Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)

Wei-heng Chen; Xian-xiang Liu; Pei-jian Tong; Hong-sheng Zhan

doi:10.1007/s11655-015-2432-7

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Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)

Updated：2021-08-27

- Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)
- Chinese Journal of Integrative Medicine Vol. 22, Issue 2, Pages: 150-153(2016)
- Affiliations：
  
  1. The Third Department of Osteoarthrosis, Wangjing Hospital, China Academy of Chinese Medical Sciences,Beijing,China
  2. Research Institute of Integrated Chinese and Western Medicine, Fujian University of Traditional Chinese Medicine,Fuzhou,China
  3. Department of Orthopedics and Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou,China
  4. Department of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,China
- Author bio：
- Funds：
- DOI：10.1007/s11655-015-2432-7
  CLC：
- Published：2016，
  
  Published Online：19 December 2015，
Scan for full text
Chen, Wh., Liu, Xx., Tong, Pj. et al. Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)., Chin. J. Integr. Med. 22, 150–153 (2016). https://doi.org/10.1007/s11655-015-2432-7

Wei-heng Chen, Xian-xiang Liu, Pei-jian Tong, et al. Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015). [J]. Chinese Journal of Integrative Medicine 22(2):150-153(2016)
Chen, Wh., Liu, Xx., Tong, Pj. et al. Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015)., Chin. J. Integr. Med. 22, 150–153 (2016). https://doi.org/10.1007/s11655-015-2432-7 DOI：

Wei-heng Chen, Xian-xiang Liu, Pei-jian Tong, et al. Diagnosis and management of knee osteoarthritis: Chinese medicine expert consensus (2015). [J]. Chinese Journal of Integrative Medicine 22(2):150-153(2016) DOI： 10.1007/s11655-015-2432-7.

摘要

Literature review shows that Chinese medicine and other related treatment are still the main stream treatment of knee osteoarthritis. Currently

there is short of handbook guiding Chinese medicine from evidence-based medical evidence

so it is a top priority to develop a clinical guideline from the expert consensus. After several rounds of discussion during the conference and examination by letter

which has collected opinions from nearly one hundred experts

consensus was reached. Nonpharmacologic interventions include health education

medical exercise

acupuncture

massage

acupotomology

and physiotherapy. Pharmacological interventions are as follows. Topical application includes fumigation

application

hot compressed

ironing and iontophoresis with Chinese herbs

etc. Chinese patent medicine for external use includes plaster

ointment

etc. Western medicine for external use mainly includes emulsion

ointment

plaster and embrocation containing nonsteroidal anti-inflammatory drugs (NSAIDs). Intraarticular injection mainly includes sodium hyaluronic acid

chitosan (for injection) with prudent use of glucocorticoid. Chinese herbal medicine and Chinese patent medicine can be taken referring to syndrome differentiation which mainly includes syndromes of qi stagnation and blood stasis

cold dampness

deficiency of Gan (Liver) and Shen (Kidney)

deficiency of qi and blood. Western medicine mainly includes analgesic

NSAIDs

diseases modifying drugs. Surgery procedures mainly include joint irrigation

arthroscopic surgery

osteotomy

arthroplasty

etc.

Abstract

Literature review shows that Chinese medicine and other related treatment are still the main stream treatment of knee osteoarthritis. Currently

there is short of handbook guiding Chinese medicine from evidence-based medical evidence

so it is a top priority to develop a clinical guideline from the expert consensus. After several rounds of discussion during the conference and examination by letter

which has collected opinions from nearly one hundred experts

consensus was reached. Nonpharmacologic interventions include health education

medical exercise

acupuncture

massage

acupotomology

and physiotherapy. Pharmacological interventions are as follows. Topical application includes fumigation

application

hot compressed

ironing and iontophoresis with Chinese herbs

etc. Chinese patent medicine for external use includes plaster

ointment

etc. Western medicine for external use mainly includes emulsion

ointment

plaster and embrocation containing nonsteroidal anti-inflammatory drugs (NSAIDs). Intraarticular injection mainly includes sodium hyaluronic acid

cold dampness

deficiency of Gan (Liver) and Shen (Kidney)

deficiency of qi and blood. Western medicine mainly includes analgesic

NSAIDs

diseases modifying drugs. Surgery procedures mainly include joint irrigation

arthroscopic surgery

osteotomy

arthroplasty

etc.

关键词

knee osteoarthritisChinese MedicineIntegrative Medicineexpert opinion

Keywords

knee osteoarthritisChinese MedicineIntegrative Medicineexpert opinion

references

Liu XX. Research status for traditional Chinese medicine treatment of knee osteoarthritis. J Tradit Chin Orthop Traumatol (Chin) 2012;24:3–7.

Brown GA, ed. AAOS clinical practice guideline: treatment of osteoarthritis of the knee: evidence-basedguideline, 2nd ed. J Am Acad Orthop Surg 2013;21:577–579.

National Clinical Guideline Centre (UK), ed. Osteoarthritis: care and management in adults. London: National Institute for Health and Care Excellence (UK); 2014.

Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Part I. Osteoarthritis of the hip. American College of Rheumatology. Arthritis Rheum 1995;38:1535–1540.

China Association for Traditional Chinese Medicine, ed. Guidelines for diagnosis and treatment of commom diseases of orthopedics and traumatology in traditional Chinese medicine. Beijing: China Press of Traditional Chinese Medicine; 2012:56-58.

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