Periarthritis of shoulder acupuncture treatment technology

China's traditional Chinese medicine reported

        Around the shoulder phlogistic, hereinafter referred to as "shoulder", is the soft tissue around the shoulder degenerative cases of inflammatory disease. To shoulder long-term regular pain, restricted movement as a characteristic. Good hair at about 50 women's right shoulder, so it is also called "50 shoulders", have the self healing tendency, prognosis is good.

        The disease belongs to the traditional Chinese medicine "shoulder bi", "frozen shoulder", "leak shoulder wind" category.

        A, Chinese medicine etiology

        Of the 50 people, deficiency, the camp guard gradually empty, bones and muscles is languishing, after due to local feel cold, hard or flash file, or used to partial side but lie, channels under the long-term oppression, hence the block and qi into shoulder pain. Shoulder pain day long, because local operation, qi, blood stasis lag that happened with the swelling adhesion, eventually joint rigid, JianBei can't move.

        Second, clinical manifestation

        The disease early to severe pain is given priority to, can function activities; Later, with a shoulder function obstacle is given priority to, but reduce pain.

        When the disease early unilateral or bilateral shoulder ache, and to the neck and the upper limbs can radiation, day light night heavy, limb feared the wind chill, fingers hemp bloated. A different degree stiff shoulder, arm for the spin and extension, such action are restricted. One day long illness, can often for dampness, more resistance to stagnate qi shoulder muscle atrophy and reduce pain instead.

        This disease can be divided into three stages:

        (1) the acute phase: disease period for about a month or so, can also continue 2 ~ 3 months. This patient is the main performance of the shoulder pain, shoulder activities is limited, the pain is caused by the muscle spasm, ligament, joint capsule contracture be caused by, but will still have a shoulder itself the range of motion.

        (2) adhesion period: disease period about 2 ~ 3 months, this issue has significantly reduce pain patients with symptoms, its expression is shoulder activities severely limited, shoulder shoulder week because of soft tissue extensive adhesion, tiny range activities, outreach and proneness movement, then swing at the Withers and appear shrug phenomenon.

        (3) remission: for this disease of recovery or healing process. This issue with the pain patients with cuts, shoulder contracture, adhesion gradually eliminate and restore normal function.

        Three, syndrome differentiation type points

        If the disease to shoulder in the house before the pain is given priority to, extension increased pain the card to belong to the lunar syndrome; The Yu shoulder to shoulder in liao, shoulder pain is given priority to, deltoid muscle and tenderness, outreach intensified pain the card to belong to the less Yang Yang Ming, syndrome; Back to shoulder pain is given priority to, shoulder pain while adduction intensifies, card to belong to the sun by card.

        Four, put to cure

        (1) the basic treatment

        [therapeutic] easy bacteric, line qi and activate blood circulation.

        [prescription] shoulder Yu, shoulder, fiona, shoulder before o hole, YangLingQuan, is in flat hole (foot) 1 inch under)

        [and] card to belong to the lunar adds the feet ze, Yin ling springs; Yang Yang Ming, less card to belong to the adds the hand three mile, and outside shut; and Card to belong to the sun by HouXi adds the, Zhu, kunlun; Pain in the article with Yang Ming, mouth ChengShan through.

        [operation] before, shoulder to shoulder seems a good grasp of the acupuncture Angle and the direction, avoid by all means is inclined to stab, in deep spines; YangLingQuan deep thorn or through to the Yin ling springs; ChengShan available through the mouth strong stimulation; Local chills hair is cool can be added a hub; Shoulder after can be added a needle and cupping therapy walking tank; According to conventional acupuncture point more than both. And in the far end point when travel needle, all patients activities to shoulder.

        (2) other therapy

        1. Mans needle

        [location] shoulder Yu through a spring, shoulder through a cheer spring, a mouth through ChengShan article etc

        [operation] let patients seat shoulder smooth lift, deep hole Yu stab shoulder straps, not exalt the local multiplex through thorn, make shoulder can exalt. ChengShan mouth through article, side to side travel needle patient activities limb, of actions by the slow to fast, forcibly shoulds not be too, so as not to cause pain.

