How can TCM specialty non-surgical treatments treat meniscus injuries?

  Non-surgical treatment of meniscus injury with TCM features is suitable for all types of meniscus tears without clinical signs and symptoms such as interlocking. 1, for acute meniscal injury: feasible joint puncture to draw out the accumulated blood and then perform external fixation of plaster or brace in the functional position of the knee joint for 4-6 weeks to avoid complete weight-bearing of the affected limb for repair, and instruct the patient to perform early functional exercises of calf muscles and quadriceps, such as ankle pump and straight leg raise to prevent muscle atrophy. 1-2 weeks after the injury, when the swelling and pain are reduced, the patient may be allowed to temporarily remove the external fixation in bed and be instructed to practice knee flexion and extension activities to prevent knee adhesions and restricted activities; the patient must wear external fixation and practice walking on flat ground with crutches.  2. Local physical therapy: Within 72 hours of injury, the affected knee should be given continuous ice packs as much as possible, to the extent that the patient has no significant discomfort. Others such as medium frequency + electrostatic, Chinese herbal hot aman pack + infrared, ultra-laser pain treatment, etc.  3. Chinese medicine diagnosis and treatment: (1) Qi stagnation and blood stasis type: knee swelling and pain are obvious, joint interlocking is not easy to release, local pressure pain is obvious, and pain is even when moving. The tongue is dark red, and the pulse is stringent or thin and astringent.  Treatment: Promote blood circulation, resolve blood stasis, eliminate swelling and relieve pain.  Recipe: Peach-Hong Siwu Tang with Addition and Reduction.  Prescription: Peach kernel 10g, safflower 6g, Chuanxiong 10g, angelica 10g, red peony 10g, raw earth 15g, heliotrope 9g, aromatic herb 10g, yanhuosuo 10g.  (2) Phlegm-damp obstruction type: Swelling of the knee joint is obvious after a long injury or surgery, with soreness and weakness and limited flexion and extension. The tongue is light and fat, with greasy coating and slippery pulse.  Treatment: Warming phlegm-dampness, relaxing tendons and activating collaterals.  Recipe: Er Chen Tang with reduction.  Prescription: Fa Xian Xia 10g, Chen Pi 10g, Fu Ling 15g, Gan Cao 6g, Chuan Xiong 10g, Xie Xiong Cao 10g, Qian Qian Jian 10g, Niu Kne 15g, Angelica Sinensis 10g, Bai Shao 10g.  (3) Liver and kidney deficiency: no obvious history of trauma or minor sprains, with mild swelling and pain, rebounding pain at rest or injury for a long time, muscle atrophy, weakness of the knee, frequent playing and interlocking. The tongue is red or light, with little coating and a thin or fine pulse.  Treatment: Tonifying the liver and kidney, nourishing blood and relaxing tendons.  Prescription: Jian Bu Hu Qian Wan with addition and subtraction.  Prescription: Radix Rehmanniae Praeparata 15g, Radix et Rhizoma Tortoise 15g, Fructus Lycii 10g, Semen Cuscutae 10g, Fructus Bupleurum 10g, Eucommia Tan 10g, Radix Codonopsis Pilosulae 15g, Radix Astragali 15g, Radix Gentianae Macrophylla 10g, Fructus Anemarrhenae 10g, Radix Angelicae Sinensis 10g, Radix Paeoniae Alba 10g, Papaya 10g.  4. External use of Chinese medicine: There are many kinds of external medicine, including various types of external Chinese medicine fumigants, tinctures, ointments and so on. Our hospital preparation Shu tendon external cleansing granules and stasis-removing ointment, warm/cool meridian tendon paste, meridian tendon pass, warm paste, tendon healing paste, arthritis paste, Jianbu pain relief oil can be used topically to achieve better results.