Arthritis is which part of the joint is inflamed? What organization does he belong to?

Rheumatoid arthritis, ankylosing spondylitis, and individual cases of arthralgia syndrome in traditional Chinese medicine are called wind in the ancient calendar. It is a systemic disease characterized by chronic arthritis. The facet joints, hands and feet are often symmetrical. The early symptoms of the affected joint are pain, swelling and difficulty, while the late symptoms are stiffness and long-term unhealed, combined with deformity. One of the important reasons is that the prevalence rate of this disease in our country is 0.3%, the working population is reduced and disabled. The disease can occur at any age, and the incidence rate generally increases with age, with the peak age of 20-40 years old, while the female, rheumatoid arthritis and male patients aged 40-60 are 2-3 times as many as female patients.

What about the pathological changes and pathogenesis of rheumatoid arthritis?

The pathological change of rheumatoid arthritis is synovitis. Under normal circumstances, synovium will secrete synovial fluid on the surface of the joint, which plays a role in lubricating and protecting the joint. Suffering from rheumatoid arthritis, synovial joints are swollen, hot and painful due to the accumulation of inflammatory cells. This kind of inflammation is very serious, even invading the whole joint, cartilage destruction, and even bones. Without proper treatment, the joints are deformed and stiff and can't move. In addition, about 5%- 15% of the subcutaneous nodules, the activities of patients with rheumatoid arthritis, which is a place after the impact on the skin, are widely distributed in inflammatory and degenerative fibrous tissues, but are easy to extend, scalp and other more sensitive parts, such as joints, usually do not have much problems, and sometimes cause infection. Occurred in pleura, eyes, etc. This will lead to more serious consequences.

Necessary conditions for diagnosis of rheumatoid arthritis (diagnostic criteria)

The diagnosis of rheumatoid arthritis mainly depends on clinical manifestations (symptoms). Generally, one or two small joints on the remote controller begin to be painful and swollen, and gradually develop into multiple joints, and there is intermittent symmetrical migration. More than half of the patients may have morning stiffness (stiff hands and flatulence in the morning) and disappear after exercise.

How to distinguish rheumatoid arthritis from rheumatoid arthritis?

Rheumatoid arthritis,

Sun god

Affected joint

The main joints of limbs (knee, hip, ankle, elbow, shoulder and wrist) are mainly

The small joints of limbs (fingers, palms and toes) mainly

clinical picture

Acute onset, fever, joint redness, swelling, fever, pain, chronic joint pain or management low fever.

Hand, foot and joint swelling and pain, morning stiffness, can invade the big joints, often in a symmetrical and deformable combination.

Laboratory and X-ray examination

With erythema nodosum or erythema annularis, how fast is ESR? ASO was more active (1:600) and rheumatoid factor was negative.

Rheumatoid factor positive, such as relatively stable in the later period, negative in X-ray examination of rheumatoid factor, typical X-ray examination results of rheumatoid joints, and other complications and prognosis.

Nodular or annular erythema on the skin of limbs, as well as heart disease, and the joints of limbs are not deformed.

It is a systemic disease, anemia, insomnia, loss of appetite, and most of them are stiff and deformed joints, and no one takes care of them or even loses their ability to work and live.

View from a height or a distance

Rheumatoid arthritis is an inflammatory, progressive and destructive autoimmune disease, which is extremely harmful to human body. Rheumatoid arthritis is not terrible. If individual patients are not treated in time, joint stiffness, deformation and muscle atrophy will soon occur, resulting in lifelong disability. It used to be called "immortal cancer", which sounds terrible, but in reality, rheumatoid arthritis is a chronic disease at present, but it is not an incurable disease. Not every patient will develop a lifelong disability. With the continuous progress of human society and the continuous development of science and technology, many medical problems are AA breakthroughs. Organ transplantation, kidney transplantation, liver transplantation and heart transplantation, which people never dreamed of before, are not all examples of successful cases? What is rheumatoid? In recent years, people have invested a lot of manpower and material resources. In the rheumatism mining industry in China's medicine treasure house, a new medicine is used to treat rheumatism, and rheumatoid disease continues to be produced. Later, according to our clinical observation, in the past few years, a large number of patients, many of whom insisted on formal treatment, established confidence and good mentality to overcome the disease, treated the disease correctly, insisted on functional exercise, and cooperated closely with their families, completely recovering and maintaining normal physiological functions.

