Description of condition (onset time, main symptoms, hospital visit, etc.): The knee feels zinging pain when going downstairs and when walking, haven’t seen a doctor. Is this a cold leg, or is there a bone spur? A related condition analysis: if from the normal age group with the general clinical situation, the middle-aged period should not have the knee joint of bone spurs and other degenerative lesions. This is also the golden age when bones are strong and activities are unhindered. However, this person’s symptoms indicate an unconventional situation. I don’t know what your occupation and lifestyle are. What is your medical history? The current symptoms can be related to five aspects: 1. History of trauma. There may have been trauma in the past, and not healed in time, resulting in the formation of traumatic osteoarthritis; it may also be osteochondritis dissecans. 2.History of exposure to cold. Long-term exposure to cold, especially air conditioning, for the knee joint function has a greater impact on the local blood circulation is not good, there will often be pain pain. 3, long-term strain. Exercise too much, or usually lack of exercise and suddenly exercise too much or too much exercise, etc., will cause localized cumulative or sudden strain on the knee joint. 4.Rheumatic disease. This disease is often preceded by symptoms, followed by biochemical abnormalities only in a long or short period of time. That is, symptoms in the front, clinical examination abnormalities in the back. 5, other diseases. Such as chronic meniscus injury. What exactly is the cause, but also clinical examination and related information to determine the condition. But this belongs to the category of paralysis in Chinese medicine. Second, the general definition of paralysis refers to the human body is not enough positive energy, wind, cold, damp and other external evil attack, internal phlegm, stasis, heat and toxicity caused by the meridian obstruction, resulting in poor qi and blood flow, tendons and bones, muscles, joints, etc., pain, aches and pains, heavy heavy and heavy sleepy, or numbness and numbness, or joints, joints, flexion and extension of the activities of the unfavorable, and even deformation of the joints, and the internal organs and organs, resulting in paralysis, disability, and other diseases. Third, the classification of paralysis briefly: (a) according to the etiological properties of classification 1, wind paralysis, is the wind, cold and dampness combined invasion of evils, together with the paralysis, and to the wind bias of paralysis, the symptoms of arthritis in the limbs muscle soreness, was wandering pain, the site of the indeterminate, most common in the upper limbs, shoulders and back; 2, cold paralysis, wind, cold and dampness combined invasion of evils for paralysis, and to the cold bias of paralysis, the symptoms of the joints of limbs and muscle pain is severe, the heat is slow, the pain is fixed, the day light Night heavy, even if the joints can not be flexed and extended, the pain of cold feeling, the end of the limbs lack of warmth, aggravated by the cold days; 3, dampness paralysis, is the wind, cold and dampness combined invasion of paralysis, and to the dampness of the paralysis, the symptoms of joints and muscles of the limbs are swollen, sore and heavy with pain, numbness, and accompanied by the body sleepy, sleepy, chest tightness, dullness, etc.; 4, wind-dampness and heat paralysis, the evidence of redness and swelling of the affected area hot and painful, hot and painful dramatically; weekly paralysis, the pain all over the body; Paralysis of the masses is here and there pain constantly. (B) according to the organizational structure: skin paralysis, flesh paralysis, muscle paralysis, pulse paralysis, bone paralysis. Chinese medicine said that the paralysis is the modern medical science of all kinds of rheumatoid arthritis, septic arthritis, tuberculous arthritis, osteomalacia, myofibrillar tissue inflammation, sciatic nerve pain, periarthritis, ankylosing spondylitis, vasculitis and so on. Fourth, the etiology of pathogenesis analysis 1, the lack of righteousness for this: Chinese medicine, “the righteousness within, the evil can not be dry, the evil, its gas must be weak.” The occurrence of this disease, there must be a positive side of the deficiency, that is, Zhengqi deficiency for the onset of this. Insufficient qi and blood, inability to regulate, low resistance to evil, is a prerequisite for the onset of paralysis. This