PAINFUL OBSTRUCTION (BI SYNDROME)

Etiology
  • Invasion of Wind, Cold and Damp or Wind, Heat and Damp in the Meridians
  • Weakness of the body due to Yang Deficiency
  • Qi and Blood Deficiencies due to childbirth or long term illness causing Wei Qi Deficiency
  • Overstraining, hence weakening the body
  • A Yang excess constitution, a Yin Deficient constitution or long standing Wind-Cold-Damp, stagnation may turn into Heat Bi
Clinical Manifestations
  • With a strong constitution, the etiologic factors may include:
    Living for a long period of time in Cold areas
    Lacking adequate protection against Cold weather
    Prolonged exposure to Cold at work (air conditioning)
    Sleeping in areas exposed to Wind, rain, snow or fog
    Living in Damp climates
    Exposure to Wind and rain
    Working in water
    Exposure to Wind, Cold or Damp after physical exertion with sweating
    Entering the water while sweating
    Wearing wet clothes
    Chronic Bi can lead to Qi and Blood Stagnation with Phlegm Stasis. This generates swelling and joint deformation. This is much more difficult to treat.
  • Special characteristics:
    Recalcitrant to treatment
    Joint swelling and pain
    Swelling is hard
    Pain is excruciating
    Limbs are numb
  • Blood Stasis:
    T: Purple spots
    C: White
    P: Thin and choppy
  • Phlegm Stagnation:
    T: Normal
    C: White and greasy
    P: Soggy and even
  • It usually starts gradually. In the initial stages, treatment is aimed at relieving the Excess condition.
  • Secondary phase - Excess type:
    The pathogen has not been cleared and moves deeper into the tissues and organs.
  • Chest Bi - Heart blockage:
    Uncomfortable feeling in the chest
    Palpitations
    Asthmatic panting
    Irritability
Treatment Principle
  • Eliminate Wind
  • Warm Cold (Clear Heat)
  • Expel Damp
  • Clear the Channels
Herb Formulas
Points
Clinical Manifestations
  • Migrating pain in the joints especially the :
    Shoulders
    Elbows
    Knees
    Wrists
    Fingers
    Upper back and neck
  • Multiple joints
  • Pain quality changes
  • May move from soreness to numbness to aching
  • Sensitivity varies
  • Pain often appears abruptly, acutely or paroxysmal and then disappears
  • Limited range of motion
  • Chills and fever
  • Aversion to Wind
  • Symptoms are worse in windy weather
  • Sore throat
  • General body aches
  • Maybe perspiration
  • T: Pink
  • C: Thin and white or Sticky and yellow
  • P: Superficial and moderate
Treatment Principle
  • Eliminate Wind
  • Warm Cold
  • Expel Damp
  • Clear the Channels
Herb Formulas
Points
Clinical Manifestations
  • Excruciating sharp, stabbing joint pain
  • Pain alleviated by warmth and aggravated by Cold
  • Pain with fixed location
  • Few joints are involved
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • Pain worse at night and better during the day
  • Pain mostly affects low back and lower extremities
  • Pain intense but short lived
  • Pain changes over days or weeks
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T: Pink or Pale
  • C: Thin and white (thicker than for Wind-Bi)
  • P: Superficial and tight or Wiry and tight - maybe slow
Treatment Principle
  • Warm the channels
  • Activate Qi and Blood.
