The Treatment of Modern Western - Biblio.nhat-nam.ru

PERIARTHRITIS OF THE SHOULDER 427Xue Teng (Caulis Spatholobi) and six grams of Mo Yao(Myrrha). If there is liver depression, add nine grams each ofChuan Lian Zi (Fructus Toosendan), Xiang Fu (RhizomaCyperi), and Chai Hu (Radix Bupleuri).ACUPUNCTURE & MOXIBUSTION: Please see pattern #1 above.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.REMARKS1. Most cases of periarthritis of the shoulder in Westernpatients involve both wind cold damp impediment andvacuity. However, some cases, especially in older patients,only involve malnourishment of the sinews. Therefore, it isimportant to distinguish whether or not there are really evilspresent. It is also common in the elderly to see malnourishmentof the sinews complicated by blood stasis.2. Passive motion of the shoulder is extremely helpful, especiallywhen there is frozen shoulder. Although this may bepainful, it makes a large difference in the outcome of treatment.3. Various Chinese medicinal tinctures and plasters may behelpful as adjunctive treatments of this disease. These can beself-administered on a daily basis by patients in their ownhomes.4. Several extra-channel points have proven especially effectivein clinical practice for the treatment of periarthritis ofthe shoulder. Zhong Ping, also named Jian Zhou, is locatedone cun under Zu San Li (St 36) and two cun above Shang JuXu (St 37). Jian Ling is located approximately 8-9 fen underYin Ling Quan (Sp 9). This point should be painful to palpationbefore being needled. Yang Ling Quan Xia is located2 centimeters under Yang Ling Quan (GB 34), and the Jia Ji(M-BW-35) point of the fifth cervical vertebrae. When usingthese points, the patient should mobilize their shoulderwhile the needles are in place.5. There are two famous points for shoulder pain which canbe used according to one needle method. Yang Ling Quan(GB 34) is especially good if the pain is located in the tripleburner channel or when the patient suffers from liver depression/depressiveheat. Tiao Kou (St 38) is especially effectivewhen the pain is located on the large intestine channel. YangLing Quan is the meeting point of the sinews. It should beneedled with draining method and relatively strong stimulation.After manipulation, the patient should gently move theaffected shoulder for 10 minutes. Every 10 minutes, repeatthe needle manipulation followed by mobilization of theshoulder. Tiao Kou should be needled through to Cheng Shan(Bl 57) with a long needle. This method is efficient butsometimes painful. Acupuncture with mobilization of theaffected joint should then be carried out the same for YangLing Quan. Further, both Er Jian (LI 2) and San Jian (LI 3)also are very effective when used according to one needlemethod.6. It is interesting to note that two points in the neck, Fu Tu(LI 18) and Tian Chuang (SI 16), also get good results in thetreatment of periarthritis of the shoulder. However, whenusing these two points, deep needling and retention shouldbe avoided.7. For very severe pain or obstinate impediment, one shouldadd “worm” medicinals, such as Tu Bie Chong (Eupolyphaga/Steleophaga), Quan Xie (Scorpio), Wu Gong (Scolopendra),and/or Di Long (Pheretima) to quicken the blood and freethe flow of the network vessels.8. The following two formulas treat enduring periarthritis ofthe shoulder with qi and blood, liver and kidney vacuity withwind, damp, and cold evils and blood stasis:Juan Bi Jie Ning Tang (Assuage Impediment & Resolve theCongealed Decoction): Huang Qi (Radix Astragali) and GeGen (Radix Puerariae), 20g each, Qin Jiao (Radix GentianaeMacrophyllae), 15g, Dang Gui (Radix Angelicae Sinensis) andFang Feng (Radix Saposhnikoviae), 12g each, Shan Zhu Yu(Fructus Corni), Shen Jin Cao (Herba Lycopodii), Jiang Huang(Rhizoma Curcumae Longae), and Gui Zhi (RamulusCinnamomi), 9g each, and San Qi (Radix Notoginseng), powderedand swallowed with the strained decoction, and GanCao (Radix Glycyrrhizae), 5g eachJian Ning Tang (Congealed Shoulder Decoction): Huang Qi(Radix Astragali), 12g, Du Zhong (Cortex Eucommiae), DangGui (Radix Angelicae Sinensis), Dang Shen (RadixCodonopsitis), Xu Duan (Radix Dipsaci), Tu Si Zi (SemenCuscutae), Qiang Huo (Radix Et Rhizoma Notopterygii), LuJiao Shuang (Cornu Degelatinum Cervi), Gou Qi (FructusLycii), He Shou Wu (Radix Polygoni Multiflori), Chuan Xiong(Rhizoma Chuanxiong), Shan Zha (Fructus Crataegi), Gu Ya(Fructus Germinatus Oryzae), and Shen Jin Cao (HerbaLycopodii), 9g each, and Gan Cao (Radix Glycyrrhizae), 3g