What factors may be related to rheumatoid arthritis?

Rheumatoid arthritis has a complicated etiology and belongs to the category of arthralgia syndrome in traditional Chinese medicine. Two-way occlusion means that cold, dampness, dampness and heat attack the human body, taking advantage of it, leading to poor blood circulation, stagnation of meridians, or phlegm and blood stasis, blocking meridians, and going deep into joints and tendons can cause paralysis. The ups and downs and physical climate conditions are closely related to the differences in living environment, endocrine, metabolism, nutrition, geography, occupation, psychology and social environment. The pathogenesis of rheumatoid joint includes the occurrence of bacterial and viral infection and genetic cord, which may have certain relationship. It is recognized that rheumatoid arthritis is an autoimmune disease.

Can rheumatoid arthritis be inherited?

& gt Rheumatoid arthritis is a genetic disease, but it may be related to genetic factors. We have a family survey, and the positive rate of rheumatoid factor in close relatives of patients with rheumatoid arthritis is 2-3 times higher than that of the general population. The incidence of rheumatoid arthritis is 2- 1D times higher than that of the general population.

How many ways does rheumatoid arthritis occur?

Rheumatoid arthritis occurs in different ways, but there are two main types: occult and acute.

1。 Recessive onset: 70% of the specific onset date is about 60%. The patient's method is hard to say. Initial symptoms may include general malaise or local joint symptoms, fatigue, weakness, fever, loss of appetite and muscle pain. Some patients have joint pain and swelling after several weeks or months, which are often distributed symmetrically from one or several parts of America.

2。 Acute attack: about 8%? 15% patients have an acute onset and rapid progress. In a short period of time, many joints are painful, swollen and limited in activity, often accompanied by fever, swollen lymph nodes or subcutaneous nodules and joint manifestations.

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What is the most common joint in rheumatoid arthritis?

Rheumatoid arthritis mainly involves limbs, joints and small joints (especially proximal interphalangeal joints and metacarpophalangeal joints or metatarsophalangeal joints), and wrist joints are common. In addition, there is temporomandibular arthritis, which is characterized by pain when chewing, local swelling in severe cases, and difficulty in opening the mouth; You can also get cervical spondylosis, which is manifested as neck pain, which may affect the clavicle and shoulders, elbows, knees, ankles and shoulders, such as cervical subluxation, causing spinal cord compression, which is serious and even life-threatening.

What is morning stiffness? How to calculate ESR?

Patients with rheumatoid arthritis, after waking up in the morning, feel stiff, the muscles around the joints change, turn around and get out of bed, and their fists are tight when they are not working, so it is difficult to finish the action of buttoning clothes. It is difficult to walk, and the limbs need to pass slowly, and the sense of stiffness should be significantly reduced. When the patient wakes up in the morning, it is necessary to calculate the start time of stiffness, which obviously reduces the patient's sense of stiffness. The time to 8: 00 is called morning stiffness time, which is measured in minutes.

Early rheumatoid arthritis,

Microscopically, early rheumatoid arthritis, synovial inflammatory stage, mainly oblique inflammatory cells; Clinically, the patient has morning stiffness, joint pain, swelling, hydrops or limited activity, but no joint deformity. From any structural point of view, the X-ray film of the affected joint is normal. If every doctor or patient can master the early stage of rheumatoid arthritis and actively change medicine for only about 2 years, it will greatly avoid reducing the adverse consequences of advanced rheumatoid arthritis.

What is advanced rheumatoid arthritis?