        2. Thorn cutem winding

        [location] is o hole

        [operation] to shoulder swelling pain clear and stasis resistance superficial person, can be used in PiFuZhen, knock intensity with spurs ministry, make the local skin slightly ooze blood, add cupping therapy; Such as stasis resistance the deep, can use 3 arris needle prick 2 ~ 3 needle, the minimal hemorrhage, add cupping, make out blood stasis, evil to the winding. Two times a week treatment.

        3. Earpins

        [location] shoulder, shoulder, clavicle, god door, corresponding points hole etc

        [operation] each choose 3 ~ 4 acupuncture point, HaoZhen strong stimulation, LiuZhen 30 minutes, once per day; Also can use the king did not stick seed pressure, 2 ~ 3 change once a day.

        4. Reviews

        [location] shoulder Yu, shoulder liao, shoulder, the day before the Pope, QuChi, levels and the hole

        [operation] every choice 1 ~ 2 groups of acu-points, connect cupping instrument, the early use successive wave, with intermittent wave strong thorn late 10 ~ 15 minutes. Once per day.

        5. Point injection

        [location] is o hole

        [operation] on the shoulder point injection angelica, river xiong, yuan hu, red flowers and injection or 10% glucose injection, vitamin B1 injection, each point 0.5 ml each time. Such as tenderness point widely, can choose 2 ~ 3 points in the most obvious place tenderness injection. On the second day once.

        Five, the appropriate technology

        1. The front for headache, scapulohumeral periarthritis of bearded technology

        [location] is o hole

        [operation]

        (1) disinfection: (1) the acupuncture parts: regular disinfection. (2) the needles: bearded needle in the micro feng will alcohol lights burning 1 minute disinfection or in alcohol (or other disinfection) for 30 minutes.

        (2) the rich: Jim, food, in the right hand three means holding knead needle handle, middle finger in part on the needle, needle little.

        (3), needle methods: do the following 5 points needle method steps:

        With his left hand, index and middle finger, take up positions by the words of skin, the right hand hold fast to needle syringe needle thorn into the subcutaneous (sting fashionable skin show 75 ° tip and Angle).

        Needle pierced wait a moment after moment, will be needle body twist is (and skin vertical), will provoke subcutaneous white fiber.

        And then move up and down carry handle needle, hook cut (general hook cut 3 ~ 4), can be heard at this time to cut the creaking subcutaneous fiber.

        Hook cut end, can a needle (when the needle should be restored to needle body when the needles, make the point of view of the tip of the pinhole, so can reduce the skin).

        The needle immediately after the tampon press pinhole.

        2. Percutaneous meridians electrical stimulation treatment stasis sluggish type periarthritis of shoulder technology

        [location] shoulder shoulder liao, before, the customs clearance, and valley

        [operation] choose aesthetic percutaneous neural CiJiYi, 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, intensity (10 ± 2) mA. On the second day treatment.

        Six, the matters needing attention

        1. Of course of acupuncture and moxibustion short periarthritis of shoulder curative effect is good, but to have obvious muscle atrophy shoulder and adhesion of patients, it should cooperate with other therapy comprehensive treatment, such as can be combined with traditional massage, hand needle, laser, magnetic therapy low frequency pulse, microwave method, etc.

        2. Periarthritis of shoulder patients in acupuncture treatment at the same time, still must be positive function exercise, common methods are: climb a wall to exercise: in the face of the wall, with his hands or single hand slowly moving up, make the upper limbs as far as possible is lifted up, and then slowly down to my place, repeated; The body shake handshandle: hands back against the back, by health hand took limb wrist, gradually towards the ceiling pull, repeated; The spin exercise: back on a wall and stand, the hands clench fist elbow flexion, for the upper arm spin action, make as far as possible back near the repeated wall fist.