Treatment Strategy
4-8-06
Bi mean s pain.
There is:
•Wind bi – wandering bi
•Cold Bi – painful bi (there’s vere pain.)
•Damp Bi – fixed Bi (it is lingering and difficult to get rid of. It’s an accumulation of dampness, caus joint pain, achy, heavy feeling. There is swelling.
•Heat Bi – There is a prence of heat. Fever (all over hot like arthritis), red swollen joints. Certain people have a tendency, conditions can lead toward heat (yin
deficiency for example, or excess yang.) Outside conditions can lead to heat bi. This can also come from wind-cold or wind-cold-damp that over time has transformed into heat bi.
Bi Syndrome can be
•Sharp pain
•Numbness
•Paraesthesia (odd feelings)
•Swelling
• A prickling or tickling nsation
•Implies that the ROM has been affected (“This is as far as I can rai me shoulder.” “I have difficulty getting around.”)
•It can be an insidious ont, but it can also be traced back to something in particular. Caus:
•Outside evils can attack.
•Deficiency wei qi - Outside evils can make it in due to a deficiency in the body, like compromid wei qi
门冬胰岛素
•Local Weakness - From a poorly healed old injury (previous trauma)•Ankles tend to be attacked by cold and damp (wind is more the upper part of the body)
•Overwork can weaken the meridian. (Occupational, golfer’s elbow, etc…) Exerci without proper warm up time.莺燕
•Some type of internal deficiency that allows the pathogens into the meridian. (If the organ is weak, the meridian is weak.)
•Look for associations with an organ.
•If the spleen is weak, the muscles will be weak.
•With a deficiency in the liver, there may be tendon problems.
•Deficiency kidneys may result in LBP and knee pain (along with foot pain).
•Lung surgery may lead to shoulder problems.
•Genetics may lead to a predisposition.曾国恒
•Trauma
•Remember Lack of exerci can lead to physical weakness.
•Emotions
Can include
•Osteaoarthritis
•Fibromyalgia
•Neuralgia
•Gout
•Sciatica
•Bursitis
•Tendonitis
兔子的折法•Carpal Tunnel
•Neuropathies
•Rheumatoid Arthritis
Treatment
•Over time, bi can turn into wei (atrophy)
•The longer the problem has existed, the longer it will take to treat
•Wind Bi
单行道手表
•UB12
•UB17, SP10 – activate and nourish blood – Wind will naturally be eliminated it blood circulates smoothly.
•You don’t have to do every blood point for one treatment.
•GB20 – dispels wind. More for the upper part of the body.
•GB31 – dispels wind. More for the lower part of the body.
•TW5 – releas the exterior, releas the wind.
•LI4 – releas the exterior, releas the wind.
•If this is just a musculoskeletal problem with no added deficiency, you don’t have to treat the deeper levels. Treat the level of the problem.
•You can also treat local points (Wu 256-257) The local points can be ud for wind, cold, damp or heat.
•General: Include a blood point, treat a local point, something to treat the type of bi it is.
•Cold Bi
•Tongue coat white, pul is wiry
•Moxa and TDP lamp are good.
•Warming needle would be appropriate.
•We want to dissipate the cold, warm the channels.
•The qi and blood are “frozen”
•ST36, CV6, LI11 – becau cold stops the movement of qi and blood.
•Needles are deep inrtion. They are left in longer.
•Damp Bi
•Can come from outside or be generated internally
•Can have loss of nsation or numbess, achy, fixed location. Can include swelling.
Pain can get wor with humidity or during rainy weather.
•Damp attacks the lower part of the body first.
•You want to dispel damp, clear the channels, dispel the wind (becau wind drives the damp into the body).
•BL20 – help with the spleen to get transform and move water in the body.
•ST36 – help tonify the spleen and stomach
•SP9 – important dispel dampness point.
二年级数学应用题大全•SP5 – Jing river for the spleen. Jing river treats sinew problems and bone pains.
•Usually treated with acupuncture and moxa.
•Needles are retained longer. (perhaps 20 minutes) Cupping may be appropriate.•Heat Bi
•Person feels warm.
•Joints may be red and swollen looking.
•You will e heat signs (red tongue, yellow coat, rapid/slippery pul)
•Tx principle: drain heat, clear the channels, dispel the wind (becau heat may have gotten in becau of wind), dispel damp (if accompanying the heat)•DU14 – interction of yang channels
•LI11 – opens all the joints and is good to clear heat
•GB20 – wind in upper body
•GB31 – for wind in lower body
•Trauma is qi and blood stagnation. So heat bi can be the result of things being stuck over time. (heat can burn away fluids, things become more concentrated and thus more stagnant – a viscous cycle here.)