In the late stage of rheumatoid arthritis, synovium thickening, pannus formation, cartilage and subchondral bone erosion and destruction eventually lead to joint deformity and bone repair. Clinically, the patient's joint is not only painful and swollen, but more importantly, it is irreversible, and the joint is severely deformed, stiff or completely functional. X-ray examination of joints shows serious structural damage or bone fusion. During this period, patients often cannot take care of themselves, walk inconveniently or stay in bed all day.

What are the characteristics of rheumatoid arthritis arthropathy?

1。 Pain or swelling of multiple joints (more than 5 joints) is more common.

2。 Hand and foot facet joints, metacarpophalangeal (toe) joints, proximal interphalangeal (toe) joints, wrist joints, elbow joints, knee joints and ankle joints are more common.

3 symmetrical lesions, that is, limbs participate in bilateral union.

4。 According to the degree of stiffness, joint stiffness usually lasts for more than 30 minutes in the morning.

5。 In the early stage, it is characterized by persistent joint pain and swelling, and in the late stage, it is characterized by joint deformity, stiffness and functional loss.

Paralysis of rheumatoid arthritis patients?

Patients with rheumatoid arthritis often have fear, and the development of the disease will lead to paralysis, so the ideological burden is heavier. In fact, it does not cause paralysis of the central nervous system, because it generally does not invade paralysis. People call it incorrect paralysis, but because of the serious joint injury, it causes deformity or dysfunction, which leads to inconvenient activities and even paralysis in bed. It must be the difference between limb paralysis or paralysis caused by nervous system diseases and rheumatoid arthritis. Patients with rheumatoid arthritis, if they actively cooperate with drug treatment, have not completely lost their joint function, are they seriously deformed and stiff, and their joint function is reduced, so they will be bedridden for a long time.

Can the factors of rheumatoid arthritis patients aggravate symptoms?

In humid environment, cold weather, rainy weather, excessive fatigue, mental stimulation, irregular life, etc. , will aggravate the symptoms.

What is ankylosing spondylitis?

It is a chronic and progressive inflammatory disease, which first invades bilateral sacroiliac joints, and then it is related to the progress of the disease, and gradually involves the fuzzy fusion, disappearance and destruction of lumbar vertebrae, thoracic vertebrae and cervical vertebrae, vertebral osteoporosis, spinal ankylosis or coagulation hunchback, and even pathological changes such as intervertebral disc, spinal column and paravertebral soft tissue ligaments, ossified fibrous rings, connective tissue near fibrous rings, inflammation of intervertebral joints and synovium, etc., which have lost their working ability at the end of sacroiliac joints.

Joint function exercise for patients with rheumatoid arthritis?

Control of acute inflammation in rheumatoid arthritis. Function should start joint military exercises. Multi-joint joint military exercises have different recovery rates, and patients with rheumatoid arthritis in each joint cannot insist on the same joint exercise. It can increase muscle strength and prevent joint contracture, stiffness and muscle atrophy. Exercise should be gradual and continuous flexibility. According to the method of determining the condition, you can do bed exercise and resistance exercise to train sitting posture. Stand and walk with crutches. Activities should be from small to large, from short to long, and the number of activities should be from less to more. Activities should be changed from passive to active, and the amount and intensity of activities should be gradually increased within a tolerable range.

How to prevent rheumatism and rheumatoid arthritis?

1, properly strengthen physical exercise, accelerate blood circulation, and reduce local blood and inflammatory substances stagnation.

2, pay attention to personal hygiene and life rules, do not wash the fan with cold water immediately after sweating, sedentary people should exercise properly.

Reduce the frequency of sexual activity appropriately.

4, properly strengthen nutrition, eat more high protein and digestible hot things (fish, eggs, mutton, etc.). ).

5. Patients with other diseases can add drugs to treat other diseases, which may be staggered for 30-60 minutes.

6. Don't go to the doctor for everything, use drugs indiscriminately, adhere to the treatment process under the guidance of a doctor, and don't stop taking drugs at will.

