PANARTHRALGIA

Clinical Manifestations
  • Joint pain
  • Swelling and deformity
  • Inability to move joints
  • Pain spreads through all the joints of body
  • Latent: A prolonged history of attacks
Treatment Principle
Herb Formulas
Points
Etiology
  • Yuan Qi Deficiency
  • Irregular lifestyle
  • Excess- Exhausts Qi, Blood, Liver and Kidney
Clinical Manifestations
  • Joint deformation
  • Joints of limbs are sore and painful
  • Excruciating sharp, stabbing joint pain
  • Pain alleviated by warmth and aggravated by Cold
  • The pain is better during the day and worse at night
  • The body is crooked and gaunt
  • The fingers are crooked
  • The joints are like mallets
  • Pain with fixed location
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • The legs are severely swollen
  • Maybe only the feet are swollen
  • Pain mostly affects low back and lower extremities
  • 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
Etiology
  • Underlying Yin Deficient constitution with Blood loss
  • Underlying Yin Deficient constitution with chronic disease
  • Underlying Yin Deficient constitution with Damp-Heat
  • Underlying Yin Deficient constitution with Toxic heat
  • Above etiologies cause local redness and Heat and pain which is worse at night
Clinical Manifestations
  • Prolonged history of attacks
  • Joint pain
  • Joints feel contracted
  • Limited motion
  • Slight topical burning sensation with redness and swelling
  • Pain worse at night
  • Maybe no clear joint problems
  • Lightheadedness
  • Vertigo
  • Tinnitus
  • Dry mouth
  • Irritability
  • Five Sole Heat
  • Insomnia and Vivid dreams
  • Low back and knees weak
  • T: Shiny and red
  • C: Normal
  • P: Thin and rapid
Treatment Principle
  • Nourish Yin and Blood
  • Clear Heat
  • Harmonize the Blood
  • With Excess Heat:
    Nourish Yin
    Decreases Fire
Herb Formulas
Points
  • General points
Etiology
  • Chronic Cold-Damp Stagnation
  • Long term disease harms the Kidney Qi (Kidney Yin and Yang)
Clinical Manifestations
  • Joints stiff
  • Impaired motion
  • Pain is mild, dull or non-existent
  • Spontaneous sweat
  • Pale face
  • Light headedness
  • Tinnitus
  • Aversion to cold
  • Sore, weak lower back and legs
  • Profuse clear urine
  • Frequent nocturnal urination
  • Dribbling urine
  • T: Pale
  • C: Thin and white
  • P: Deep,thin and weak
Treatment Principle
  • Warm Yang
  • Tonify Qi
Herb Formulas
Points
  • General points
Etiology
  • Underlying Yin Deficient constitution with Blood loss
  • Underlying Yin Deficient constitution with chronic disease
  • Underlying Yin Deficient constitution with Damp-Heat
  • Underlying Yin Deficient constitution with Toxic heat
  • Above etiologies cause local redness and Heat and pain which is worse at night
Clinical Manifestations
  • Prolonged history of attacks
  • Joint pain
  • Joints feel contracted
  • Limited motion
  • Slight topical burning sensation with redness and swelling
  • Pain worse at night
  • Maybe no clear joint problems
  • Lightheadedness
  • Vertigo
  • Tinnitus
  • Dry mouth
  • Irritability
  • Five Sole Heat
  • Insomnia and Vivid dreams
  • Low back and knees weak
  • T: Shiny and red
  • C: Normal
  • P: Thin and rapid
Treatment Principle
  • Nourish Yin and Blood
  • Clear Heat
  • Harmonize the Blood
  • With Excess Heat:
    Nourish Yin
    Decreases Fire
Herb Formulas
Points
  • General points
Clinical Manifestations
  • When Cold predominates: Chills and Fever
    Aversion to Cold
    Shang Han (anhidrosis) or
    Zhong Feng (sweat)
    Severe joint pain (multiple, successive or simultaneous)
    Decreased range of motion
    Pain worse with Wind and Cold
    Pain better with topical warmth
    T: Pale
    C: Thin and white
    P: Floating, tight and deep
  • When Wind and Cold predominate:
    Fever is high
    No sweat
  • When Wind and Damp predominate:
    Fever is mild
    Non-productive sweat
    Fever lingers
  • Wind-Cold-Damp stirs up latent pathogens on path to the Interior
Treatment Principle
  • Warm Yang
  • Dispel Cold
  • Alleviate Pain
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Aversion to wind
  • Fever
  • Unproductive sweat
  • Joints are red, hot, swollen and painful
  • Cannot tolerate pressure
  • When toxic heat is intense, pain and swelling is excruciating
  • Worse at night
  • Better during the day
  • Weight loss
  • Scaly skin
  • T: Red and dry
  • C: Yellow
  • P: Thin and rapid
Treatment Principle
  • Clear Heat
  • Relieve toxicity
  • Invigorate the Blood
  • Unblock the collaterals
Herb Formulas
Points
  • General points