Professional Documents
Culture Documents
Periarthritis
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6.6: Scapulohumeral Periarthritis
Frozen Shoulder
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6.6: Scapulohumeral Periarthritis
Names in TCM:
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6.6.1: Scapulohumeral Periarthritis
-TCM Pathogenesis
Shoulder Periarthritis
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6.6.2: Scapulohumeral Periarthritis
-Clinical manifestation
Development of Symptoms
2. The patient has a history of chronic shoulder strain. (cold, wind, damp
attack). Acute shoulder strain, dislocation of shoulder, bone fractures
of the upper limb.
3. Early Stage:
soreness and pain of the shoulder are evident due to weather change,
fatigue or cold.
stiffness and fear of motion.
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6.6.2: Scapulohumeral Periarthritis
-Clinical manifestation
4. Later Stage:
continuous pain over the whole shoulder, radiating to the cervix and elbow.
Painful more severe during the night (disturbing sleep and making the patient
afraid of lying on the affected side)
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6.6.2: Scapulohumeral Periarthritis
-Clinical manifestation
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Jianliao (SJ 14)
Bingfeng (SI12)
Jianyu (LI15)
Jianzhen (SI9)
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6.6.3: Scapulohumeral Periarthritis
-Diagnosis
1. The onset of the disorder is slow and gradual. The patient has a
history of cold attack and chronic strain on the shoulder.
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6.6.4: Scapulohumeral Periarthritis
-Treatment
Therapeutic principles
3. Loosing adhesion
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6.6.4: Scapulohumeral Periarthritis
-Treatment
Locations of Acupoints
Jianjing (GB21)
Jianyu (LI15)
Binao (LI14)
Quchi (LI11)
Jianzhen (TE14)
Tianzong (SI11)
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Jianjing (GB21)
Jianyu (LI15)
Binao (LI14)
Quchi (LI11)
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Jianzhen (TE14)
Tianzong (SI11)
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6.6.4: Scapulohumeral Periarthritis
-Treatment
Basic Manipulations
1. The patient is in a sitting position. The doctor raises the affected arm to
an angle of 60 degree and then performs pressing, kneading, circular
rubbing or one-finger pushing manipulations on anterior, lateral and
posterior sides of the shoulder and the upper arm. (The manipulation is
often combined with the activities of abduction, backward extension and
passive rotation of the affected arm for about 5 minutes)
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6.6.4: Scapulohumeral Periarthritis
-Treatment
5. The doctor holds the affected shoulder with one hand and supports
the elbow of the affected side with the other, then swinging the arm
circularly in a gradual increasing amplitude for about 1 minute.
6. The doctor stands behind the affected shoulder, putting one hand
under the armpit of the affected side, and keep the elbow flexed with
the other hand. Then raising the affected arm with one hand and
pushing the elbow inward with the other to loosen joint adhesion.
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6.6.4: Scapulohumeral Periarthritis
-Treatment
7. Rubbing around the shoulder until hot sensation is achieved and from the
shoulder to the forearm for 3-5times.
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6.6.4: Scapulohumeral Periarthritis
-Treatment
Cautions
1. The patient should keep the shoulder warm and avoid wind, cold and
damp.
2. The patient should reduce the body activity during acute onset of the
disorder to prevent increased inflammatory exudation; whereas in
adhesion term, the patient should keep doing exercise.
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Lateral humeral
epicondylitis
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6.7: Lateral Humeral Epicondylitis
Chronic injury
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6.7.1: Lateral Humeral Epicondylitis
-Pathogenesis
TCM pathological
Adherence of tendons
2. Pain in lateral aspect of the affected elbow, along the extensor muscle of the
wrist.
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6.7.2: Lateral Humeral Epicondylitis
-Clinical manifestation
6. The extensor muscle tension test and Mill test are all positive.
7. X-ray shows:
No abnormal change
Some may appear external condyle of humerus appears unsmooth and
density increases
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6.7.3: Lateral Humeral Epicondylitis
-Diagnosis
3. It is difficult for the patient to carry things. The pain will get worsened
when twisting towel.
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6.7.4: Lateral Humeral Epicondylitis
-Treatment
Therapeutic principles
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6.7.4: Lateral Humeral Epicondylitis
-Treatment
Locations of Acupoints
Quchi (LI11)
Quze (PC3)
Shousanli (LI10)
Hegu (LI4)
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Quchi (LI11)
Shousanli (LI10)
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Hegu (LI4)
Quze (PC3)
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6.7.4: Lateral Humeral Epicondylitis
-Treatment
Basic Manipulations
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6.7.4: Lateral Humeral Epicondylitis
-Treatment
4. Press and knead from the anterior region of the external humeral
epicondyle to the radial aspect of the extensor muscle of the wrist
with the thumb; then rub from the radial aspect of the forearm to
humeral epicondyle till it is warm in local area.
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6.7.4: Lateral Humeral Epicondylitis
-Treatment
Cautions
1. During the period of treatment, avoid excessive rotation of the forearm and
stretching the wrist backwards.
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