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About the author
Preface
Introduction
H.G guidelines for hip joint repair in the novel therapy for AVN of the femoral head
Relatively stable stress for the hip joint
Appropriate mechanical environment
Reconstruction of stress
Reh abilitation guidelines in the novel therapy for AVN of the femoral head
Overall quality
Hip joint function
Rehabilitation elements
Treatment strategies in the novel therapy for AVN of the femoral head
Characteristics of the novel therapy for AVN of the femoral head
Breakthroughs in the novel therapy
Concept of Chinese medicine in the novel therapy
Early diagnosis of AVN of the femoral head
Indications of the novel therapy for AVN of the femoral head
Chapter 1
Essential theory in Chinese medicine
Re-understanding the etiology and pathogenesis of AVN of the femoral head
Repair theory
Six major treatment methods
Resolves stasis to regenerate bones
Strengthens the spleen to regenerate bones
Nourishes yin to regenerate bones
Resolves dampness to regenerate bones
Removes toxins to regenerate bones
Invigorates yang to regenerate bones
Syndrome identification and disease differentiation
Yin deficiency of the liver and kidney[Clinical manifestations]
[Analysis]
[Treatment strategy]
[Formula and modification]
Qi deficiency coupled with toxic stasis[Clinical manifestations]
[Analysis]
[Treatment strategy]
[Formula and modification]
Kidney yang deficiency[Clinical manifestations]
[Analysis]
[Treatment strategy]
[Formula and modification]
Qi stagnation and blood stasis[Clinical manifestations]
[Analysis]
[Treatment strategy]
[Formula and modification]
Accumulation of phlegm-dampness[Clinical manifestations]
[Analysis]
[Treatment strategy]
[Formula and modification]
Chapter 2 Technical Points of the Novel Therapy for Avascular Necrosis(AVN)of the Femoral Head
Characteristic symptoms of the AVN of the femoral head
Contents of the novel therapy for AVN of the femoral head
Mechanism of the novel therapy for AVN of the femoral head
Classification principle for AVN of the femoral head
Diagnosis of AVN of the femoral head
Treatment of AVN of the femoral head in adults
Dynamic modeling mechanism of the hip joint
Rehabilitation concept in AVN of the femoral head
New perspectives
Chapter 3 Subtypes of the AVN of the Femoral Head
Osteolytic AVN of the femoral head
Disintegrated AVN of the femoral head
Sclerotic AVN of the femoral head
Hypertrophic AVN of the femoral head
Rigid AVN of the femoral head
AVN of the femoral head with structural variation
Chapter 4 Guidelines for the Diagnosis and Treatment of AVN of the Femoral Head
Diagnostic criteria
Staging of the AVN of the femoral head
Treatment protocol
Evaluation criteria for therapeutic efficacy
Chapter 5 Inpatient Admission Criteria and Therapeutic Efficacy Evaluation Criteria for AVN of the Femoral Head
Inpatient admission criteria for AVN of the femoral head
Therapeutic efficacy evaluation criteria for AVN of the femoral head
Chapter 6 Therapeutic Efficacy Analysis on AVN of the Femoral Head in Different Stages
Conditions and requirements for therapeutic efficacy analysis in different stages
Therapeutic efficacy analysis after the 1st and 2nd courses(3 months for 1 course)
Therapeutic efficacy analysis after the 3rd and 4th courses
Therapeutic efficacy analysis after the 5th and 6th courses
Therapeutic efficacy analysis after the 7th and 8th courses
Therapeutic efficacy analysis after the 9th and 10th courses
Chapter 7
Repair and functional reconstruction quantitative criteria for AVN of thefemoral head
Quantitative observation on noninvasive repair and functional reconstructionof AVN of the femoral head
Chapter 8 Glossary and Definition of Terms for AVN of the Femoral Head
Glossary
Definition of some terms
Chapter 9 HC-5 Treatment Device for AVN of the Femoral Head
Section 1 Application area and technical performance and level
Application area
Technical performance
Technical level
Section 2 Technical criteria
Design specification
To meet the need of clinical treatment
Safety standard
