Theory

Chinese Herbal and Acupuncture Treatment Protocols for Osteoarthritis (OA) - Formulas, Protocols, TCM Diagnoses


Osteoarthritis (OA) - Basics

Osteoarthritis occurs when the cartilage—which cushions the bones in the joint and absorbs shock—wears down and leaves the bones unprotected. When this happens, the bones rub against each other, creating pain and inflammation, and limiting range of movement in the joint. Over a long period of time, bone spurs can form, and the joint can become misshapen. Furthermore, pieces of bone or cartilage can break off and travel freely in the joint space, causing more pain. Osteoarthritis occurs primarily in older patients, however, young people who have experienced a joint injury can also suffer from the disease.
Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for Osteoarthritis.


Osteoarthritis (OA) - Diagnostic Patterns

The Chinese Medicine treatment of osteoarthritis (oa) generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).

The following patterns may represent the underlying contributing factors for the development of osteoarthritis (oa):



Osteoarthritis (OA) - Formulas From Our Store

The following herbal formulas are potentially useful in the process of treating osteoarthritis (oa). For a complete list from our store with more details see our osteoarthritis (oa) formula section.


Osteoarthritis (OA) - Questions

Need treatment options for osteoarthritis (oa) and not finding the information you need?

Using our forums our staff and our community may offer guidance with regards to the treatment of osteoarthritis (oa).



Osteoarthritis (OA) - Related Acupuncture Points

The following (1) acupuncture point may be useful for osteoarthritis (oa). A subset of these could potentially be useful with acupressure stimulation and/or tongren therapy methods as well.

Generally treatment would be based on the TCM patterns listed above instead of selecting points by function alone, (see general points selection rules.)




The following (5) Formulas TCM Herbal Formulas May Be Useful For Osteoarthritis (OA)

Juan Bi Wan

  • Remove Painful Obstruction Decoction
    • Wind-cold-damp bi syndromes in qi deficient patients - joint pain possibly with heaviness of the limbs that generally improves with movement.  Rheumatoid arthritis, osteoarthritis, gouty arthritis.  With wind-cold-damp patterns other inflammatory conditions such as fibromyalgia.
    • Atrophy from qi and blood stagnation - stroke recovery.
  • Expel Dampness
  • Dispel Wind-Dampness

Shen Tong Zhu Yu Wan

  • Remove Stagnant Blood from a Painful Body Pills
    • Qi and Blood stagnation blocking the channels and collaterals - pain in the extremities, shoulder pain, elbow pain, leg pain.
    • With the right underlying patterns - possibly useful for fibromyalgia, complex regional pain syndrome, etc.
    • Arthritic conditions - rheumatoid, neuralgia.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.

Shu Jing Huo Xue Wan

  • Relax The Channels and Invigorate The Blood Decoction
    • Primarily used for blood stasis with wind-damp in the channels and collaterals characterized by internal deficiency with external excesses - joint pain, muscle aches, numbness and/or pain in the lower extremities (may be severe).
    • Wind-cold damp bi-syndrome (i.e. arthritis) - particularly in the lower part of the body, hips, knees, lower back.
    • Sciatic pain with the correct underlying pattern.
    • Neck pain with the correct underling pattern.
    • Fractures that are reluctant to heal, particularly in the lower body.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Generally not for long term use and use with caution if at all in deficient patients.

Si Miao Wan

  • Four Marvels Powder
    • Damp-Heat Bi-Syndromes in Chinese Medicine terms - arthritis with hot swollen joints. With the right underlying diagnosis both osteo-arthritis and rheumatoid arthritis would respond.
    • Gout.
    • Weakness and/or atrophy in the lower body with swelling.
    • Leukorrhea and other heat related discharge.
  • Expel Dampness
  • Clear Damp-Heat
  • Cautions
  • Pregnancy
    • Avoid in pregnancy.
    • Avoid in deficiency cases.
    • Generally not suitable for arthritis with cold/deficient signs.

Xi Guan Jie Bi Tong Wan

  • Knee Joint Pain Relief
    • Arthritis from damp heat in Chinese Medicine terms.
    • Knee issues with kidney and liver systems involvement.
    • Lower body pain and/or inflammation - hips, knees, ankles, toes especially when the pain moves around due to interior wind.
    • Connective tissue disorders.
  • Expel Dampness
  • Dispel Wind-Dampness



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