is the internal cause. Why is Zheng Qi deficient? Deficiency of positive qi is mostly caused by carelessness in living, overwork in the room, physical weakness or prolonged strain, inappropriate work and rest, postpartum, and after illness. Qi deficiency is often seen when illness is caused by sensing evil, especially Wei Qi deficiency in lung Qi deficiency. Because Wei Qi has to guard the surface of the defense against the invasion of foreign evil, warm and moisturize the skin, equivalent to the function of the guards. If the Wei Qi is weak, the coupling is not dense, the power of the evil is weak, the evil multiplied, the meridians are closed and blocked, the blood is not smooth, the formation of paralysis. Paralysis has become, how strong or weak the positive qi, determines the evolution and prognosis of the disease. At the beginning of the disease, the body is stronger, the positive energy is not weakened, can drum the evil out, the medicine is easy to effect, and soon cured. If prolonged paralysis recurring, the evil Qi stays but does not go, the treatment is difficult to quick effect. Its pathogenesis involves liver, kidney, spleen, three organs weak, spleen main limbs and muscles, for the source of qi and blood biochemistry, the origin of the day, the liver main tendon, blood, for the warrior pole of this. Kidney main bone, hidden essence, the main body of the Yang, for the innate nature of this. When the liver, spleen and kidney organs are involved, the weakness of qi and blood aggravated, muscle and sinew loss of nourishment obviously, the disease is more lingering and difficult to cure. In the long run, the sinews and bones will lose their nourishment, and there will be muscle atrophy, swollen and deformed joints, paralysis, etc. The disease can spread from the surface to the interior. This disease can be from the surface to the inside, gradually deeper and deeper, the inner house in the dirty. Its treatment is more difficult to achieve quick results. The only way to cure it is to support the right and eliminate the evil, and adhere to the treatment. 2, external evil attack as the standard: external evil refers to the wind, cold, dampness, heat of the evil gas is the main. (1) wind evil can not only hurt people, or folder heat, folder cold, folder wet. (2) Dampness is sticky and greasy, and wind is interspersed with it, becoming the evil of wind and dampness. The two evils combine and invade the body, becoming wind-dampness or cold-dampness, and there is also dampness and heat. Therefore, it is common to have wind-cold-damp paralysis and wind-damp-heat paralysis of the two types of wet-related illnesses. (3) Cold is a Yin evil, cold main collection, cold main stagnation, Qi Qi loss. Therefore, cold is easy to block qi. When the deficiency of positive qi, evil invasion, injury to the skin meridians, so that the meridians stagnation congestion, blockage, poor blood flow, the formation of cold-based paralysis. The wind, dampness of the evil and easy to combine with the cold for the disease, the formation of wind-cold-damp evidence. There are also heat paralysis for a long time, depletion of positive qi, resulting in body cold and cold paralysis. If the body is weak in yang, the condition is repeated, damaging the yang, can be seen as cold paralysis, deficiency paralysis. (4) Heat evil Yang evil, easy to congestion of qi and blood, joint swelling and heat pain and other symptoms. Heat evil and easy with the wind evil, dampness evil, invasion of the body. The combination of all the evil, or directly feel the wind, dampness and heat for the disease. Clinically seen, when the body of the vegetative heat or youth Yang Sheng of the body to feel the evil of the heat of rheumatism and heat paralysis. 3, phlegm and blood stasis factors for the secondary: refers to blood stasis and phlegm condensation of secondary pathological factors. When the body phlegm-damp bias, or the original high blood fat, high sugar, high blood viscosity and obesity, then the body phlegm turbid bias. Or the body has trauma, local meridian tissue injury, blood flow is not smooth or blood overflow outside the veins, stagnation of local, resulting in the local blood flow is not smooth, the tendons and muscles are not nourished, the resistance to foreign evil is poor, the evil gas to take advantage of the weakness, aggravate the veins and channels blockage, the formation of paralysis. When stagnant blood stagnates internally, or for other reasons, blood transportation is not