Herb Formulas
Points
Clinical Manifestations
  • Numbness and heaviness of the extremities
  • Soreness and fixed pain of joints
  • Stiffness or numbness of the muscles or skin
  • Pain worse on cloudy or rainy days
  • Maybe peripheral or systemic edema
  • Pain is alleviated by pressure and warmth
  • Pain lingers and is recalcitrant to treatment
  • Worse during cloudy or wet weather
  • Limited movement
  • Edema
  • Maybe stifling sensation in chest
  • Maybe anorexia or indigestion
  • Maybe abdominal distention
  • Maybe loose or semi-liquid stools
  • T: Pink or Pale
  • C: Greasy and white
  • P: Slow, moderate and soft
Treatment Principle
  • Expel Damp
  • Clear the channels
Herb Formulas
Points
Clinical Manifestations
  • Acute joint swelling and pain, especially hands and feet
  • Heaviness of the joints
  • Numbness of the joints
  • Stiffness of the joints
  • Fever
  • Heaviness of the body
  • Coldness of the body
  • Aversion to Wind
  • Aversion to Dampness
  • Dizziness
  • Likes pressure
  • Fatigue
  • Pale complexion
  • Preference for warmth
  • Painful legs
  • Difficulty walking
  • Limitation of arm movement
  • Nausea
  • Vomiting
  • Diarrhea
  • Aversion to Food
  • Windstroke
  • T: Pale
  • C: Thick and white or Greasy and white
  • P: Thready and slippery or Floating and slippery
Treatment Principle
  • Eliminate Wind
  • Resolve Dampness
  • Reduce swelling
  • Move Qi
  • Warm the channels
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Muscle aches
  • Joint pain
  • Radiating pain in the legs
  • Low back pain
  • Edema
  • Numbness in the lower extremities
  • Pain in the trunk and extremities
  • Abdominal pain
  • Sciatica
  • Aversion to Wind and Cold
  • Knee pain
  • T: Pale or Pink with purple spots
  • C: Normal
  • P: Choppy or Taut
Treatment Principle
  • Unblock and relax the channels
  • Activate the Blood
  • Break up Blood Stasis
  • Dispel Wind-Dampness
  • Strengthen the tendons
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Fever and chills with fever predominant
  • Headache
  • Dry mouth
  • Thirst
  • Irritability
Treatment Principle
  • Scatter Wind-Cold
  • Expel Dampness
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle
  • Resolve Dampness
  • Clear Heat
  • Disperse Wind
  • Stop pain
  • Activate the Blood
  • Tonify Qi and Blood
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Arthralgia involving one or several joints of the extremities
  • Knee swelling is frequent
  • Local redness and Heat
  • Swelling with excruciating pain
  • Severe limitation of movement
  • Pain better during the day and worse at night
  • The pain is relieved by Cold
  • Fever
  • Sometimes slight chills and fever
  • Thirst
  • Dryness of the mouth and tongue
  • Irritability
  • Nervousness
  • Restlessness
  • Aversion to Heat
  • Desire for Cold drinks
  • Dark urine
  • T: Pink or Red
  • C: Thin and yellow or Dry yellow
  • P: Rolling and rapid maybe slippery
Treatment Principle
  • Clear Heat
  • Relieve toxicity
  • Activate the Blood
  • Clear the channels
  • For Wind-Damp-Heat Bi:
    Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Chronic Bi with many recurrences
  • Joints are stiff and deformed
  • Areas surrounding the joints are slightly purple
  • Pain is excruciating
  • Fixed location
  • Maybe painful numbness
  • Joint may be red, swollen and painful or
  • Icy cold and worse in cold weather and better with warmth
  • Maybe fever
  • T: Purple spots
  • C: White
  • P: Thin and choppy
Treatment Principle
  • Break up Blood Stasis
  • Resolve Phlegm
  • Break up hardness
  • Clear Damp-Heat or
  • Expel Wind-Cold and Damp
Herb Formulas
Points
Etiology
  • Invasion by Wind, Cold, Damp and Heat leading to Qi and Blood Stagnation of the channels and collaterals of the skin.