Misunderstandings in the treatment of rheumatism;

Misunderstanding of rheumatism treatment: although rheumatism is difficult to treat, it can't be cured. The proportion of passers-by patients in Tao Xin is that rheumatism can't be cured, that is, it is often said that "if you are dead, you are busy". Those who are light are lazy, while those who are heavy are paralyzed with ideological burdens, pessimistic and world-weary, and lose confidence in treating diseases. The rheumatism that turns pale is the result of not actively cooperating with treatment, missing the best opportunity for treatment and only delaying the effective treatment period. Lead to further deterioration of the disease, development and increase the degree of disability. /& gt； Misunderstanding of rheumatism treatment: Contrary to the above, some people think that pain in joints, waist and legs does not affect eating and wearing. It's not a serious illness. It's a severe pain. Taking painkillers can only stop the pain. This idea is not desirable. Rheumatism is a chronic progressive disease, but it will continue if it is not treated in time. So the last step is that rheumatism is getting worse and worse, leading to disability.

Misunderstanding of rheumatism treatment: Stimulating spinal cord therapy is to strictly grasp the indications. Generally, less than 5% rheumatism patients need hormone therapy. However, most of the patients who have received hormone therapy are slightly relieved after treatment, and some slight improvement activities have alleviated the appearance of the disease. In fact, there are many side effects of taking hormones, such as gaining weight. Long-term use of hormones will also lead to drug dependence and drug resistance, once stopped. The symptoms of two-way emerging markets are aggravated and even life-threatening. Therefore, patients should not abuse car entanglement.

Unilateral treatment of acute rheumatoid arthritis, prescription:

(1) 3060 grams of willow branches, decocted in water. Laosang

(2)30? 60g, Cortex Phellodendri 10g, decocted in water.

(3) Rhizoma Atractylodis, Cortex Phellodendri each 9g, Flos Lonicerae 30g, decocted in water.

(4) Decocting 30g of mulberry twigs, 30g of Achyranthes bidentata10g, 30g of tetrandrine10g and 30g of towel gourd.

(5) Stephania tetrandra10g, Polygonum multiflorum Thunb15g, decocted in water.

(6) 30g of grass, 30g of tender willow branches and 0/5g of cassia seed/kloc-bid, and insist.

(7) Yinan, 30g of Polygonum cuspidatum, liquor 1 tablespoon, daily 1 time.

(8) Fresh honeysuckle 15g, decocted in water for 3 times.

Unilateral roots and leaves, 90g, decocted in water for 3 times.

(9) Litchi 60g, water, rum, young girl's milk and brown sugar 30g, shuttle service. Chronic rheumatoid arthritis prescription:

(1) 9 grams of Spatholobus suberectus, 9 grams of Caulis Piperis, 9 grams of Ramulus Cinnamomi, decocted in water.

(2) 10 Polygonum cuspidatum root, mulberry root and jujube soup 30g.

(3) Saxifraga, Peach Blossom 15g, decocted in water.

(4) Caulis Trachelospermi, Radix Gentianae Macrophyllae, Fructus Lipuidambaris and Herba Lycopodii each 65438±02g, and decocted in water.

(5) Caulis Polygoni Multiflori, Radix Gentianae Macrophyllae, and Radix Polygoni Multiflori 12g, decocting in water.

(6) 90g of Smilax China, 60g of Atractylodes macrocephala and Coicis Semen are decocted in water.

Is fumigation therapy a method to treat rheumatoid arthritis?

Fumigation therapy is a kind of traditional Chinese medicine decoction in China, which fumigates or soaks the medicinal materials in the affected area with fever from the pores. Dispel wind and cold, relax tendons and activate collaterals. Mainly used in musculoskeletal system, several commonly used formulas now.

① 30g each of Cortex Erythrinae, Ramulus Cinnamomi, Caulis Piperis, Fructus Lipuidambaris and Radix Polygoni Multiflori, once a day, 20 minutes each time, for one month (China Practical Chinese Medicine Science). exist

② 20g of Radix Aconiti, 50g of Radix Aconiti Kusnezoffii, 50g of Radix Angelicae Sinensis, 50g of Rhizoma Chuanxiong, 50g of Herba Asari, 30g of Rhizoma Chuanxiong, 30g of Ramulus Cinnamomi, 60g of Radix Clematidis and Herba Lycopodii, decocted in water for 2-3 times, every 65+/-00g minutes, every 5? 10 day is a course of treatment (here in the Affiliated Hospital of Guizhou Medical College).