Section 3 Method of operation
Panel board:names and functions
Operating procedures
Cautionary notes
Section 4 Application of the point device
Section 5 Waveform identification
Section 6 HYX oscillometer for AVN of the femoral head
Main functions and clinical studies
Technical specifications
Section 7 Underlying theory of the HC-5 treatment device for AVN of the femoral head
Experimental observation and clinical use of mechano-electric effect on bone remodeling and repair
Release of active Chinese herbal components to points stimulates bone repair
Factors that boost bone growth
Section 8 Therapeutic efficacy study on HC-5 treatment device for AVN of the femoral head
Animal studies
Clinical Trials
Flow chart
Chapter 10 Computer-aided Image Diagnosis for AVN of the Femoral Head
Section 1 Computer image processing for radiographic films of AVN of the femoral head
Conventional X-rays
Design philosophy of computer image processing for AVN of the femoral head
Computer image analysis for AVN of the femoral head
Computer image analysis procedures for AVN of the femoral head
Computer image analysis and diagnosis for AVN of the femoral head
Computer image diagnosis and application for AVN of the femoral head
Prospect of computer image processing technologies for AVN of the femoral head
Search results of computer image analysis system for AVN of the femoral head
Section 2 Analysis examples of computer images for AVN of the femoral head
Image analysis and diagnostic report for AVN of the femoral head
Computer image analysis examples for AVN of the femoral head
Section 3 Medical image processing for AVN of the femoral head
Current situation of medical image diagnosis for AVN of the femoral head
Medical image analysis of AVN of the femoral head
Prospect of medical image processing
Characteristics of medical images for AVN of the femoral head
Medical image processing methods for AVN of the femoral head
In-depth analysis on medical image processing for AVN of the femoral head
Experimental high passfilter analysis on X-rayfilms of the femoral head
Incomplete histogram equalization and(femoral head)X-ray image processing
Heat conduction equation and(femoral head)X-rays sharpening
Section 4 BPLI-based 3-D surface reconstruction algorithm from 2-D contour lines
Introduction
Essential principles and procedures of BPLI methods
The original algorithm and problem analysis
New algorithm
Experimental results and analysis
Conclusion
Section 5 Radiographic films of bones and joints
Radiographicfilms of normal bones
Radiographicfilms of bone structural lesion
Abnormal bone morphology
Soft tissue changes
Bone and joint structure
Radiographicfilms of normal bones and joints
Abnormal radiographicfilms of bone and joint disorders
Abnormal radiographicfilms of AVN of the femoral head
Chapter 11 The Novel Chinese Medical Therapy for AVN of the Femoral Head
Section 1 Internal Therapy for AVN of the Femoral Head
Experimental study and pharmacological analysis on Cheng Zai Wan
Application of herbal diet
Section 2 External Therapy for AVN of the Femoral Head
Chinese medicine and external therapy
Releasing electrical signals of Chinese medicine to specific points
Herbal bath therapy
Foot bath therapy
Section 3 Pattern Identification and Treatment for Pain due to AVN of the femoral head
Etiology and pathogenesis
Pattern identification and treatment
Chapter 12 Application of Meridian Theory to the Novel Therapy for AVN of the Femoral Head
Section 1 Meridian points used for AVN of the femoral head in novel therapy
The stomach meridian of the foot-Yangming
The bladder meridian of the foot-Taiyang
The kidney meridian of the foot-Shaoyin
The liver meridian of the foot-Jueyin
Extra points on the lower extremities
The eight extraordinary meridians
Section 2 Specific points designated for AVN of the femoral head in novel therapy
Section 3 Principles,methods and clinical significance of point selection
Principles of point selection
Methods of point selection
Clinical significance
Section 4 Massage points along the pathways of selected meridians for AVN of the femoral head
