroiliac joint disease, and then with the development of the disease, gradually involved in the lumbar spine, thoracic spine and cervical vertebrae, appeared in the small joint space fuzzy, fusion, disappearance of the posterior edge of the vertebral body bone destruction lax ligament, and ultimately lead to spinal ankylosis or curing humpback, or even loss of ability to work, the lesions in the sacroiliac joints, the spine, spine, paraspinal soft tissue. Pathological changes in the intervertebral disc of the fibrous annulus near the connective tissue and ossification, intervertebral joint synovial inflammation and hyperplasia, and finally the formation of bone bridges.

Rheumatoid arthritis patients with joint functional exercise patients?

The control of acute inflammation in rheumatoid arthritis. Function began joint military exercises. Multi-joint, each joint recovery rate varies in rheumatoid arthritis patients participating in joint military exercises patients can not adhere to the same. Joint exercises. Can increase muscle strength and prevent joint contractures, stiffness and muscle atrophy. Exercise should be gradual and continuous. Flexibility in determining the method according to the condition, and can do bed exercises, resistance exercise training sitting. Crutches to stand and walk. Activities should be from small to large, from short to long, activities from less to more activities from passive to active sports movement, activities and intensity gradually increase, tolerable range of activities.

How to prevent rheumatism, rheumatoid arthritis?

1, appropriate strengthening of physical exercise to accelerate blood circulation, reduce local blood and inflammatory substances stagnation.

2, pay attention to personal hygiene, regular life, after sweating, do not immediately wash with cold water, fans, sedentary people should be appropriate exercise.

3, appropriate to reduce the frequency of sexual life.

4, strengthen the appropriate nutrition, eat more containing high protein and easy to digest and hot things (fish, eggs, mutton, etc.).

5, while suffering from other diseases, drugs used to treat other diseases, can be added to the time may be staggered in 30-60 minutes.

6, not sick to try all the obstacles to the drug, under the guidance of the doctor medication, adhere to the treatment process, do not arbitrarily stop

Rheumatism treatment misunderstanding:

Rheumatism treatment misunderstanding: although intractable rheumatism, but is not drug-free, the proportion of patients Taosin Lu people say that rheumatism is incurable, often backed by the " Dead, alive is not busy." "The point of light is a lazy, heavy burden of thought is paralyzed" produce pessimism, the treatment of the disease has lost confidence, talk about rheumatoid and discoloration, do not actively cooperate with the treatment, will only delay the treatment, missed the best, effective treatment method period. This will lead to further deterioration of the disease, development and increase the degree of disability.

Treatment of rheumatism myths: In contrast to the above, some people believe that joints, leg pain does not affect eating, does not affect wearing. Not a serious disease, severe pain, eat painkillers can only stop the pain, if this idea is not desirable, rheumatism is a chronic progressive disease, if not treated in time, there are rheumatic diseases occurring persistent. In the past so rheumatic disease step by step deterioration, development and lead to disability.

Treatment of rheumatic diseases myths: stimulating line therapy is strictly indicated. In general, less than 5% of patients with rheumatic diseases require hormone therapy. However, the majority of patients in actual treatment have been treated with hormone therapy. After treatment, the patient's pain, stiffness surface slightly reduce some slight improvement in activity, there is some relief for the disease. Due to the fact. Side effects after taking hormones, such as weight gain a lot. Long-term use of hormones, but also produces dependence and resistance once the drug is stopped. Symptoms in both directions emerging market and exacerbated, and even life-threatening. Therefore. Patients should not abuse the car tangled.

The treatment of acute rheumatoid arthritis single prescription:

(1) willow branches 30?60 grams, water decoction.

(2) 30?60g of old mulberry branches, 10g of cypress, decoction.

(3) Cangzhu, Huangbai 9g each, Lonicera japonica 30g, decoction.

(4) This tender mulberry branch 30g, hyssop 10g, powdered anthelmintic alkali 10g, filipendula 30g, water decoction.

(5) Fangji 10g, nightshade 15g each, decoction.

(6) XiDuGao each 30g, 30g of mulberry branches of young willow branches 15g of, tender cassia adhering to 15g, water decoction in 3 times.

(7) 30 grams of thujone, white wine, wine children's press 1 spoon, once a day.

(8) fresh honeysuckle, root, leaf 90g, water decoction in 3 times.

