Around the shoulder treatment technology, inflammation

China's traditional Chinese medicine reported

        Around the shoulder is a inflammation shoulder pain, shoulder activities for the main characters of the obstacles of soft tissue damage, hereinafter referred to as "shoulder". The more problems, because the disease multiple 50 years old ZuoYouZhong old people, it is called "50 shoulders". Because sleep caused by the catch cold catch cold shoulder says "leak shoulder wind" or "dew shoulder wind"; Because obviously limited shoulder activities and was frozen and say "frozen shoulder" or "setting the shoulder". In addition, also called "the shoulder of the wind", "the shoulder of the disease", etc.

        The disease because of old age, kidney essence weak qi deficiency and produce degenerative diseases, and on the basis of long-term and chronic strain, the wind chill ShiXie hit, cause haemorrheological nature fascia, meridian block, the blood does not honor muscle, phlegm stasis resistance meridians and turbidity joints, cause local pain and dysfunction. Early to avoid pain, dare not activities and produce protective joint activities is limited, so that the joint keep for a long time in some position, long occurred degenerative diseases, local oozy, adhesion, fibrosis, produce the freeze, rigid, make the shoulder function activities is limited to.

        Moreover due to the humerus fractures or shoulder surgery neck dislocation, upper limbs fixed time long, and the lack of necessary and appropriate exercise, cause bleeding after injury of hematoma machine, calcification, adhesion, thus causes shoulder restricted movement, cause inflammation around the shoulder.

        Classification of traditional Chinese medicine

        Gas blood deficiency type: shoulder ache, overworked pain intensified, with dizzy, shortness of breath lazy to talk, palpitations insomnia, his limbs weakness. Tongue qualitative light, moss less or white, pulse thin or heavy.

        The wind cold dampness type: there shoulder pain, pain in the cold, wet pain slow, fear the wind cold evil, or a heaviness shoulder. Tongue qualitative light, moss thin white or greasy, pulse string slippery or string tight.

        Stasis sluggish type: shoulder swelling, pain out press, why in the night. Qualitative light or tongue bruises, moss white or thin yellow, pulse string or fine acerbity.

        treatment

        Because the course of a long, around the shoulder inflammation curative effect slowly, so to encourage patients build confidence, together with treatment, strengthen the practice activities, improve the curative effect.

        1. Richard reinforcement technique

        Patients sit up, and a side-lying position or the supine position, use the main is first performer dagon, rubbing method were law, take hold in the role of law before and after, shoulder shoulder shoulder outside, the right hand with thumb, food, refers to hold three of the deltoid muscle beam, vertical line of muscle fiber go in the direction of dial, and then clicked near the spot of the supraspinatus, chest muscle to relax the muscles.

        Then performer hold the shoulder left hand, right hand hand a, do stretch, shaking and the rotating activities.

        Finally help limb for outreach, adduction, proneness, extension and so on the movement, remove tendon adhesion, help restore function. When treatment technique, can cause different degree of pain, must pay attention forcibly moderate to patients can stand for degrees.

        On the second day treatment time, 10 times for one period of treatment.

        2. The drugs

        (1) medicine

        Gas blood deficiency type: put to appropriate as supplement qi and blood, relaxes the muscles and loose. Party with huangqi guizhi wuwu tang (huangqi guizhi 12 grams, 12 grams, herbaceous 12 grams, ginger, 3 pieces, big jujube seven pieces to add and subtract.

        The wind cold dampness type: put to appropriate scattered cold wind, desiccant pain. Party Juan certified with soup (qiang work 6 grams, turmeric 6 grams, angelica root of herbaceous peony 12 grams, 9 g, astragalus membranaceus 12 grams, 6 grams, ginger, wind, 5 pieces of roasted liquorice 3 g) to add and subtract.

        Stasis sluggish type: put to appropriate to remove, dredging, Juan certified the pain. With pain and body by party soup (QinJiao 9 g, qiang work 9 g, ligustici chuanxiong rhizoma 9 g, walnut, 6 grams, myrrh 9 6 grams red flowers, and five grams of fat 9 g, sweet spirit with 9 g, 9 g, dilong ~ 9 g, angelica root of 15 g, liquorice 3 g) to add and subtract.

        (2) the external use: acute period pain, tenderness sensitive, shoulder activities disorder, can choose HaiTong skin soup (HaiTong skin six grams of tougucao, 6 grams, frankincense, myrrh 6 g 6 grams, angelica 5 g, sichuan pepper 10 g, 3 g, red river xiong 3 g, 3 g WeiLingXian, liquorice, breaking the 3 g, 3 g a. dahurica 2 g) hot compress fumigation or cold pain music hot iron, attached with wet as the injury, etc.

