Periarthritis refers to a degenerative, chronic pathological change of the shoulder joint capsule and surrounding soft tissues. Pain around the shoulder, active dysfunction as the main performance, the name is more, such as this disease occurs in patients aged 50 or so and called "five shoulders", because the patient is often cold and cold, and functional activities are limited, shaped With the cold and consolidation, it is called "freezing shoulder", in addition to the shoulder wind, shoulder coagulation and other titles.
The pathogenesis of frozen shoulder is characterized by a chronic process. The initial period of inflammation, shoulder pain, especially at night. When I go to sleep, I often take a certain lying position because of the fear of pressure on the shoulders. I feel difficult to turn over, and I can't fall asleep. If the initial treatment is not appropriate, it will gradually develop shoulder joint activity, not on the move, it is frozen. Often affect daily life, eating and dressing, wash your hair and feel difficult. In severe cases, life can not take care of themselves, the local muscles of the shoulders and arms will also shrink, and the patient is extremely painful. The disease is divided into wind cold resistance network and blood stasis type 2.
First, the cold resistance network
(I) Symptoms
With shoulder pain, case of cold and pain, fear of wind and cold as the main symptoms.
(two) Governing Law
(1) Select acupuncture shoulder, shoulder zhen, armpit, Quchi, foreign customs, hand three miles, Ashi points. (See Figure 3-3-1, Figure 3-3-2, Figure 3-3-3)
(2) Positioning the shoulders: In the shoulders, deltoids, the arm outreach, or forward stretch, when the front of the shoulder peak depression.
Shoulder zhen: In the lower back of the shoulder joint, when the arm is adducted, 1 inch (inches) is placed on the back of the skull.
Armpits: On the outside of the arm, at the deltoid muscle stop point, when the song pool is connected with the scapula, Quchi is 7 inches.
Quchi: At the lateral extremities of the elbow, the elbow is flexed, and the midpoint of the connecting line between the foot and the zygomatic epicondyle.
Foreign relations: 2 inches on the horizontal stripes of the back of the hand, between the ulna and zygomatic bones, the connection between the Yangchi and the elbow tip.
Figure 3-3-1 Figure 3-3-2 Figure 3-3-3
Hand three miles: on the back side of the forearm, when Yangxi and Quchi are connected. Elbow stripes under 2 inches.
(3) wipe the wipe sequence first scrape the shoulder shoulder, shoulder Zhen, and then scrape the arm deltoid muscle lower arm acupoints, and then scrape the arm of the Quchi, hand three years, foreign relations.
(4) Scratch swab method. Apply a proper amount of scraping oil to the required area: When scraping and rubbing the shoulders, the joints must not be severely scraped. Scraping and rubbing the shoulders and shoulders should be done firstly. The scraper corners should be used. Then scrape the lower arm of the arm deltoid muscle, should be hung again, scraping from the top down. At the end, the outer side of the arm was scraped, and from Quchi, it passed through the hand from Sanli to Waiguan, from top to bottom, and was wiped with a scraper corner, without stopping in the middle for 30 times.
Second, blood stasis
(I) Symptoms
Should the shoulders swell, the pain refused to be pressed, the nights would be even, and the tongue or squatting was the main symptom.
(two) Governing Law
(1) Select acupuncture points, shoulder blades, Ashi points, and Yangling Springs. (see Figure 3-3-1, Figure 3-3-4)
Figure 3-3-4
(2) Positioning the shoulders: In the shoulders, deltoids, the arm outreach, or forward stretch, when the front of the shoulder peak depression.
Shoulder: Behind the shoulders and shoulders, when the shoulder joints are abducted, a depression appears below the shoulders.
Yanglingquan: On the outside of the lower leg, when the lower part of the humerus is recessed.
(3) Scraping wipe sequence The first step is to scrape the shoulders, shoulders, shoulders, and acupoints of the shoulders, and then scrape the Yanglingquan points.
(4) Scratch swab method. Apply a suitable amount of scraping oil to the desired area. Scrubbing the shoulders, the case of joints can not be strong re-scrape, wipe the first wipe the shoulder blades, shoulder blades, shoulders before Yu, Ashi points, it is appropriate to use scraper corners, a degree for the degree. Finally, scrape the inside of the lower extremity, from top to bottom, re-scrape with scraper corners, 30 times, out of the cocoons.
Third, the case
Kang Mou, male, 39 years old. The patient had pain in the left shoulder and was restricted for more than five months. Mainly due to long-term desk work, there is pain in the left shoulder, the weight of the night is light, the labor is aggravated, seriously affecting work and life. Physical examination: The left shoulder joint was extended by 20°, with a 70° lift and a 5° extension. Cervical vertebrae were flexed 35° in flexion, 30° in posterior extension, 30° in left flexion, 45° in right, 60° in left, and 70° in right. C3-C6 paravertebral tenderness, left (+), C2-C6 transverse tenderness, left (+). Left biceps brachial tuberosity of long tibial tubercle tenderness (+), deltoid tenderness (+), left upper scapular spine, infraspinatus muscle, rhomboid muscle tenderness (+), vertebral puncture compression test Left (+), necking test (+), brachial plexus pull test left (+), tendon reflexes, no pathological signs. Cervical X-ray film showed cervical lordosis, C4/5, c5/6 intervertebral space narrowed, C3-C7 visible "double-projection", "bilateral" shadow. Take shoulder, shoulder, shoulders, Yu, Ashi, Yanglingquan. After applying oil, apply Scraping Treatment twice a week. After the first treatment, the patient's pain was relieved and the left shoulder joint activity improved. After one month of treatment, the pain in the left shoulder of the patient was basically relieved, the range of motion of the joints returned to normal, and he was discharged from the hospital.
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