(9) Ficus Liriodendron 60 grams of water, rum and women's child its applying, remove the dregs and add 30 grams of brown sugar, pick-up and drop-off service.

Unilateral treatment of chronic rheumatoid arthritis prescription:

(1) chickweed vine Hai Feng Teng, cinnamon sticks 9g each, water decoction.

(2) tiger root, mulberry root 30g, 10 jujube, water decoction.

(3) XiDuGao, stinking sycamore 15g, decoction.

(4) Luo Shi Vine, Gentiana Macrophyllae, Lutong of Elongation 12 grams, decoction.

(5) 12g each of Nightshade Vine, Gentiana Macrophyllae, Bone Seeker and He Shouwu, decocted in water.

(6) Xi Daru Cao 90g, Atractylodes macrocephala, Coix lacryma each 60g, water decoction.

Fumigation therapy for rheumatoid arthritis?

Fumigation therapy is a traditional Chinese herbal soup, hot fumigation of the affected area or immersion of herbs directly from the pores of the disease. The effect of dispelling wind and dispersing cold, soothing the muscles and activating the muscles. It is mainly used for musculoskeletal. Several formulations are now commonly used.

① Hai Tong Pi, Gui Zhi, Hai Feng Teng, Lu Lu Tong, Guan Jin Teng, two-faced needle 30g each, decocted in water, once a day, 20 minutes each time, for one month ("Journal of Practical Chinese Medicine" formula).

②Chuan Caowu 20g each, 50g angelica, chuanxiong, 10g of the single fine Xin, chuanxiong, Guizhi 30g each, Wei Lingxian, elongation of the grass 60G, decocted in water, 2?3 times a day, each time for 15 minutes, 50 grams, 5?10 days for a course of treatment (Guizhou Medical College Hospital side).

3 leaves, saffron, 9G Turbinaria 30 grams, pepper 6 grams, decoction. 1 or 2 times a day.

④ earthworm 12g each, Su Mu 30 grams, wolfsbane 6 grams, seeking bone wind 20 grams, decoction. 1 or 2 times a day.

⑤ Mulberry, willow, elm branches, peach branches for 70cm, boiling water to wash the affected area, 2?3 times a day.

6 Turbinaria, chasing the wind, the Millennium Health 30 grams of washing machine affected areas of boiling water, 2 times a day.

Treatment of rheumatoid arthritis commonly used topical cream?

Rheumatoid arthritis patients' muscles, joints, meridians, plaster, paste allowed herbal fur coat into the room coupling, through the meridians, more favorable than taking medicine. Commonly used plasters and instructions for use are as follows:

(1) Dampness Pain Relief Cream (Rubber Paste): repel wind, cold, remove dampness and channels, blood circulation and pain. When the first dry wash your face with warm water and stick to the skin surface of the skin, massage, plaster, palm your hand and make it stick to the skin. Tape allergies, skin eruptions oozing, septic trauma, and should not be posted.

The function is similar to musk tiger bone ointment, Qinghai musk ointment, joint pain relief ointment. Choose one in the clinic.

(2) dog skin plaster (plaster): function of expectorant, dispersing cold and dampness, soothing pain reliever. The use of hot softening plaster on the affected area.

It has a similar function, Wanling sinew and bone cream, chasing the wind cream old stork cream, can also be selected.

(3) use force la cold powder (powder): function of expelling wind and dampness, through the sun, promote blood circulation, relieve pain. Pharmacy proper time with slightly warm water or breast milk and drugs into a paste, eggs, all over the template, and paste it in the acupuncture points or the affected area,. Be careful to avoid colds and not to be taken internally. In 10 days the skin patch of the drug can not be washed with water. Umbilical chakra, can not be pasted on the soles of the feet, etc. to use. Children, the infirm and edema are contraindicated.

(4) Wu Hu San (powder): function traction cold scattered with the same wine, mix well, apply to the affected area. In addition to the deposition of most can be taken verbally. 6g each time, with warm yellow wine or warm boiled water.

Drug compress therapy used in the treatment of rheumatoid arthritis?

Local therapy: this is a local or acupoint external application of drugs. Promote local blood circulation, cold and damp, swelling and pain.

(1) iris, fennel 60G, salt 500g, fried hot, cloth, heat affected area. Apply to the joints of the limbs cold pain, increase the pain in the cold, get heat pain reduction.