•This can build on itlf with more heat and more pain. The muscles and tendons tighten up and you get more stasis. You can end up with phlegm. (e the
handout)
•Phlegm is not the same as dampness.
•Dampness can cau edema.千军易得一将难求
•The edema is soft.
•The pain is not as vere
•With phlegm and blood stasis.
• It feels hard upon palpation.
•The pain is more vere.
•There can be numbness
•Pul is soggy/slippery
•Tongue is white and glossy
•Blood stagnation –
•pul is choppy,
• spots on the tongue
•Organ painful bi
•Pathogen can start out the outside. As it moves to the interior, it affects the organs. At this point it becomes more difficult to treat.
•Lung
•Heart
•Spleen
•Liver
•Kidney
•Tx Principle: Treat the affected organs, nourish the normal qi of the body. (Pg 263 of Wu – bi with heart vacuity)
•bi with heart vacuity
•palpitations or heart symptoms
•shortness of breath
•edema
•activity makes the symptoms wor
•complexion dull/bluish
•tonue is pale
•pul it rapid (due to qi deficiency)/forceless/interrupted
•Tx principle: nourish the heart, warm the yang
•BL17 – blood point
•PC6 – upper liver 3 as it were
•PC4 – strong to affect the qi in the heart
•HT7 – strong to affect the qi in the heart
•Consult with a doctor for rheumatic heart dia.
•Treatments
•Treat everyday if the pain is vere. (Or even twice a day…)
•Most cas you can treat every other day.
•10 treatments constitute a cour of treatment. Then reevaluate and give the body
a couple of days of rest.
•You can do two or three cours of treatments for the pain.
语文教学设计模板•Electro is great for bi pains. (Black at pain, Red further down the channel)
•Qi and blood stagnation means “Deep” massage.\
•Moxa herb properties move blood.
•Ear acupuncture
•Sympathetic
•Shen men
•Look for tender areas on the ear associated with the location of the pain.
•Cupping is a good way to treat. You can cup every other day or every four days.
Five treatments.
•Plum blossom – good for bi syndrome with lots of swelling.
•Tap the wind gates if you want (GB20)
•Tap the huato jiaji points at the level of the nerves for the particular areas.
•Acupuncture – number one method of treatment.
•People that haven’t responded to standard western treatments for relief.
•For Acute stage – plumb blossom (pull up a small amount of blood) and cupping (u cupping to pull up the blood) (Harvard says acupuncture number 1 choice
for LBP).
Rheumatoid arthritis of the hand
•Swollen, red joints – damp heat bi.
•Do local points (Ba xie)
•Do heat points (Ba Xie)
•Do Dampness (SP9)
•If wind brought it in, add UB17
If there is a flair-up of inflammation, you can u further up the hand, TW5, or TW3. Otherwi you might need to do something more an a distal type of treatment.
TMJ
The jaw joint hurts.
This can include H/A, neck pain, ear pains, and hearing problems
Can hear the joint pop as they chew. The jaw can hurt and the teeth can hurt if the teeth are hitting improperly.
The longer this goes on, the more structurally the pain involves. It can eventually go down the head, neck, and down to the low back.
Palpation of the master will show it is firm like a rock.
Find which of he local point, so stick a needle in there.
Always do treatments bilaterally, even if the pain is only on one side.
SI19, GB2, ST7, etc…
Do hand’s on palpation. It’s the way to go.
Temporal muscle can also be tend. Check for ashi along here as well.
Add in ST5 & 6, threaded through to each other and relea the jaw area.
LI4 – command point for the face.
Check the SCM bilaterally: TW17, etc…
Massage is also good.
Guasha is also good. (maybe u a nickel instead of big spoon)
Intra-oral trigger point relea.
Advi patient to stay away from coffee, chocolate, caffeine. Stay away from corn nuts. Find a better way to manage their stress.
Refer to dentist is the teeth may not be hitting correctly.
Patient lf-care (acupressure/massage for themlves. On jaw and under the jaw joint.) Acute Neck Pain
Stiff neck – Stiffness in the neck is caud by an invasion of wind and cold. It enters the neck while you are asleep.
Lao Zhen – means fallen from the pillow. The pillow is too high, too low or too much rotation of the neck. (qi and blood stagnation)
Neck and shoulders are often affected by tension.
Symptoms:
•Acute neck ache
•Neck is rigid or stiff
•Hurts to move the neck in any direction
•Tissue damage (whiplash)
•(from whiplash – C3 & C6 are often most effected)
•Degenerative changes in the spine.
•Wor with movement.
•Can last a long time. (Can be 8-10 years old)
•Can go into the shoulder and radiate down the arm.