③ Leaves, 9G of safflower, 30g of Tougu and 6g of Zanthoxylum bungeanum are decocted in water. 1 or twice a day.

④ Eupolyphaga Seu Steleophaga 12g, sappan 30g, Stellera chamaejasme 6g, Eupolyphaga Seu Steleophaga 20g, decocted in water. 1 or twice a day.

⑤ Mulberry branches, willow branches, elm branches and peach branches are 70CM long, and the affected parts are taken with boiling water. Three times.

6. Caulis et Folium Gaultheriae Yunnanensis, chasing the wind, fumigate and wash the affected area with 30 grams of Millennium Health, and take it with boiling water twice a day.

External plaster commonly used to treat rheumatoid arthritis?

The muscles, joints, meridians and plasters of patients with rheumatoid arthritis can be pasted into the room from fur, which is more beneficial than taking medicine. Now the commonly used gypsum and its usage are introduced as follows:

(1) Shangshi Zhitong Plaster (rubber plaster): It has the functions of expelling wind and cold, removing dampness and dredging collaterals, and promoting blood circulation to relieve pain. When the first person washes his face with warm water and sticks it to the skin surface, he massages, plasters and palms to make it stick to the skin. Adhesive tape allergy, skin erosion and exudation, and purulent trauma should not be released.

Its effects are similar to those of Musk Tiger Bone Ointment, Qinghai Musk Ointment and Joint Pain Ointment. Choose one in the clinic.

(2) Plaster: It has the functions of expelling wind, dispelling cold, removing dampness, relaxing muscles and tendons, activating collaterals and relieving pain. Apply a heat softening plaster to the affected area.

Its function is similar to that of Wanling Jingu Ointment, Zhuifeng Ointment and Pelargonium Ointment, and it can also be selected.

(3) Lilaleng Powder (Powder): It has the functions of expelling wind and removing dampness, warming yang, promoting blood circulation and removing blood stasis, and relieving pain. At an appropriate time, the pharmacy uses warm water or breast milk and drugs to make paste, egg and template, and sticks them on acupoints or affected areas. Be careful to avoid catching a cold and don't take it orally. 10 day, the skin patch of the drug cannot be washed with water. Umbilical chakra, can't stick to the soles of feet, and so on. Children, the infirm and the edematous shall not use it.

(4) Wuhusan (powder): functional traction to disperse cold and wine in the affected area. Most of the deposits can be taken orally. 6g each time, take it with warm rice wine or warm boiled water.

Is this medicine suitable for the treatment of rheumatoid arthritis?

Local treatment: this method is local or acupoint application of drugs. Promote local blood circulation, dispel cold and dampness, reduce swelling and relieve pain.

(1) Acorus calamus, fennel 60g, salt 500g, stir-fry, and spread the heat on the affected area. It is suitable for cold pain in joints of limbs, increasing cold pain and reducing hot pain.

(2) The Lycoris radiata, ginger and onion are mashed properly, and the outer surface of the skin is covered. Suitable for joint pain, fear of wind and cold.

(3) Fresh Rhizoma Drynariae 3? 5 mash and apply it to the affected area. Cold pain in the joints. It can be effective every 5 to 10 minutes.

(4) 6 grams of peach kernel and 6 grams of white mustard seed are ground into fine powder, and a proper amount of egg white is used to make it into paste, so that local joint pain can be relieved for 3 to 4 hours. Please note that the dressing is not long.

(5) Apply Ruyi Gold Paste to the skin surface and cover it with gauze twice a day. Suitable for joint swelling.

(6) Mash a proper amount of cactus and apply it on the skin surface.

(7) Fresh Herba Violae and mashed potatoes are suitable for the affected area.

