The lesion of knee arthralgia is around the knee joint.According to the holistic concept,the theory of zang-fu syndrome differentiation,meridians and collaterals syndrome differentiation in TCM,the knee joint pain involves the liver and kidney,the three Yang channels(tendons)of foot and three Yin channels(tendons)of foot.The three Yang ten-dons and three Yin tendons of the foot run along the waist,hip,knee,and ankle.Any lesion of the lumbar spine,pelvis,knee joint,or ankle joint may lead to the injury of other parts of the channels route.According to the distribution of spinal nerve segments,musculoskeletal anatomy and biomechanical theory,the major muscles around the knee,such as the quadriceps,semitendinosus,semimembranosus,popliteus and biceps femoris,are innervated by the sciatic nerve,femo-ral nerve and obturator nerve running in the L2～4 joint and the sacroiliac joints.Lumbar disc herniation,lumbar lateral cur-vature,degeneration of lumbar facet joints,disorders of sacroiliac joints and other lesions of lumbar muscles and pelvis may lead to imbalance of lumbar,hip,knee,and ankle force lines,resulting in strain of quadratus lumborum,gluteus me-dius,gluteus minor,tensor fascia lata,piriformis muscle,etc.,and decrease of nerve function in lumbosacral innervation area(including periknee muscle group),which indirectly affect normal knee joint activities.Therefore,in the treatment of knee arthralgia,in addition to treating the local pain points of the knee joint,we should also take the theory of channel and tendon as the guidance,determine the affected tendon by the pain points,check the points by following the channels,com-bine the theory of spinal biomechanics and spinal nerves,and comprehensively use acupuncture,massage,small needle-knife and other methods to expand the treatment range to waist,hip and ankle,so as to loosen the tendons and relax the collaterals,relieve spasticity and pain.
knee arthralgiatreatment from the waisttheory of channel and tendon
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