T/CI 031-2023 Diagnosis and Treatment Guidelines for Hip Osteoarthritis

Scope

Main Technical Content: 4.1 Diagnostic Criteria for Traditional Chinese Medicine: - Referencing the *Guidelines for the Diagnosis and Treatment of Osteoarthritis* (Chinese Medical Association, 2007), the *Classification Standards for Osteoarthritis* (American College of Rheumatology, 1995), the *Guide to the Diagnosis and Treatment of Osteoarthritis* (Chinese Medical Association Rheumatology Branch, 2005), and the *Standards for the Diagnosis and Therapeutic Effects of Traditional Chinese Diseases* (ZY/T001.1-94), the diagnostic criteria for hip arthritis were formulated based on the etiology and pathogenic characteristics of the disease. - 4.1.1 Qi Stagnation and Blood Stasis Type: Symptoms include hip pain in a fixed location, limited joint mobility, tenderness in the groin area, a dark tongue with possible bruises, a white or slightly yellow coating, and a taut or sunken pulse. Treatment: Promote qi circulation and blood flow to resolve stasis and alleviate pain. Prescription: Modified Shen Tong Zhu Yi Decoction. - 4.1.2 Liver and Kidney Deficiency Type: Symptoms include dull hip pain, weakness in the lower back and knees, fatigue during walking, (with or without) insomnia, bitter taste in the mouth, flushed face, limited joint mobility, tenderness in the groin area, a red tongue with white or yellow coating, and a fine, rapid pulse. Treatment: Tonify the liver and kidneys, strengthen tendons and bones. Prescription: Modified Dushi Ji Sheng Decoction. - 4.1.3 Phlegm-dampness Obstruction Type: Symptoms include hip ache and heaviness, limited joint mobility, tenderness in the groin area, a pale and swollen tongue with white or yellow coating, and a slippery or sluggish pulse. Treatment: Drying dampness and dispelling phlegm to unblock meridians. Prescription: (Da Tan Decoction + Peach Red Four Substances Decoction). - 4.1.4 Diagnostic Criteria Also Include: - a) Local conditions: presence or absence of pain, location of pain, pain in

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