        3. Physical therapy

        Can use ultrashort wave, magnetic therapy, LaLiao, phototherapy, heat treatment and so on, to alleviate the pain, promote recovery. In elderly patients, not long-term electrotherapy, in case of soft tissue elastic more reduced, but are restored.

        4. Acupuncture treatment

        (1) gas blood deficiency type: take the shoulder Yu, shoulder liao, hand three mile, foot three mile point, etc, all use replenishing method.

        (2) the wind cold dampness type: take the shoulder Yu, shoulder liao, huge bone, and valley, QuChi hole, etc, all use the reducing method.

        (3) stasis sluggish type: take the shoulder Yu, shoulder liao, shoulder the Er yu yu, o, is point to wait, all with the reducing method.

        5. Close therapeutics

        Available with 2% lidocaine prednisolone every 1.5 ml spot closed. Once a week, 2 ~ 3 times for one period of treatment.

        Appropriate technology

        "Balance" acupuncture point acupuncture shoulder pain for scapulohumeral periarthritis (Beijing military army general hospital balance acupuncture treatment center)

        1. The treatment

        (1) shoulder pain point positioning: the peroneal small head and WaiHuai attachment on the third place. In the fibular long muscle and toe always between extensor muscles, tendons deep for short muscle, cloth has a tibial before arteriovenous muscle supported and phil shallow nerve; Or calf phil side, fibula small head and WaiHuai of high wire, offline 5 inches of patella; Or center line and ankle patella attachment on a third place. According to foot two inches) under the acupuncture point, on the virtual nest one inch, tends to the principle of an inch. The location.

        (2) find principle: cross location. That is the right shoulder take points on the left, the left shoulder take the right point.

        (3) the acupuncture methods: 28 3 inches HaoZhen a, do puncture method, about 2.5 inches the needle, feasible in technique and mention needle, needle can appear to sense the needle quickly, the acupuncture time should be controlled in 3 seconds or less. The illness is heavy, the illness is long patients can be LiuZhen in order to enhance the needle effect. LiuZhen can be appropriately shoulder movement during the cooperation. To local acid, hemp, bilge, and to the foot radiation advisable, individual patients can be transmission to the shoulder, spread to shoulder the best curative effect.

        (4) treatment time and the treatment: come on 2 weeks of less than a daily needle, 14 times for one period of treatment; Come on 2 ~ 4 weeks, who once daily needle, 21 times to be a period of treatment; The 4 weeks or more per day, a needle, 28 times for one period of treatment.

        (5) GeJue: shoulder pain hole hole in said flat, outside an inch wide phil side high. Cross location sural, shoulder lesions and neck stiffness. Chest pain abdominal pain and hemiplegia, step-down waist pain and a faint.

        2. The points for attention and contraindication

        (1) in the acute inflammation caused by the period of edema shoulder pain can't function exercise.

        (2) in the acute inflammation caused by the period of edema shoulder pain is prohibited in local for mechanical treatment, such as massage, needle knife, bureau of seal etc.

        (3) to virtual and physical constitution allergy, accompanied by chronic disease patients, acupuncture shoulder pain point may occur after local pain or discomfort, can acupuncture point through cross painful knee to alleviate.

        Percutaneous meridians electrical stimulation treatment stasis sluggish type periarthritis of shoulder (zhejiang university of traditional Chinese medicine)

        1. The treatment

        (1) use of apparatus: LH202H type neural CiJiYi aesthetic point.

        (2) the first treated patients, before the treatment of shoulder pain threshold and the function determined and record levels.

        (3) location: scapulohumeral periarthritis of the shoulder and shoulder points-before liao, outside the valley of close and shut.

        (4) operation: the two on the electrode (with up to 3 cm in diameter of pressure sensitive electricity plate) respectively stickup connection shoulder caves niv valley, the close caves, stimulation parameters for: continuous wave, high frequency (100 Hz) stimulate after 10 minutes into the low frequency (2 Hz) stimulate 30 minutes, strength and ± mA. On the second day treatment.

        2. Features

        No wound, can avoid infection or the spread of the disease, not lead the fear of patients, easy to operate, the economy.

        3. Contraindication

        (1) aged 65 years or more, pregnant and lactating women, as well as to electric stimulate excessive sensitive person.

        (2) the fracture were treated with shoulder; Long-term aspirin (accepted) other drugs (treatment) and adopt comprehensive healers.

        (3) with cardiovascular and cerebrovascular, liver, kidney and hematopoietic system and serious primary disease, patients with mental illness.