(8) Dandelion 120g, decocted in water, applied to the affected area, and soaked with towel.

(9) Divide Fructus Gardeniae and filo noodles into paste, mix with water or vinegar, yellow wine and egg white, and store in the paste. It's no problem to deposit it. It's blue now and it will be returned in a few days.

(10) The transportation of mung bean powder and eggs is suitable for the disaster-stricken areas.

More than six? 10 times to treat joint swelling, burning sensation, severe pain, supercooling, comfort and unfavorable flexion and extension. Has good effects of clearing away heat, reducing swelling and relieving pain.

(1 1) Kanlisha (ironing agent): iron filings and vinegar are mixed to produce a thermal effect, which can be ironed directly. A topical ironing agent was obtained. Suitable for cold pain, heaviness, swelling or pain of limbs and joints.

Acupuncture treatment of rheumatoid arthritis?

Acupuncture has a certain effect on rheumatoid arthritis. Choosing the right acupoints depends on the location of pain treatment. Such as shoulder pain, shoulder pain, deltoid muscle pain, elbow pain, Quchi, Akazawa, Shousanli, wrist pain, diplomacy, Yangchi and Hegu; Hip pain, rank-side ring jumping vulva, knee pain, Yangling Spring, calf nose, rabbit, Zusanli; Ankle pain, Xiexi, Xu Qiu, Kunlun, Taixi, Chengshan. Acupuncture manipulation: in the acute stage, the blood was drained by purgation, strong stimulation or pricking with triangular needles, and 0.5 1.0 ml was put in the blood. In the chronic phase, Xie Ping, moderate stimulation, warm acupuncture or moxibustion are used. In addition to practice, electroacupuncture can also be used to enhance stimulation and improve curative effect.

What is the acupuncture therapy commonly used to treat rheumatoid arthritis? Treatment 1

(1) Acupoints: Diplomatic, Zusanli, Quchi, Shousanli, Wynyan, Yanglingquan and Hai? Blood, wind energy, jumping around, jumping mouth, Juegu, Kunlun, Shenshu, Mingmen, Yin Zhi and Ashi points.

(2) Drugs and Methods: Compound Semen Strychni injection was selected and injected with 0.5? 1 ml of liquid medicine 7 1 day is 1 course of treatment, every 4? Seven days. Treatment 2

(1) Acupoint selection: the outer main temple of the upper limb, with Quchi, Hegu and Yanglingquan as the main points of the lower limb, bone cutting and drainage, and the main points of the back, Dazhui, Shen Zhu, Yangyang Guan and Mingmen, whichever is greater.

(2) Drugs and methods: Impatiens balsamina and Rhizoma Drynariae injection, 3 injections each time. Six points, 0.5 per point? 0.8 ml. 10 is a course of treatment, once every other day, and after three courses, rest for 2? Around. Treatment 3

(1) Acupoints: ① Knee eye, Heding, Yangguan and Ququanwei. (2) Liang Qiu, a piece? Blood, yinling spring, yangling spring. ③ Zusanli, Sanyinjiao, Kunlun and Zhao Hai.

(2) Method: Take 1? At 3 o'clock, take acupuncture points alternately every other day. 28 stitches. 5? 6 inch and EA machine. Twist subtraction, stimulate again, leave the needle for 20 to 30 minutes, 5? 10 minutes, 1. EA density wave 20? 30 minutes, and can tolerate the stimulus intensity of 65438 00 times as a course of treatment.

Does massage treat rheumatoid arthritis?

Massage therapy (1)

(1) acupoint selection; The metacarpal joint is selected from Hegu, Houxi, Jules, Laogong, Siwu, Wrist Quchi, Patio, Xiaohai and Shousanli. Shoulder chastity of shoulder joint, Tianzong, Shoulder well and arm? ; Ankle solution: Xixi, Shangqiu, Taixi, Shenmai Bell, Knee Eye, Yanglingquan, Kunlun Mountain, Venturi Market, Yinlingquan, Weili, Fenglong, Zusanli,, Hip Rank Edge, Loop Jump, Beard Pass, Support, Mandibular Joint Pass, Hegu, Cheek Car, Feng.

