? Acupuncture treatment of frozen shoulder principle and method

It is mainly based on specific points in the human body, the use of twisting and lifting and insertion and other acupuncture techniques *** and achieve the purpose of treatment care. Many people take, the following is to see the principle and, more in-depth understanding of the mystery of acupuncture.

Frozen shoulder:

This early in the severe pain, functional activities are still possible; late in the shoulder dysfunction is the main, but the pain is reduced.

At the beginning of the disease, unilateral or bilateral shoulder pain, and can be radiated to the neck and the entire upper limb, day light and night heavy, the affected limbs fear of wind and cold, numbness and swelling of the fingers. Shoulder joints are stiff to different degrees, and arm lifting, forward extension, external rotation, backward extension and other movements are restricted. If the disease is prolonged for a long time, it is often due to cold and damp stagnation, paralysis of qi and blood, resulting in atrophy of the shoulder muscles, but the pain is reduced.

Principle:

Frozen shoulder is a pain in many places of the shoulder and arm, and the activity function is limited, and its pathological mechanism is the stasis of the lesion area, oedema compression and tension peripheral nociceptive nerves, and inflammatory stasis makes the local metabolite concentration increase and directly *** nociceptive nerves, so it produces severe pain. Inflammatory exudation makes inflammation generalized, involving adjacent tissues, late connective tissue hyperplasia, adhesions, etc., so that the joint activity is impaired.

The application can regulate the function of blood vessels, improve blood circulation, so that the pathological metabolites in the stagnant area of inflammation accelerate the decomposition and transport away, or make it inactive. It can also reduce the permeability of blood vessels in the inflammatory area, reduce inflammatory exudation, inhibit inflammatory generalization and accelerate the absorption of inflammatory exudate material, reduce swelling, and alleviate its tensile *** effect on peripheral nerves. Acupuncture can activate endogenous morphine-like substances in the body, exerting a strong analgesic effect. During the recovery period of frozen shoulder, it can significantly promote tissue repair and inhibit the overgrowth of connective tissue and reduce adhesions in order to alleviate dysfunction. So it is said that acupuncture has significant and reliable effects in all pathological periods of frozen shoulder.

Periarthritis of the shoulder, referred to as "frozen shoulder", is a clinical syndrome of shoulder pain and limitation of shoulder joint movement and ankylosis. It belongs to the category of "shoulder paralysis" in Chinese medicine. According to its causes, clinical manifestations and age of onset and other characteristics, Chinese medicine has "leaky shoulder wind", "shoulder condensation", "frozen shoulder", "fifty shoulder". shoulder". The female is higher than the male.

The occurrence of this disease is related to chronic strain injury, and patients may have a history of trauma. The main pathology is chronic degenerative changes, mostly secondary to tendon tenosynovitis, supraspinatus tendonitis or subacromial bursitis. Some patients are associated with infectious lesions or endocrine function. According to Chinese medicine, the lesions of this disease are located in the meridians and meridians of the shoulder. People in their fifties have insufficient positive qi, and the Ying and Wei are becoming weak, if they feel wind and cold locally, or if they are tired and frustrated, or if they are used to lying on one side, the tendons and veins are subjected to long-term pressure, which leads to the blockage of qi and blood and becomes shoulder paralysis. Shoulder pain for a long time, the local qi and blood does not run smoothly, blood stasis, so that the affected areas of swelling and adhesion, and ultimately the joints are stiff, the shoulder arm can not be lifted.

of:

1, the basic

Treatment: dredge the tendons and collaterals, the qi to activate blood, acupuncture and moxibustion, diarrhea.

Prescription: localized acupuncture points in the shoulder joint. The points are newly discovered empirical points in modern times. The points are matched near and far, so that the disease can be dispelled, the tendons and veins Shu Tong, qi and blood harmonization, pain from the end.

Addition and subtraction: Taiyin meridian evidence plus shakuzawa, yinlingquan; yangming, shaoyang meridian evidence plus hand Sanli, Waiguan; solar meridian evidence plus Houxi, Daxu, Kunlun; pain in the yangming, solar meridian plus the mouth of the bar through the Chenggongshan.

Operation: shoulder before the shoulder, shoulder chaste to grasp the angle and direction of needling, avoid inward oblique stab, deep stab; yanglingquan deep stabbing or penetration to the yinlingquan; strip mouth through the chengshan can be used to strong ***; local cold cold can be added to the moxibustion; shoulder acupuncture can be added to the cupping fire canisters and walking canisters; the rest of the points according to the routine needling. All in the distal point of the needle, all make the patient activity shoulder.

2, other acupuncture

(1) 芒聙聹acupuncture: take the shoulder through the extreme spring, the shoulder chastity through the extreme spring, the bar through the mouth of the Chengshan and so on. Shoulder can not lift the person can be localized multi-directional puncture, so that the shoulder can be lifted. When the needle is being used, the patient will be able to move the affected limbs from slow to fast, and the force should not be too strong in order to avoid causing pain.

(2) cupping: the shoulder swelling and pain is obvious and stasis superficial skin needle can be used in the intensity of percussion of the affected area, so that the local skin slightly oozing blood, and then add the fire cupping; such as stasis is deeper can be used to pricking the prongs of the needle 2 to 3 needles to a small amount of bleeding, and then add the fire cupping, so that the stasis of the blood out of the evil to go through the network. This can be done 2 times a week.

(3) Ear acupuncture: take the shoulder, shoulder joint, clavicle, shenmen, corresponding points. Each time to choose 3 to 4 points, millimeters strong ***, stay in the needle; can also be used seed paste pressure.

(4) electroacupuncture: take the shoulder, the shoulder joint, the shoulder auricle, the shoulder front, Tianzong, Quchi, Waiguan and so on. Each time to choose 3 to 5 points, connected to the electroacupuncture instrument, early with continuous wave, late with intermittent wave strong *** 10 to 15 minutes.

(5) Acupuncture point injection: injection of angelica, chuanxiong, yuanhu, safflower and other injections or dextrose injection, injection, 0.5 ml at each point in the shoulder. if the pressure and pain points are extensive, choose 2 to 3 pressure and pain the most obvious place to inject.

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Frozen shoulder,,