Correlation between X-ray grade,pain degree and the diseased meridian tendons of knee osteoarthritis based on"meridian tendon theory"
Objective:To explore the correlation between meridian tendon lesions and X-ray grading and pain degree of knee osteoarthritis,guide the TCM meridian tendon differentiation and personalized characteristic treatment of clinical knee osteo-arthritis,and provide effective reference for TCM meridian tendon diagnosis and treatment.Methods:A total of 140 patients were divided into four groups according to the X-ray grading of knee osteoarthritis.The lesions were explored by means of two-handed palpation,and the relationship between the lesions'meridian tendons and X-ray grading and pain degree was analyzed.Results:The X-ray grading of all the included patients was Grade Ⅰ(20 cases),Grade Ⅱ(35 cases),Grade Ⅲ(50 cases),Grade Ⅳ(35 cases),and the meridian of the lesion was the foot Yangming meridian(足阳明经筋),foot Taiyang meridian(足太阳经筋),foot Sanyin meridian(足三阴经筋)and foot Shaoyang meridian(足少阳经筋).There were significant differences in X-ray grading of knee osteoarthritis among different me-ridian tendons(P<0.05),and no significant differences in the degree of disease among patients with different number of meridian tendons(P>0.05).There were significant differences in the degree of disease between patients with and without meridian tendons involved in foot Yangming(P<0.05).The pain degree of patients with foot Yangming meridian lesion combined with other meridian lesion was significant-ly higher than that of patients with foot Yangming meridian lesion alone and patients without foot Yangming meridian lesion(P<0.05).Conclusion:Meridian tendon lesions can assist the diagnosis and treatment of knee osteoarthritis and provide basis for the treatment of the disease.It has very important practical value for improving the clinical effect,developing and improving the theory of traditional Chinese medicine meridian tendons,and is worth further research in the clinic.
Meridian tendon theoryKnee osteoarthritisImaging gradingPain degree
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