Massage therapy
Massage and syndrome differentiation
Relationship between massage and reinforcing/reducing
Relationship between massage and Biao/Ben
Massage along the pathways of meridians
AVN of the femoral head and massage
Illustrations of massage along the pathways of meridians
Chapter 13 Application of the Zi Wu Liu Zhu
Significance of the Zi Wu Liu Zhu theory
Content of the Zi Wu Liu Zhu theory
Heavenly stems and earthly branches
Yin and yang attributes of heavenly stems and earthly branches
Calculation of the stems and branches of the year,month,day and hours
Stemsandbranchesofthehours
Combinationofheavenlystems,earthlybranches,zang-fuorgansandmeridians
Five-Shu points in the Zi Wu Liu Zhu method
The role of the Zi Wu Liu Zhu theory in the treatment of AVN of the femoral head
Point selection based on earthly branches(Na Zi Fa)
üReinforcing the mother and reducing the son
üSelecting points according to the two-hour periods
üTransformation rules between heavenly stems
üTreatment at regular times
Point selection based on the heavenly stems(Na Jia Fa)
Chapter 14 Dynamic Modeling of the Hip Joint
Section 1 Combine stillness with motion and alleviate pain by functional exercise
Section 2 Dynamic modeling of the hip joint and functional rehabilitation
Mechanism of dynamic hip joint modeling
Purpose of dynamic hip joint modeling
Significance of dynamic hip joint modeling
Eight dynamic modeling methods for the hip joint
Four methods intreatment table
Four methods on thefloor
Contraindications
Requirements for dynamic hip joint modeling in adults
Functional rehabilitation for children and cautionary notes
Methods
Cautionary notes
Annex 1 Dantian Zang-Fu exercise
Annex 2 Medical information sheet for adults’hip joint modeling
Annex 3 Medical information sheet for device-supported hip joint modeling
Annex 4 Medical information sheet for children’s hip joint rehabilitation
Section 3 Illustrated eight dynamic modeling methods of the hip joint
Chapter 15 Nursing Care in Novel Therapy for AVN of the Femoral Head
Section 1 Special care in the novel therapy for AVN of the femoral head
Nursing requirements
Psychological care
Special care for international patients
Care in using the treatment device for AVN of the femoral head
Care during dynamic hip joint modeling
Care in daily life
Section 2 Routine care in the novel therapy for AVN of the femoral head
General care
Overall care
Psychological care
Care outline
Levels of care for AVN of the femoral head
Section 3 Special care for Chinese medical therapy
Internal Chinese medicine
External Chinese medicine
Section 4 Special care for releasing active components of Chinese medicine with the treatment device
Procedures
Cautionary notes
Section 5 Fast point location for releasing active components of Chinese medicine
Fast location of common points
Fast location of specific points
Section 6 Special care for medicated bath
Decoction of Chinese herbs
Preparation of bath lotion
Treatment method
Cautionary notes
Section 7 Special care for dynamic hip joint modeling
Functional exercise for dynamic hip joint modeling
Cautionary notes and significance of dynamic hip joint modeling
Abnormal gaits due to AVN of the femoral head
Chapter 16 Correction of Pelvic Tilt due to AVN of the Femoral Head
Section 1 Clinical application of pelvic balance regulator
Structure and functions of pelvic balance regulator
Indications and contraindications
Annex:Medical advice form for pelvic balance regulation
Section 2 Biomechanical study on pelvic balance regulator
Structural analysis of the pelvic balance regulator
Correction principle of the pelvic balance regulator
Summary and discussion
Chapter 17
Section 1 Common etiological factors of AVN of the femoral head
Chronic alcohol intoxication
Cigarette smoking
Glucocorticoids
Etiological theories on AVN of the femoral head
Effect of stress-prostaglandin on osteogenesis
Section 2 Relevant medical conditions of the AVN of the femoral head
Osteoporosis
Congenital coxa vara
Systemic lupus erythematosus(SLE)
