Traditional Chinese Medicine Definition

Hip Joint Synovitis, categorized under the field of Traditional Chinese Medicine (TCM) Orthopedics, with the national standard code BWG. It is described in classical TCM texts as "Bishu Bi." According to "Internal Medicine of Traditional Chinese Medicine," "Bishu Bi is caused by the accumulation of damp-heat or obstruction by cold-dampness, presenting symptoms such as pain, swelling, and limited movement in the hip joint."

In clinical practice of TCM, the core pathogenesis of hip joint synovitis is often related to the accumulation of damp-heat or obstruction by cold-dampness. Common precipitating factors include prolonged sitting, overexertion, and exposure to pathogenic cold and dampness. During differentiation, it is important to distinguish between cold and heat, as well as deficiency and excess. For instance, the damp-heat accumulation pattern is characterized by redness, swelling, heat, pain, limping, and fever, with treatment focusing on clearing heat and promoting diuresis, and reducing swelling and pain. In contrast, the cold-damp obstruction pattern is characterized by cold, heavy pain in the hip joint, exacerbated by cold, and treatment requires dispersing cold and dampness, and warming the meridians and collaterals. The overall direction of treatment suggests adherence to the principle of "differentiation and treatment" in TCM, with corresponding treatment methods based on different patterns.

Common Syndrome Types and Key Points of Differentiation

湿热蕴结证

Main Manifestations：髋部红肿热痛,跛行,发热

Management Approach：清热利湿,消肿止痛

寒湿痹阻证

Main Manifestations：髋部冷痛重着,遇冷加重

Management Approach：散寒除湿,温经通络

The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.

Physician's Clinical Insights

Patients with hip joint synovitis often experience local swelling and pain. The key to treatment lies in promoting Qi and blood circulation, and removing dampness and swelling.

— 唐玉兰中医执业医师（师承）

Reviewed by：唐玉兰（中医执业医师（师承））｜ 2026-07-08 ｜ Version 2

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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.

参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)

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