-IBIS-1.5.0-
tx
musculoskeletal system
epicondylitis
acupuncture

patterns and combinations

after assessing the person and palpating, consider these patterns:
Wind-Cold; Wind-Cold-Damp; Damp Bi Syndrome; Wind-Damp Bi Syndrome; Xue Yu (Blood Stasis); Qi Stagnation

» illustrative combinations:
• LI-11, LI-4 and ashi (tender) points for painful obstruction manifesting as lateral humeral epicondylitis due to Xu (Deficiency) and Stagnation of Qi and Xue (Blood) (Jirui and Wang, p. 178)
• ashi (tender) points for tendinitis of the elbow; also consider: LI-4 and/or LI-10 (Shanghai, p. 658)
• LI-11, St-42 and TW-15 for painful elbow (Shanghai, p. 659)
• LI-10 and GB-44 for inability to extend the forearm (Shanghai, p. 659)
• LI-11, TW-10, PC-5, LI-5, TW-3, Lu-9, SI-4, Lu-7 and TW-2 for exhausted elbow (Shanghai, p. 659)


point analysis

»
palpate and consider:
local ashi (tender) points (-): facilitate flow of Qi and (Xue); reduce inflammation; clear the channels; relax sinews and tendons; alleviate pain
LI-11 (+ and D): local; eliminates Wind and dispels Exterior conditions; regulates and harmonizes Qi and Ying; harmonizes Xue (Blood); eliminates Dampness through the Intestines; benefits sinews, tendons and joints; frees the channels; Large Intestine Upper He Sea Uniting, Earth and Tonification point; budding point of Large Intestine Muscle channel
LI-10 (+ and D): local; dispels Wind; promotes the circulation of Qi and Xue (Blood); tonifies Qi and Xue (Blood) (Maciocia, p. 378); benefits Qi of arms and shoulders; removes obstruction from and invigorates the channels; frees collateral vessels
LI-4 (+ and D): dispels Exterior Wind, including Wind-Cold or Wind-Heat; regulates Qi and Xue (Blood); relaxes sinews and tendons; sedates pain; frees the channels and invigorates the collateral vessels; alleviates pain; Large Intestine Yuan Source point
• TW-11 (-): local; 0 frees Qi of channel and collateral vessels
• TW-10 (-): local; dispels Wind; transforms Phlegm-Damp in the channels and collateral vessels; Triple Warmer He Upper Uniting, Dispersion and Earth point
• Ht-3 (-): local; regulates the circulation of Qi and Xue (Blood); Heart Hea Sea Uniting and Water point
• SI-8 (-): dissipates Wind; invigorates the channels; sedates pain; relaxes the sinews and muscles; Small Intestine He Sea Upper Uniting, Earth and Dispersion point
• ginger moxa on painful areas
GB-34 (=): strengthens and relaxes sinews and tendons; benefits joints; alleviates pain; relieves soreness from fatigued muscles; Gall Bladder Sea and Earth point; Hui Reunion point of the Jin (sinews and tendons)


footnotes

Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.