  • Excess grief, over worrying - usually worse in Autumn
Clinical Manifestations
  • Numbness of the skin
  • Local or general swelling
  • Thickness of skin
  • Cold sensations
  • Shortness of breath
  • Superficial breathing (panting)
  • Blockage of collaterals by Wind-Cold (beginning stage):
    Swelling of the skin with pale color
    Low temperature
    Aversion to Cold
    Discomfort of neck and upper back
    Muscle pain
    Joint pain
    T: Pale
    C: White
    P: Tight and rough
  • Accumulation of Phlegm-Damp in the collaterals:
    Swelling of the skin with tightness and thickness
    Heaviness of the head and body
    Lassitude
    Anorexia
    Chest fullness
    Abdominal fullness
    Loose stools
    T: Pale and flabby
    C: Thick greasy
    P; Wiry and slippery or Deep and slow
  • Qi Deficiency with Blood Stagnation:
    Thick, hard skin
    Dry, rough skin
    Brown or purplish color
    Emaciation
    Dry eyes and mouth
    Dim complexion
    T: Thin with purplish color
    C: Scanty
    P: Deep, thready and rough
  • Kidney Yang Deficiency:
    Thick, hard skin
    Skin tension
    Smooth, cold skin
    Dark brown color
    Cold extremities
    Lumbago
    Painful legs
    Hair loss
    Loose teeth
    Dizziness
    Impotence
    T: Pale
    C: Thin, white
    P: deep and slow
Treatment Principle
  • Blockage of collaterals by Wind-Cold (beginning stage):
    Dispel Wind
    Activate the Blood
    Dispel Cold
    Harmonize the collaterals
  • Accumulation of Phlegm-Damp in the collaterals:
    Resolve Dampness
    Eliminate Phlegm
    Activate Blood and
    Harmonize the collaterals
  • Qi Deficiency with Blood Stagnation:
    Tonify Qi
    Benefit Blood,
    Activate Blood
    Eliminate Blood Stasis
  • Kidney Yang Deficiency:
    Warm the Kidneys
    T tonify Yang
    Activate Blood
    Eliminate Blood Stasis
Herb Formulas
Points
  • General points
Etiology
  • Follows prolonged Skin Bi (Pi Bi) or is the result of external invasion
Clinical Manifestations
  • Dyspnea
  • Shortness of breath
  • Panting
  • Chills / fever
  • Chest fullness
  • Chest oppression
  • Anxiety
  • Over worrying
Treatment Principle
Herb Formulas
Points
Etiology
  • Invasion by Wind, Cold, Damp and Heat leading to consumption of muscle tissue.
  • Excess rich, greasy food, alcohol, irregular eating habits
Clinical Manifestations
  • General symptoms:
    Muscle soreness and pain
    Muscle numbness
    Muscle weakness
    Paralytic sensations
    Heavy sensations of the limbs
    Heavy body
    Heavy head
    Extreme tiredness
    Fatigue on exertion
    Spontaneous perspiration
    Excessive perspiration with exertion
    Digestive problems
    Muscle emaciation or atrophy
  • Invasion by Toxic Heat:
    Muscle pain
    Aversion to touch or pressure
    High fever
    Thirst
    Scattered red spots all over body
    Spots mostly on eyelids and face
    Spots bright red
    Restlessness
    Desires cold drinks
    Insomnia
    Maybe coma
    Constipation
    Dark yellow urine
    T: Deep red
    C: Dry, yellow
    P: Forceful and rapid
  • Damp-Heat:
    Muscle soreness and pain
    Muscle swelling and heaviness
    Lassitude
    Feverish feeling
    Slight perspiration
    Anorexia
    Chest fullness
    Sallow complexion
    Loose stools
    T: Red
    C: Yellow and greasy
    P: Slippery and rapid
  • Cold-Dampness:
    Muscle soreness and pain
    Muscle
    Numbness
    Weak extremities
    Coldness and pain of the limbs
  • Aversion to Cold:
    Painful joints
    T: Pale
    C: White and greasy
    P: Deep, thready and soft
  • Spleen and Kidney Deficiencies:
    Muscle weakness and numbness
    Pale complexion
    Muscle softness and atrophy
    Emaciation
    Difficulty swallowing
    Aversion to Cold
    T: Pale
    C: White
    P: Deep and thready
Treatment Principle
  • Invasion by Toxic Heat:
    Clear Heat
    Remove toxins
    Cool the Blood
    Eliminate Blood Stasis
  • Damp-Heat:
    Clear Heat
    Eliminate Dampness
    Circulate the collaterals
  • Aversion to Cold:
    Dispel Cold
    Resolve Dampness
    Circulate the meridians
  • Spleen and Kidney Deficiencies:
    Warm the Spleen and Kidneys
    Tonify Qi and Blood
Herb Formulas
Points
  • General points
Etiology
  • Prolonged Muscle Bi or Excessive perspiration during exertion in a draft or Wind - due to Wei Qi weakness, pathogens may invade the abdomen directly.
Clinical Manifestations
  • Weakness of the extremities
  • Chest oppression
  • Vomiting
  • Poor digestion
  • Shortness of breath
  • Cough with Phlegm
  • Excessive watery saliva
  • Chest fullness
  • T: Pale, swollen with teethmarks
  • C: Slippery or Greasy
  • P: Weak and Slippery or Greasy
Treatment Principle
Herb Formulas
Points
Etiology
  • Poor diet - too much food drink, and smoking causing Internal Heat which consumes Qi and Yin. Combined with External attack causes Blood Stagnation in the vessels. Worse in Summer.
