Pain in the Elbow Joint (肘痛，Zhou Tong)
Pain in the Elbow Joint （肘痛，Zhou Tong）
Concept Zhou Tong is a condition characterized by pain in the elbow joint.It belongs to Bi Syndrome"in TCM,and is named Zhou Lao(肘劳).It is often caused by exogenous wind,cold and dampness,physical overstrain or traumatic injuries
Concept Zhou Tong is a condition characterized by pain in the elbow joint.It belongs to “Bi Syndrome”in TCM,and is named “Zhou Lao”(肘劳).It is often caused by exogenous wind,cold and dampness,physical overstrain or traumatic injuries
Etiology and Pathogenesis Wind,cold,dam Limited p pathogenic movement of factors Slow the elbow circulatio Lasting for a joints n of qi Impairment due Zhou long period and blood to overstrain of the Tong elbow Local muscular joints atrophy Traumatic injury,atrophy Stagnation of qi and blood leading to pain
Etiology and Pathogenesis Wind,cold,dam p pathogenic factors Impairment due to overstrain Traumatic injury,atrophy Slow circulatio n of qi and blood of the elbow joints Stagnation of qi and blood leading to pain Zhou Tong Limited movement of the elbow joints Local muscular atrophy Lasting for a long period
Differentiation
Differentiation
1.Invasion of Exogenous Pathogenic Wind,Cold and Dampness Main Manifestations:Soreness and heaviness of the elbow joints,aggravated in bad weather Accompanying Symptoms and Signs:Pain alleviated by warmth,numbness and limited movement of the elbow joints Tongue and pulse:A pale tongue with thin white or greasy coating,a wiry tense pulse or soft moderate pulse
1.Invasion of Exogenous Pathogenic Wind,Cold and Dampness Main Manifestations:Soreness and heaviness of the elbow joints,aggravated in bad weather Accompanying Symptoms and Signs:Pain alleviated by warmth,numbness and limited movement of the elbow joints Tongue and pulse:A pale tongue with thin white or greasy coating,a wiry tense pulse or soft moderate pulse
2.Impairment due to Overstrain Main Manifestations:Pain and weakness of the lateral aspect of the elbow joint,aggravated by lifting heavy weight or flexing the elbow joint Accompanying Symptoms and Signs A tender point on the lateral aspect of the elbow,limited movement,aggravated by turning the forearm Tongue and pulse:A pale tongue or dark purplish tongue with thin white coating,a wiry and thready pulse
2.Impairment due to Overstrain Main Manifestations:Pain and weakness of the lateral aspect of the elbow joint,aggravated by lifting heavy weight or flexing the elbow joint Accompanying Symptoms and Signs :A tender point on the lateral aspect of the elbow,limited movement,aggravated by turning the forearm Tongue and pulse:A pale tongue or dark purplish tongue with thin white coating,a wiry and thready pulse
3.Qi Stagnation and Blood Stasis Main Manifestations:Patients usually have a trauma history of swelling and pain in the local area. Accompanying Symptoms and Signs: Congestion or bleeding in the local area, difficult movement of the elbow joint with tenderness Tongue and pulse:A dark tongue,a wiry choppy pulse
3.Qi Stagnation and Blood Stasis Main Manifestations:Patients usually have a trauma history of swelling and pain in the local area. Accompanying Symptoms and Signs: Congestion or bleeding in the local area, difficult movement of the elbow joint with tenderness Tongue and pulse:A dark tongue ,a wiry choppy pulse
Treatment
Treatment
1.Invasion of Exogenous Pathogenic Wind,Cold and Dampness Treatment Principle:Dredging the meridians and promoting the collaterals,dispersing wind and cold,resolving dampness Acupoint Selection: Group A:Quchi(LI11),Waiguan(SJ5),Chize(LU5),Shou sanli(LI10) B:Hegu(LI4),Tianjing(SJ10),Xiaohai(SI8),Quc hi(LI11)
1.Invasion of Exogenous Pathogenic Wind,Cold and Dampness Treatment Principle:Dredging the meridians and promoting the collaterals,dispersing wind and cold,resolving dampness Acupoint Selection: Group A:Quchi(LI11),Waiguan(SJ5),Chize(LU5),Shou sanli(LI10) Group B:Hegu(LI4),Tianjing(SJ10),Xiaohai(SI8),Quc hi(LI11)
2.Impairment due to Overstrain Treatment Principle:Promoting flow of qi and blood,dredging the meridians to relax tendons Acupoint Selection:Ahshi points,Quchi(LI11),Zhouliao(LI12),Yangl ingquan(GB34)
2.Impairment due to Overstrain Treatment Principle:Promoting flow of qi and blood,dredging the meridians to relax tendons Acupoint Selection:Ahshi points,Quchi(LI11),Zhouliao(LI12),Yangl ingquan(GB34)