(2) Stone garlic, ginger, onion appropriate amount of pounded, the external surface of the skin. Applicable to joint pain, fear of wind and fear of cold.

(3) Fresh bone minced tonic 3?5 mixed, applied to the affected area. Cold and painful joints. Every 5 to 10 minutes can be effective.

(4) of peach kernel, white mustard 6 grams of research into a fine powder, with egg whites, mixed into a paste, applied externally to the joint pain, the amount of painkiller for 3 to 4 hours. Please note that the time is not long dressings.

(5) Ruyi jinhuang paste applied to the skin surface, covered with gauze, the second daily. For joint swelling.

(6) Amount of cactus crushed, coating the surface of the skin.

(7) Fresh violet groundnut amount, pounded, applied to the affected areas.

(8) dandelion 120 grams, add water and boil into liquid, wet compresses on the affected area, soaked with a towel.

(9) the end of the gardenia, fly Luo noodles equal parts, yellow wine, egg white and water or vinegar into a paste, compress the pain. Stored in no problem, now greenish color, a few days retreat.

(10) mung bean powder and egg transfer application to the affected area.

More than 6 to 10 times for the treatment of heartburn, swollen joints, severe pain, overcooling, comfort, flexion and extension of the negative. It has a good effect of clearing heat, reducing swelling and relieving pain.

(11) kanli sand (ironing agent): mixed with iron shavings and vinegar, producing a thermal effect, iron, direct compress. Has obtained local ironing agent medicine. For cold, heavy, swollen or painful joints of the limbs.

Acupuncture rheumatoid arthritis?

Acupuncture is effective in the treatment of rheumatoid arthritis. The selection of appropriate points depends on the location of the pain treatment. Such as shoulder pain, shoulder joint, deltoid muscle, elbow pain, take the quchi, shakuzawa, hand Sanli, wrist pain, take the diplomatic relations, Yangchi, Hegu; hip pain, chibi ring jump Yinmen, knee pain, take the yanglingquan, calf's nose, Fubu, foot Sanli; ankle pain, Xiexi, Qiuxu, Kunlun, Taixi, Chengshan. Acupuncture techniques, acute phase with laxative method, strong stimulation or three-pronged needle puncture bloodletting, the blood in 0.5?1.0 ml. In the chronic phase, use flat tonic and diarrhea, moderate stimulation, add warm needles or moxibustion as appropriate. In addition to the practice, electroacupuncture can be used to enhance stimulation and improve efficacy.

Are there any new needle therapies that are commonly used in the treatment of rheumatoid arthritis?

Treatment 1

(1) Acupuncture points: Waiguan, Quchi, Sanli on the hands, Sanli on the feet, Xiaoneye on the outer knee, Yanglingquan, Hai's? Blood, Wind, Huanjiao, Mouth, Jiejiao, Kunlun, Kidney Yu, Vital Yin, and Ah Yes points.

(2) Drugs and methods: the choice of compound strychnine injection, each selected point to 3 to the lesion site, each injection of 0.5?1 ml of drug solution, once a day, 7 times for a course of treatment, the course of treatment interval 4?7 days.

Treatment 2

(1) take points: the upper limbs outside the main temple, Qu Chi, He Gu, lower limbs take Yang Ling Quan points, absolute bone, Xie Xi, waist and back take the big bamboo points Da Shi, body column, Yang Yang Guan, Vital Gate.

(2) Drugs and methods: with: African Fenghuangxian Turbinaria, Boneset Injection, each selected 3 points to 6 points, each point injected 0.5?0.8 ml. 10 times? for a course of treatment, every other day, three courses of rest after 2?4 weeks.

Treatment 3

(1) Acupuncture points: ①Knee-eye, crane, Yangguan, Ququan Committee. ② Liangqiu, a piece of ? blood, yinlingquan, yanglingquan. ③ Foot Sanli, Sanyinjiao, Kunlun, Zhaohai.

(2) Method: Take 1?3 points from each group, alternating points every other day. 28 needles 5?6 inches and EA machine. Twist to restore the method, and then stimulate, leave the needle for 20 to 30 minutes, 5?10 minutes to line the needle 1. EA density wave 20?30 minutes, and can be tolerated as a degree of stimulation intensity, to 10 times for a course of treatment.

Massage for rheumatoid arthritis, what are the ways?