Metabolic bone diseases
Neuropathic osteoarthropathy
Differentiation between hyperparathyroidism and AVN of the femoral head
Epiphyseal disease of the femoral head
Differentiation between childhood AVN of the femoral head and slipped capital femoral epiphysis(SCFE)
Differentiation between tuberculosis of the hip in children and pyogenic arthritis of the hip
Abrasion and erosion of artificial femoral head
Chapter 18 Stress-Electro-biomechanical Theorem in Novel Therapy for AVN of the Femoral Head—H.G.G Guidelines
Section 1 Overview of the H.G.G guidelines
Maintenance of bone mass
Reconstruction of stress
Electromagnetic effect
Shape modeling of the femoral head
Pain-activity interaction
Section 2 Maintenance of bone mass
Animal experiments
Effect of exercise load on non-adult bones
Effect of exercise load on adult bones
Load and porotic bones
Discussion
Section 3 Reconstruction of stress
Section 4 Pulsed electromagnetic field therapy
Electromechanical properties of bone
Electromagneticfield therapy
Direct current electrotherapy—iontophoresis and electrophoresis
n0 n T＝(Δp/Q)bΔp/QN Section 5 Shape modeling of the femoral headΔp/QNΔP＝Eh3 4(1－μ)R3
Increase bone mass—positive effect of bone functional adaptation Na＋H O→NaOH＋H↑ Na＋H O→NaOH＋H↑
Decrease bone mass—reverse effect of bone functional adaptation
Section 6 Pain-activity interaction
Mechanism of pain
Mechanism of pain alleviation
Chapter 19 Bone Structure and Biomechanical Property
Section 1 Bone structure and blood supply
Bone structure
Blood supply of bones
Tension/compression mechanical property
The mechanical properties of bone and influencing factors
Shearmechanicalproperty
Torsion mechanical property
Bending mechanical property
Section 3 Bone energy storage and constitutive relation
Bone energy storage
Stress-strain relationship and constitutive equation of bone
Section 4 Functional adaptability of the skeleton
Wolff’s law
Bone adaptation to stress
Bone adaptation and biomechanical principles in the treatment of AVN of the femoral head
Chapter 20 Biomechanics of the Hip Joint
Section 1 Structure and stress analysis of the hip joint
Range of motion(ROM)of the hip joint
Stress analysis of the hip joint
The resultant force acting on the femoral head during walking
Calculation of the state of stress in the femoral neck
To calculate the geometric property of the m-n cross section:
Stress calculation:
Total stress at the attachment point m:
Total stress at the attachment point n:
Shearing stress:
Alignment and functions of trabecular bone
Section 2 Anatomy and physiology of the hip joint
Anatomical landmarks on the surface of the body
Radiographicfindings
Axial alignment of the lower extremity
Surface projections of major vessels and nerve trunks
Deep structure of the gluteal region
Acetabulum
Femoral head
Relationship between acetabulum and femoral head
Section 3 Etiology,Pathogenesis and Biomechanics of AVN of the Femoral Head
Etiology theories
Concept of stress concentration
Etiology and pathogenesis of AVN of the femoral head
Possible underlying biomechanical mechanism for bone remodeling and repair
Section 4 Laser holographic study on the stress of the femoral head(neck)
Study protocol
Devices,procedures and data acquisition
Numerical solution method and calculation results
Chapter 21 Clinical Observation on the Novel Therapy for AVN of the Femoral Head
Section 1 Therapeutic efficacy analysis of the novel therapy for AVN of the femoral head
General materials
Etiological factors
Clinical manifestations
Image analysis
Staging criteria
Treatment method
Therapeutic efficacy criteria
Treatment results
Section 2 Computer color image analysis on X-rays of typical cases with AVN of the femoral head
Chapter 22
Section 1
Materials and methods
Results
Discussion
Section 2 Effect of Cheng Zai Wan on cell adhesion molecule gene in mice with AVN of the femoral head
Materials and methods
Pharmaceutical preparations
Experimental method
Extraction of specimen
Chip test procedure
Results
Discussion
References
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