Case Study: TCM Treatment for Knee Pain in a 70-Year-Old Male
Patient Information
Name: David (alias)
Age: 70
Occupation: Retired teacher
Chief Complaint: Knee pain, stiffness, worsened by cold weather
Doctor’s Recommendation: Surgery
Consultation Details
On December 27, 2024, David entered the clinic with a cane, walking unsteadily and grimacing in pain. He described worsening knee swelling in colder weather, morning stiffness like a "rusted hinge," and a preference for TCM over surgery.
TCM Diagnosis
Bi Syndrome (cold-damp obstruction, qi stagnation, blood stasis). Treatment aims to dispel cold, promote circulation, and relieve pain.
Treatment Plan
Acupuncture: Xiyangguan (GB33), Xuehai (SP10), Zusanli (ST36), Yanglingquan (GB34), Ashi points. Daily sessions with warm acupuncture.
Massage: Kneading and pressing around the patella and quadriceps, 15 min daily.
Moxibustion: Warm stimulation on Zusanli (ST36), Xiyan (EX-LE5), Baliao (EX-B8), 3 times/week.
Cupping: Around the knee joint, 10 min per session, 2-3 times/week.
Herbal Medicine
Treatment Progress
Week 1-2: Reduced swelling and pain.
Week 3-4: Improved mobility, less morning stiffness.
Month 1-3: Long-term relief, preventing recurrence.
Recommendations: Warm compresses, moderate exercise, and avoiding prolonged sitting/standing to aid recovery and possibly prevent surgery.