smooth, the paralysis of internal obstruction of stagnant blood can occur. Of course, when the condition is prolonged, the disease enters into the channels, and the meridians are not smooth, it is also the source of stagnation. When phlegm and blood stasis are intertwined and intermingled as a disease, the paralysis phenomena of the diseased tissues, such as sinking, sleepiness, distension, numbness, heaviness, pain, etc., are more serious and last for a long time. Therefore, in the treatment of paralysis, great importance should be attached to the situation that long-lasting phlegm and blood stasis are combined with evil for the disease. Must activate blood circulation and eliminate blood stasis and eliminate phlegm and eliminate evil, pass through the meridians and activate the collaterals and use, its treatment to have a satisfactory effect. Evil retained for a long time can lead to deficiency, and deficiency is difficult to clear the disease and phlegm and stasis. And phlegm and stasis can be mixed with other diseases and evils. In clinical treatment, there must be five elements: dialectical treatment, overall treatment, comprehensive usage, supporting the positive and the evil, and removing phlegm and phlegm stasis. The general rule of treatment for this disease is to replenish the deficiency and diarrhea, activate blood circulation. V. Characteristic treatment of paralysis 1. Pay attention to supporting the righteousness of the new disease, the onset of the disease is relatively acute, and the righteousness of the disease is not yet deficient. The positive qi is still strong, and the pulse is powerful. Long-term disease is more weak, exertion is onset, symptoms see shortness of breath and fatigue, spontaneous sweating, poor appetite, yellowish face, lazy limbs, pale tongue, weaker pulse, this is mostly for the gas deficiency; the face is colorless, dry eyes, dry skin, numbness of the limbs, claws and nails are withered, the pulse is thin for the blood deficiency; accompanied by cold limbs cold, lumbar and knee soreness and weakness, pale tongue, thin and weak pulse for the renal yang deficiency; with a history of traumatic injuries, the local skin color is purplish or paralysis recurring for a long time, strong swelling of the joints and deformity. If there is a history of trauma, localized purplish color of skin or recurrent paralysis that lasts for a long time, strong and swollen joints with deformation, wrong skin, lightness of the day and heaviness of the night, or ecchymosis and petechiae on the tongue, it belongs to Blood stasis. Wind is the main cause of pain and wind. Because the string is the main pain, the main wind, fits the pathogenesis of paralysis. In the administration of treatment, attention should be paid to dispelling the evil, activating blood and resolving phlegm, warming the meridians and opening the collaterals, but attention should be paid to benefiting qi and nourishing blood at the same time. Qi and blood are parallel in the meridians. This disease is mostly a chronic disease, and prolonged illness and evil attachment can easily lead to weakness of qi and blood. Therefore, the treatment is to benefit qi, strengthen the spleen and nourish blood. Acupuncture, Chinese herbal medicine, should be all aspects of balance, benefit qi and nourish blood, blood, phlegm, through the pain. 2, pay attention to the classification of treatment (1) walking paralysis walking paralysis, the wind is also winning. Wind qi good line and a number of changes, so its symptoms up and down the left and right, nothing to stay stop, with the period to, blood and qi for paralysis. Acupuncture and moxibustion believe that the treatment of wind first treatment of blood, blood line wind since the end. Therefore, acupuncture clinical treatment of paralysis to treat the blood wind for treatment. Clinical use of diaphragm Yu, the sea of blood as the main points, plus the application of three kinds of matching points method of treatment. Acupuncture and moxibustion clinical treatment of blood, there are four main methods: one is to warm the meridians and remove blood stasis in order to treat blood; the second is to stab the blood and open the channels in order to treat blood; three is the line and raise the importance of treating blood; the fourth is to clear the blood heat in order to treat blood. The Chinese medicine treatment of paralysis is to use Duhuo Sheng Tang and Tao Hong Si Wu Tang to enter and exit. (2) Pain paralysis Pain paralysis is