(2) Operation technology

① Upper limb: When the patient is lying on his back or sitting, he should push it first and then push it, and then roll and knead it repeatedly along his fingers, wrists and elbows, mainly with the affected joints. B twisting the interphalangeal joint, the reporter pinched four seams, and the uterus was struggling; Dianyangxi, Daling Wuquze, Hegu, Quchi and Jianjing points. C. Flexion, stretching, shaking, kneading and pulling each affected joint. Rub the affected area, then beat it, and the heat penetrates into the joints.

② Lower limb: 1. The patient lies on his back and pushes, rolls, rubs and transports along the foot sun with massage and one-finger Zen massage. Two. Taixi point, Kunlun point, point branch, loop jump, rank edge, rub the affected area, and then beat it in various ways to heat the joints. should

③ When the mandibular joint is involved, it can be pushed to Shimonoseki, Buccal Vein, Sunshine, Shadow, Wind, Intercourse, Hegu and Money Room.

Massage once every other day, 30 times as a course of treatment. Interrupt treatment for a period of time and instruct patients to exercise joint function. Next year 1 course of treatment.

Operation method (2)

(1) The lesions were located in limbs.

① Acupoint selection: used to treat arthropathy. Eight evils, Yangxi, Yangchi, Yanggu, Zaiguan, diplomatic relations, Houxi, Xiaohai, patio, Quchi, Qu Ze, Shouzhen, Tianzong Feng Ba, Shangqiu, Xiexi, Qiuxuhai, Kunlun, Taixi, Shenmai, Yangfei, Chengshan, Hanging Bell Yinling Spring, Yangling Spring Knee Eye, Heding and other blood, Liang Qiu.

② Manipulation: The patient takes a sitting position, and the limbs and arms of the patient often turn sideways. From shoulder to wrist, from top to bottom, from 3? Four times. Two. The connection is made by the surgeon through the painful arm to the law, while focusing on the flexible pool, Qu Ze, and the Shousanli at the acupoints of shoulder, elbow, wrist and Hegu. Twist the interphalangeal joint, and then press and knead the pain of the affected joint at local acupoints. Finally, the friction method is applied to limbs to end passive joint activity and upper limb treatment. It will take about 10 minutes. ? In supine position, the operator holds the patient's ankle with one hand, and rolls the top from the front, inside and outside of the thigh and the outside of the calf with the other hand, while passively stretching and moving the lower limbs. Then the ankle joint was treated by rolling method, and the extension of joint varus activity was carried out at the same time. Restore hip joint, knee joint and ankle joint upward and downward, and then knead points such as Rabbit, Liang Qiu Xu Qiu and Feng Ba. It will take about 10 minutes. Four. The patient is prone, and the doctor's rolling method is suitable for the buttocks and the back of the calf, focusing on the treatment of hip joint, knee joint, repeated rubbing and jumping, rank edge, becoming a rich mountain, Venezuela, flying, hanging bell, Taixi, Shenmai and Kunlun. About five minutes.

(2) The lesion is in the spine.

① Acupoint selection: treat the muscles on both sides of the spine. Jiaji points such as Dazhui, Dayi, Fengmen, Shu Fei, Xinshu, Gebi, Dried Fish, Spleen, Shenshu, Mingmen, Yaoyangguandian and Zhishi are often selected.

② Manipulation: The patient was prone and treated with tumbling, back leg movement, back and both sides of the spine for about 5 minutes. The patient takes a sitting position, and the doctor applies the back rolling method and the grip method alternately to both sides of the neck and shoulders, and rotates around the neck at the same time, which is convenient for activities and has the opportunity to walk to the shoulders well for about 2 minutes. C. Apply the connection potential to the above points by kneading. First, take the clamping ridge, then take the rest of the acupuncture points from the neck to the waist and buttocks, and finally push the ridge to heat it.