  • Wind, Cold, Damp, Heat and Toxin Invasion into the Blood vessels, leading to Qi and Blood Stagnation.
  • Long-term presence of pathogenic factors leading to Qi and Blood Deficiencies.
Clinical Manifestations
  • General manifestations:
    Stabbing fixed pain
    Pain aggravated at night
    Painful muscles and joints
    Uneasiness in the Heart
    Uncomfortable sensations in the chest
    Distress in the chest
    Anxiety
    Depression
    Aversion to Cold
    Fullness in the body (like gas)
    Epigastric fullness
    Sudden shortness of breath
    Dryness of the upper throat
    Frequent belching
    Burning sensations on the skin
    Red or purple spots on or under the skin
    Weakness or disappearance of the pulse
    Numbness, soreness and pain of the affected limbs.
    Low temperature of the affected limb
    Numbness of the limbs
    Aggravation of the above symptoms by Cold
    Pale complexion
    T: Pale
  • Blood Stasis due to Cold:
    Affected limb is cold
    Aversion to Cold
    Numbness of the limbs
    Worse with Cold
    Pale face
    T: Pale
    C: White
    P: Weak or disappeared
  • Phlegm-Damp Accumulation:
    Affected limb is heavy and sore
    Weak limbs
    Difficulty walking
    Lassitude
    Chest fullness
    Anorexia
    T: Pale with teethmarks
    C: Greasy and white
    P: Weak or disappeared
  • Toxic Heat with Blood Stasis:
    Affected limb is red, hot and sore
    Red face
    Headache
    Red, swollen joints with red spots
    Anorexia
    Perspiration
    Thirst
    Dry mouth
    Constipation
    T: Deep red or Purplish
    C: Yellow
    P: Rapid
  • Qi and Blood Deficiencies:
    Affected limbs are numb
    Emaciation
    Fatigue
    Anorexia
    Palpitations
    Pale face
    Dizziness
    Aversion to Cold
    T: Pale
    C: White
    P: Weak or disappeared
Treatment Principle
  • Weakness or disappearance of the pulse
    Warm the channels
    Dispel Cold
    Circulate Blood in the collaterals
  • Blood Stasis due to Cold:
    Warm the meridians
    Dispel Cold and
    Circulate Blood
  • Phlegm-Damp Accumulation:
    Eliminate Phlegm
    Resolve Dampness
    Circulate the collaterals
  • Toxic Heat with Blood Stasis:
    Clear Heat
    Resolve Toxins
    Activate the Blood
  • Qi and Blood Deficiencies:
    Tonify Qi and Blood
  • Circulate the collaterals
Herb Formulas
Points
Etiology
  • Prolonged Vascular Bi or Heart Blood Deficiency plus a new attack of Wind-Cold-Damp
Clinical Manifestations
  • Blood Stasis pain symptoms
  • Palpitations
  • Dyspnea
  • Asthma
  • Frequent throat dryness
  • Continuous sighing
  • Restless
  • Nervousness
  • Always moving
  • Excited or agitated behavior
  • Anxiety
  • Fear of everything
  • Easily panic stricken
Treatment Principle
Herb Formulas
Points
Etiology
  • A Wind-Cold-Damp attack on someone who is frustrated, angry, depressed or quick tempered.
Clinical Manifestations
  • General Manifestations:
    Pain and weakness of the tendons and joints
    Joints can be bent but not stretched
    Excessive eating and drinking
    Excessive desire to eat (bulimia)
    Insatiability
    Nightmares
    Horrible dreams of fighting etc.