characterized by the predominance of cold qi, less yang qi and more yin qi. If it is desirable to pass and block, then it is pain. The pain of paralysis is due to the delayed entry of cold into the meridian, and the sobbing does not work. The treatment is to attract Yang Qi, warm and moisturize the meridians, blood and Qi warm and declared flow. Acupuncture and moxibustion clinic to warm the meridian dispersal of cold as the main treatment. The main application of moxibustion, moxibustion, electric heat needle, TDP irradiation method, meridian point hot compress method, hot tonic method, warm bath method and so on. Chinese medicine treatment, prescription of Astragalus, Gui Zhi Wu Wu Tang, Jin Gui Kidney Qi Pill, Right Angelica Pill and so on. (3) Dampness paralysis Dampness paralysis, water-dampness is also a problem. All dampness, swelling and fullness belong to the spleen. Dampness mostly injures the spleen, and dampness mostly weakens the spleen. Dampness is yin evil, heavy and sticky, wetness downward tendency. Dampness paralysis to the lower limbs, the disease is more lingering and difficult to treat, dampness is more cold signs. The treatment is to transform the dampness and strengthen the spleen, and to promote the Yang paralysis. Acupuncture and moxibustion treatment is appropriate to choose the spleen and stomach meridian, mainly warm. For those with dampness and heat, appropriate puncture and bloodletting. Chinese medicine is used to enter and exit San Ren Tang and Si Miao Wan. (4) Heat paralysis Heat paralysis is also caused by heat. This disease is characterized by redness, swelling, heat and pain in the joints. It is mainly due to the congestion of heat evil and the lack of blood circulation. Treatment should be clear heat evil, swelling and pain as the principle. Acupuncture and moxibustion treatment is appropriate to choose the three Yang meridians as the main point, including especially the stomach meridian, large intestine meridian and the meridian points of the Directing Vessel. Chinese medicine can be Ganlu Sterilizing Drink, Baihu plus Guizhi Tang combined with Ermiao San, and so on. (5) Phlegm and stasis obstruction: if the disease is not in day-to-day condition, or the body is phlegm-damp, or the disease has been retained for a long time with stasis, phlegm and stasis obstruction, then the disease will last for a long time, and the joints will not be deformed, and the persistent pain and numbness will not be removed. The treatment is to dissolve the phlegm and stasis, and to open up the channels and stop the pain. Acupuncture and moxibustion clinically appropriate acupuncture and moxibustion, with fire needles warm energy, with three pronged needles to puncture the collaterals, with moxibustion to warm through, to the effect of integrated treatment. Chinese medicine to two Chen Tang, half Xia Baijutsu Tianma Tang and bloodfu chase blood stasis soup in and out. It should be noted that rheumatism, rheumatoid rheumatism, ankylosing spondylitis belongs to the motherland medicine “paralytic disease”, “calendar section”, “stubborn paralysis”, “bone erosion” and other diseases. “and other diseases, also belongs to the category of Chinese medicine paralysis. “Paralysis is not pass, not pass is pain”. It is also related to cold, dampness, heat, poison, labor injury, emotions and so on. The clinical evidence is also divided into “line paralysis”, “cold paralysis”, “with paralysis”, “wet paralysis”, “Heat paralysis”, “blood stasis paralysis”; according to the structure of the tissue is divided into: “muscle paralysis”, “pulse paralysis”, muscle paralysis”, “vein paralysis”, “tendon paralysis”, “shoulder paralysis”, “neck paralysis”, “kidney paralysis”, “bone paralysis”, “bone paralysis”, and “blood stasis paralysis”. Bone paralysis”, “bone erosion”, etc.; according to the pathological stages: early stage, progressive stage, destructive stage, contracture and deformation stage and myasthenia gravis stage. Its treatment is basically compared with the treatment of paralysis. Regardless of the etiology, weight preservation or treatment should be targeted to the aforementioned possible problems. The etiology is only an inference, what is more important is the treatment. There is the need to receive early treatment such as acupuncture or herbal medicine. Rather than having to wait until the results of various lab tests come back for treatment. Many of the diseases in paralysis often have lagging clinical biochemical tests or imaging abnormalities.