Knee & Ankle (CR)
CLINICAL APPLICATIONS
  • Chronic knee and ankle disorders with atrophy and degeneration of the soft tissues (muscles, tendons, and ligaments)
  • Chronic leg disorders with weakness, stiffness, decreased range of motion, and mobility of the joints
  • Sprain, partial rupture, stretch, or tear of ankle ligaments leading to instability and frequent re-injuries.
WESTERN THERAPEUTIC ACTIONS
  • Chondroprotective function to protect joints and cartilage
  • Osteogenic function to promote the generation of new bones
  • Anti-inflammatory effect of reducing swelling and inflammation
  • Analgesic effect of relieving pain
  • Muscle-relaxant effect of relieving spasms and cramps
INGREDIENTS
  • Bai Shao (Radix Paeoniae Alba)
  • Bai Zhu (Rhizoma Atractylodis Macrocephalae)
  • Chuan Niu Xi (Radix Cyathulae)
  • Da Zao (Fructus Jujubae)
  • Dan Shen (Radix et Rhizoma Salviae Miltiorrhizae)
  • Dang Gui (Radix Angelicae Sinensis)
  • Dang Shen (Radix Codonopsis)
  • Di Huang (Radix Rehmanniae)
  • Du Zhong (Cortex Eucommiae)
  • Fu Ling (Poria)
  • Gan Cao (Radix et Rhizoma Glycyrrhizae)
  • Huang Bo (Cortex Phellodendri Chinensis)
  • Ji Xue Teng (Caulis Spatholobi)
  • Mu Dan Pi (Cortex Moutan)
  • Qian Nian Jian (Rhizoma Homalomenae)
  • Shan Yao (Rhizoma Dioscoreae)
  • Shen Jin Cao (Herba Lycopodii)
  • Sheng Jiang (Rhizoma Zingiberis Recens)
  • Shu Di Huang (Radix Rehmanniae Praeparata)
  • Wu Jia Pi (Cortex Acanthopanacis)
  • Ze Xie (Rhizoma Alismatis)
  • Zhi Mu (Rhizoma Anemarrhenae)
FORMULA EXPLANATION
Knee & Ankle (CR) is designed to treat chronic degenerative knee disorders with swelling, inflammation, and pain. This formula incorporates tonic herbs to address the chronic and degenerative nature of the illness. Furthermore, it contains herbs that activate qi and blood stagnation, clear heat to reduce swelling and inflammation, and open the channels and collaterals to relieve pain.

Dang Gui (Radix Angelicae Sinensis), Di Huang (Radix Rehmanniae), Shu Di Huang (Radix Rehmanniae Praeparata), and Dan Shen (Radix et Rhizoma Salviae Miltiorrhizae) tonify blood, activate blood circulation and disperse blood stagnation. Dang Shen (Radix Codonopsis), Bai Zhu (Rhizoma Atractylodis Macrocephalae), and Gan Cao (Radix et Rhizoma Glycyrrhizae) tonify qi. Bai Shao (Radix Paeoniae Alba) and Shan Yao (Rhizoma Dioscoreae) nourish yin to relieve chronic bi zheng (painful obstruction syndrome) with underlying Kidney deficiencies. Mu Dan Pi (Cortex Moutan), Zhi Mu (Rhizoma Anemarrhenae), and Huang Bo (Cortex Phellodendri Chinensis) clear deficiency heat to reduce chronic swelling and inflammation. Ze Xie (Rhizoma Alismatis) and Fu Ling (Poria) eliminate water accumulation and reduce swelling. Chuan Niu Xi (Radix Cyathulae) dispels stagnation and opens the channels and collaterals.

Antirheumatic herbs should be used as many patients experience pain or worsen their condition before rainy days. Wu Jia Pi (Cortex Acanthopanacis), Qian Nian Jian (Rhizoma Homalomenae), Du Zhong (Cortex Eucommiae), and Shen Jin Cao (Herba Lycopodii) dispel wind-damp to treat bi zheng (painful obstruction syndrome). Shen Jin Cao (Herba Lycopodii) also has the effect of relieving stiffness. Sheng Jiang (Rhizoma Zingiberis Recens), Da Zao (Fructus Jujubae), and Gan Cao (Radix et Rhizoma Glycyrrhizae) harmonize all the herbs in the formula. Ji Xue Teng (Caulis Spatholobi) moves blood, opens channels and collaterals, and enhances flexibility. Lastly, Chuan Niu Xi (Radix Cyathulae) also acts as a channel-guiding herb to direct the therapeutic qualities of the formula to the affected area in the lower extremities.

Knee & Ankle (CR) is a well-balanced formula that addresses chronic and degenerative aspects of chronic knee disorders.
BACKGROUND

Musculoskeletal and connective tissue injuries lead to over 10 million clinic visits annually in the United States.[1] Causes of these injuries may be external (sports injuries, car accidents, trauma), internal (chronic wear and tear of muscles, ligaments, and tendons; bones weakened by osteoporosis), or both. Acute injuries are characterized by severe pain, swelling, inflammation, and in some cases, internal bleeding. Treatment of acute injuries should focus on relieving pain, reducing swelling and inflammation, and stopping bleeding. Chronic injuries are dull aches, stiffness and numbness, and decreased muscle mass and strength. Treatment of chronic injuries includes pain relief and restoration of physical and physiological functions.