    Frequent urination
  • Cold-Dampness:
    Contracting pain in the affected limb
    Heaviness
    Limited movement
    Pain worse at night
    Pain worse in Damp weather
    Preference for warmth
    T: Pale
    C: White, greasy
    P: Deep and thready or Slow and slippery
  • Damp-Heat:
    Stabbing or burning pain along some channels
    Bitter taste in the mouth
    Dry throat
    T: Red
    C: Yellow and greasy
    P: Slippery and rapid
  • Blood Stagnation:
    Stabbing pain with fixed location
    Dislike of pressure or touch
    Worse at night
    Worse when resting
    T: Purple
    C: White
    P: Choppy
Treatment Principle
  • Warm the channels
  • Dispel Cold
  • Eliminate Dampness
  • Relax the tendons
  • Cold-Dampness:
    Warm the channels
    Dispel Cold
    Eliminate Dampness
    Relax the tendons
  • Damp-Heat:
    Clear Heat
    Eliminate Dampness
    Relax the tendons
    Harmonize the collaterals
  • Blood Stagnation:
    Activate the Blood
    Eliminate Blood Stagnation
    Harmonize the collaterals
    Stop pain
Herb Formulas
Points
  • General points
Etiology
  • Prolonged Tendon Bi
Clinical Manifestations
  • Extreme weakness of tendons and limbs
  • Headache (Liver Yang Rising)
  • Frequent bad dreams
  • Nightmares
  • Thirst
  • Frequent urination
  • Costal pain
  • Flank pain
  • Hypochondriac pain and distention
  • Abdominal distention
  • Lumbago
  • Low back pain
  • Cold lower extremities
Treatment Principle
  • Disperse Wind-Dampness
  • Stop Bi pain
  • Tonify the Kidneys and Liver
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Etiology
  • Wind-Cold Damp attacking a person with Kidney Qi (Jing) and Yang Deficiencies - caused by excessive sexual intercourse
Clinical Manifestations
  • Soreness and in the joints and bones
  • Numbness of the body and limbs
  • Heaviness of the body and limbs
  • Stiff joints which are difficult to move
Treatment Principle
  • Tonify the Kidneys
  • Nourish Jing and Blood
Herb Formulas
Points
  • Moxa general points plus UB-23, UB-11
  • + General points
Etiology
  • Prolonged Bone Bi
Clinical Manifestations
  • Curved back and waist
  • Difficulty straightening up
  • Stiff, swollen joints
  • Alkalosis
  • Weakness of the lower extremities
  • Difficulty walking
  • Hair loss
  • Difficulty flexing or extending knees, elbows, shoulders, hips and trunk
Treatment Principle
  • Disperse Wind-Dampness
  • Stop Bi pain
  • Tonify the Kidneys and Liver
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Etiology
  • Pathogen reaches the Intestines, blocking Qi flow locally: Small Intestine: the Pure cannot be separated form the Impure. Large Intestine: some fluids may not be reabsorbed.
Clinical Manifestations
  • Abdominal swelling and distension
  • Diarrhea
  • Difficult urination
  • Painful urination
  • Severe thirst
  • Soreness and pain
Treatment Principle
Herb Formulas
Points
Etiology
  • Pathogen reaches the Urinary Bladder, blocking Qi flow locally.
Clinical Manifestations
  • Lower abdominal swelling, distension, fullness and tenderness - worse with pressure
  • Difficult urination
  • Dysuria
Treatment Principle
Herb Formulas
Points
Etiology
  • Chronic Bi weakens Qi and Blood and the pathogen is retained.
  • Constitutional Qi and Blood Deficiencies, severe hemorrhage or Kidney and Spleen Yang Deficiencies.
Clinical Manifestations
  • Bones and joints sore and painful
  • Worse with movement
  • Face is dull yellow
  • Spasms or contractures of muscles and sinews
  • Palpitations
  • Asthenia
  • Shortness of breath
  • Spontaneous sweating
  • Weight loss
  • Poor appetite
  • Diarrhea
  • T: Pale
  • C: None or White
  • P: Soggy and Weak or Thin and Faint
Treatment Principle
  • Harmonize and Tonify Qi and Blood
Herb Formulas
Points
Etiology
  • Long term illness leads to Yang Deficiency which may lead to Wei Qi Deficiency, allowing pathogens to easily penetrate deeply.
Clinical Manifestations
  • Painful, numb bones and joints
  • Deformed bones and joints
  • Localized Cold sensation
  • Muscles and sinews atrophied
  • Pale, lusterless face
  • Cold body and limbs
  • Spine bent forward (hunched)
  • Weak, sore low back
  • Weak, sore knees
  • Profuse urination
  • Watery stools
  • Daybreak diarrhea
  • T: Pale
  • C: White P:
  • Deep and Weak
  • With Spleen Yang Deficiency :
    Anorexia
    Weakness
    Shortness of breath
Treatment Principle
  • Warm the Yang
  • Augment Qi
Herb Formulas
Points
Etiology
  • Long term illness or excess hot drying herbs leads to Yin Deficiency, interfering with the nourishment of sinews and bones. Blood Deficiency can generate internal Wind, leading to tension and tightness of tendons and vessels.
