Exploring the pathogenesis and differentiation treatment of joint effusion formation in knee osteoarthritis based on the theory of"blood stasis can produce water retention"
Knee osteoarthritis(KOA)is a chronic degenerative disease of the knee.This study elucidates the pathogenesis of joint effusion formation in KOA and the differentiation-based treatment based on the theory of blood stasis can produce water retention.Analogy is the core mode of thinking of traditional Chinese medicine theory.It generalizes the information of the four diagnostic methods and often understands the syndromes of the human body by analogy with the characteristics of natural phenomena.From the perspective of traditional Chinese medicine,blood stasis can produce water retention,and is the cause of KOA.The disease's onset is primarily due to the deficiency of Yang(阳),combined with the spleen's failure in transformation and transport,an imbalance of Yin(阴)and Yang due to kidney deficiency,and the liver's failure to maintain the smooth flow of Qi(气)and blood.This dysfunction in the spleen,kidney,and liver causes an excessive accumulation of Yin fluids,leading to blood stasis,impeded blood circulation,and consequently,the accumulation of fluids which manifests as disease,alongside an imbalance of Qi,blood,and fluids.Treatment should be stage-specific,focusing on warming Yang and promoting blood circulation,supported by strengthening the spleen,dredging the liver,and nourishing the kidney to restore Yang and eliminate blood stasis and fluid retention.In the acute phase,the key of the treatment is to promote blood circulation and fluid metabolism,supplemented by methods to augment Qi,promote Qi circulation,and clear heat.In the remission phase,the focus is on promoting blood circulation to remove blood stasis,strengthening the spleen and kidney to support the body's essential energy and expel pathogenic factors,with the use of insect-based medicines to unblock the channels and promote blood circulation.The principle of combining disease identification with syndrome differentiation aims to achieve better therapeutic effects.
Blood stasis can produce water retentionKnee osteoarthritisJoint effusionPromoting blood circulationDiuresis
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