Massage therapy (a)

(1) take points; palm joints to take the Hegu, Houhe, two examples, Lao Gong, the four seams, wrist Quchi, Tianjing, Xiaohai, hand Sanli, and so on; shoulder joints to take the shoulder quake, Tianzong shoulder, arm? Ankle Kunlun Mountain, Qiu Hui hanging bell solution Xi, Shangqiu, Taixi, Shen pulse, the knee to take the knee eye, Yanglingquan, Yinlingquan, foot Sanli, Liangqiu Fenglong Committee; Hip to take the order of the side, jumping, thighs, Cheng Fu, removal of the mandibular joints off, cataract, Hegu, cheek car, Chamber of Commerce, both and the bladder, the spinal joints after the take the relevant points of the corresponding lesions.

(2) manipulation

①upper limb: patient supine or sitting position, first push method and one finger Zen push, followed by rolling method, kneading method, along the finger, wrist, elbow repeated performers as a priority to deal with the affected joints. b. Twisting the interphalangeal joints, the reporter pinches the four sutures, Laogong; points Yangxi, Daling Wuquze, Hegu, Quchi, Shoulder Wells. c. Flexion, extension, rocking, kneading, and pulling of each affected joint. e Friction of the affected area and then applying the tapping method, heat penetrates the joints.

② Lower limbs: the patient takes the supine position, the first push method and Zen external push method along the foot of the Sun pushed through the facilities, rolling, kneading and transporting the method. Two. Taixi, Kunlun, Venezuelan point Cheng Fu, ring jump, rank side, rubbing the heat of the affected area, and then apply a variety of techniques of patting, heat through the joints.

3 mandibular joints: where the mandibular joints are involved can be pushed down the Guan, cheek car, the sun, the shade, wind and diplomatic relations; Hegu room.

The above massage every other day, 30 times for a course of treatment. Interrupt treatment for a period of time to advise the patient joint functional exercise. In the next year 1 course of treatment.

Massage therapy (two)

(1) in the patient who limbs

①take points: treatment of joint disease. Often take the eight evils, Yangxi, Yangchi, Yanggu, in customs, diplomatic relations, Houxi, Xiaohai, Tianjing, Quchi, Quzhe, shoulder chastity, Tianzong eight winds, Shangqiu, Xiexi, Qushuai, Kunlun, Taixi, Shenwei, Feiyang, Chengshan, Hangzhong yinlingquan, yanglingquan knee-eye, Heding, Hai? Blood, Liangqiu Chichibian Huanjiu, Chengfu.

(2) Practice of the work: sitting on the patient, the surgeon routinely limbs the arm, tumbling, external differentiation. From shoulder to wrist, from top to bottom, from 3?4 times. II. Connection of the case, followed by the surgeon through the painful arm to the law, at the same time concentrating on the flexibility of the pool, Quze, hand Sanli in the shoulder, elbow, wrist, Hegu and other points. The method of interphalangeal joint twisting is then performed by pressing and kneading local points of pain in the affected joints. Finally, then friction method is applied to the limbs, and the treatment ends with passive joint movement and upper extremity. Take about 10 minutes. The patient is placed in a supine position. With the patient in supine position, the operative hand holds the patient's ankle, and the other hand from the front of the inner and outer thighs, and the outer calf performs the rolling method on the top of the lower limb while moving the lower limb with passive stretching. Rolling is then applied to the ankle joint while stretching the joint inwardly and outwardly. Recovering the hip, knee, and ankle joints up and down, and then rubbing the acupoints of Fu Hare, Liang Qiu Qiu Hui, and Eight Winds. Use for about 10 minutes. Four. With the patient lying prone, the surgeon rolls and presses on the buttocks, the back of the calf, focusing on the hip and knee joints, and then kneads the acupoints of Huanjiao, Chibian, Chengfuchengshan, Venezuela, Flight, Hangzhong, Taixi, Shenwei, Kunlun, etc. The patient is then placed on the back of his/her head for about 5 minutes. About 5 minutes.

(2) In spinal lesions

①Take points: used to treat the muscles on both sides of the spine. Often take the large vertebrae pinch the spine point, loom, wind door, lung Yu, heart Yu, Ge Ke You, in the liver, spleen, kidney Yu, the fate of the door, lumbar Yang Guan point, Zhi Room.

(2) manipulation: the patient is prone, roll method of treatment, and the patient's lower back time of about 5 minutes on both sides of the posterior foot activities along the spine.

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