Clinical Manifestations
  • Bone and joint pain is prolonged without improvement
  • Sinews and vessels are tense and tight
  • Pain is worse with movement
  • Irritability
  • General soreness and weakness
  • Restlessness
  • Night sweats
  • Vertigo
  • Tinnitus
  • Facial flushing
  • Hot flashes
  • Unremitting low grade fever
  • Afternoon fever
  • Low back pain
  • Knees weak
  • Joints may be red, hot, swollen and deformed
  • Significant decrease in range of motion
  • Symptoms worse at night
  • Dry mouth
  • Anorexia
  • Dry, hard stools
  • T: Red
  • C: Little or none
  • P: Thready
Treatment Principle
  • Nourish Kidney and Liver Yin
Herb Formulas
Points
Clinical Manifestations
  • Weakness of the knees
  • Soreness of the lower back
  • Lumbago
  • Atrophy of the leg muscles
  • Lower back weakness
  • Knee pain
  • Difficulty walking
  • Emaciation
  • Impotence
  • Poor memory
  • Dizziness
  • Night sweats
  • Five-sole Heat
  • Aggravation of the pain by Damp weather
  • Pale complexion
  • Profuse urination at night
  • Tinnitus
  • Hair loss
  • Sensation of warmth
  • Thirst
  • Dry skin
  • T: Red or Pale and flabby with teethmarks
  • C: Little or Thin and white
  • P: Thready and weak, especially in the Kidney positions
Treatment Principle
  • Tonify the Liver and Kidneys
  • Strengthen the tendons and bones
  • Eliminate Damp-Heat
  • Tonify Kidney Jing
  • Relieve rheumatic pain
Herb Formulas
Points
Clinical Manifestations
  • Low back pain
  • Sciatica
  • Leg pain
  • Preference for pressure and warmth
  • Pain worse at night
  • Limitation of joint movement
  • Local feeling of Cold
  • Stabbing pain
  • Muscle spasms
  • Referred pain toward the legs
  • Lower back weakness
  • Nocturia
  • Stiffness of the back
  • Numbness of the legs
  • Feebleness of the knees
  • Tinnitus
  • T: Pale or Purplish
  • C: Thin and white or Thin, white and greasy
  • P: Slippery or Wiry or Thready
Treatment Principle
  • Dispel Wind-Cold-Damp
  • Invigorate the Blood
  • Smooth the channels
  • Harmonize the collaterals
  • Benefit the muscles
  • Tonify Kidney Jing
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Long-term Bi with joint swelling and possible deformity
  • Limited flexion and extension
  • T: Purplish
  • C: White and greasy
  • P: Choppy
Treatment Principle
  • Resolve Phlegm
  • Eliminate Blood Stasis
  • Circulate the collaterals
  • Alleviate pain
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Aching bones and joints
  • Muscle ache
  • Whole body pain
  • Aversion to Cold, especially at the back
  • Cold limbs
  • No Thirst
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Maybe fever
  • No thirst
  • T: Normal
  • C: White and slippery
  • P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle
  • Dispel Cold
  • Warm the channels
  • Assist Yang
  • Dispel Dampness
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Severe pain in the joints and muscles
  • Numbness
  • Poor circulation
  • Constant, fixed pain
  • The pain can result from, trauma, surgery or degeneration
  • Muscle ache of the neck, back, legs and shoulder
  • Hip pain
  • Whole body pain
  • Neck and spine pain
  • Shoulder pain
  • Elbow pain
  • Pain at the waist
  • Arm pain
  • Low back pain
  • Leg pain
  • T: Dark
  • C: Normal
  • P: Choppy
Treatment Principle
  • Move Qi
  • Activate the Blood
  • Break up Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Pain in the upper arm
  • Aches and pains in the wrist, forearm and elbow
  • T: Pink
  • C: Slippery
  • P: Slippery
Treatment Principle
  • Dry Dampness
  • Transform Phlegm
  • Dispel Wind
  • Dredge the Channels
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Chronic pain
  • Puffy swelling
  • Tremors
  • Possibly itchiness
  • Light headedness
  • Chest discomfort
  • Nausea
  • Numbness
  • Dizziness
  • Vertigo
  • Tinnitus
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Hypertension
  • T: Dark and swollen
  • C: Greasy
  • P: Slippery and wiry or Soft
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
Herb Formulas
Points