-IBIS-1.5.0-
tx
musculoskeletal system
bursitis
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Obstruction due to Cold Bi; Wind Bi; Damp Bi

» treatment principles: apply heat with Obstruction due to Cold; dispel Wind when pain moves and radiates; dispel Damp with fixed pain and swelling

» illustrative combinations:
LI-15, TW-14, jian nei ling (+ and D): local points; increase flow of Xue (Blood) and Qi; reduce inflammation; relax the sinews and tendons; invigorate the collateral vessels
• LI-15 and GB-34 for bursitis of shoulder (Shanghai, p. 222)
• LI-15, LI-11, LI-4 and tender loci along affected channels using moderately strong stimulation for bursitis of shoulder (Lee and Cheung, p. 280)
• LI-15, TW-14, LI-11 and jian nei ling for diseases of the shoulder joint (Shanghai, p. 222)
St-38 (-) to UB-57 (-): specific for acute pain in shoulder with restricted movement; after 1 - 2 minutes twirling have patient move arm to direct Qi, follow with gentle manipulation; relaxes muscles and tendons; invigorates the collateral vessels; warms the channels; dissipates Cold
• TW-14, UB-12, TW-3, UB-11 for redness, swelling and pain of posterior shoulder (Lee and Cheung, p. 281)
• SI-6 and UB-10 for shoulder pain (Lee and Cheung, p. 281)


point analysis

»
palpate and consider:
Ht-3 (-): needle side contralateral to pain with needle manipulation and active movement of effected arm/shoulder; removes obstructions from the channels; relaxes the sinews and muscles; invigorates the collateral vessels; Heart He Sea Uniting and Water point
jian nei ling (+ and D): expels Dampness and Cold; dispels Wind; benefits the shoulders; relaxes the sinews and muscles; removes obstructions from the channel
TW-14 (+ and D): dispels Wind and Cold; transforms Dampness; moves the Qi; quickens the Xue (Blood); relaxes the sinews and muscles; relieves pain; facilitates the joints; benefits the shoulder
LI-15 (+ and D): expels Wind; harmonizes the flow of Qi and Xue (Blood); frees the channels and invigorates the collateral vessels; stops pain; facilitates the joints
LI-10 (+): reduces pain in shoulder; removes obstruction from channel; promotes the circulation of Qi and Xue (Blood); tonifies Qi and Xue (Blood) (Maciocia, p. 378)
• TW-5 (-): dissipates Wind; clears Heat; dissolves Toxins; facilitates the circulation of Qi in the channels and invigorates the collateral vessels; strengthens and relaxes the sinews and tendons; alleviates pain; Triple Warmer Luo Connecting point; Master point of the Yang Wei Mai (Yang Linking Vessel)
GB-34 (+): strengthens and relaxes sinews and tendons; benefits Liver and Gall Bladder; alleviates pain; subdues Liver Yang; clears and cools Dampness and Heat; benefits joints; invigorates the collateral vessels; Gall Bladder Earth point; Hui Reunion point of Jin (sinews and tendons)
UB-57 (-): dispels Wind and clears Heat; transforms Damp-Heat; regulates the Large Intestine; benefits hemorrhoids; strengthens the lower back; relaxes the sinews and muscles; main point for all physical trauma (Finkelstein, p. 49); first aid for leg cramps
St-38 (-): soothes the muscles and tendons; warms the channel and dissipates the Cold; invigorates the connecting vessels
• St-40 (-): dispels Wind; invigorates the channels; circulates Qi of the Stomach and Spleen; transforms Dampness; releases frozen shoulder; Stomach Luo Connecting point

ear: corresponding area(s), shen men, dermis/subcortex, adrenal


footnotes

Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.