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骶髂部疼痛的辨证论治(Differentiation and treatment of sacroiliac pain)
骶髂部疼痛的辨证论治(Differentiation and treatment of sacroiliac pain)
Differentiation and treatment of sacroiliac pain
Update Date: 2010-10-13 Click: Dong Xiaojun, Zhang Jin guides Lu Zhoutong
The sacroiliac joint is both a weight-bearing joint and a micro joint. Because of its small range of activities, once subjected to violence, it is easy to cause joint dislocation, causing sacroiliac pain (this kind of wrong suture is difficult to be detected by image examination, but must be carefully diagnosed by syndrome differentiation in order to diagnose). At the same time, the degeneration and inflammation of sacroiliac joint and the invasion of exogenous pathogenic wind and cold dampness are also the important causes of sacroiliac pain. The author divides the sacroiliac pain into four syndromes and treats them according to syndrome differentiation.
1 rheumatoid arthritis phenotype
Often occurs in young adults. Lumbosacral aching pain, in the cold, rainy weather intensified, sitting pain reduction, pale tongue, moss white, floating pulse delay.
Exogenous wind dampness pathogen resistance, guest lumbosacral, so the lumbosacral aching pain, in the cold, rainy weather intensified; pale tongue, moss white, floating pulse delay is exogenous rheumatic like. Cure rheumatism, liver and kidney. With Duhuojisheng Decoction: Angelica, mistletoe, Qin Qiu, wind, radix rehmanniae, Rhizoma Chuanxiong, Eucommia 12g, cassia twig 8g, asarum 3G, Achyranthes 15g, angelica, red peony root, licorice 10g. Water decoction, 2 times a day.
This type belongs to the waist acute rheumatic myositis scope, because the symptom affects to the sacrum iliac part, therefore the sacrum iliac part has the tenderness, suffers from the side, the waist, the sacrum muscle to be anxious, the 4 word test is weak masculine. External treatment is mainly to relieve spasm and pain, and the measures are as follows:
1.1 methods: first in the treatment of lumbosacral manipulation with light rubbing, rolling 3 ~ 5 minutes, let the
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