NECK & SHOULDER PAIN

Question 1

ACUTE PAIN PATHOLOGY 
W-C 
SPRAIN
ONSET
LIV PATTERN
NEEDLING
DISTAL PTS

Answer 1

Wind COLD Invasion
_Wind Gate, Tai Yang
Sprain
Sudden onset, rigidity or stiffness, limited ROM
Underlying Liver pattern
_Liver Blood deficiency
_Liver Yang Rising
_Liver Qi Stagnation
Vigorous needling, reducing
Distal point important

Question 2

CHRONIC PAIN PATHOLOGY 
RE-ACU-ATK
LIV PATTERN
_WOMEN
_MEM
_ELDER

Answer 2

Repeated acute attacks, not treated
Underlying Liver pattern
_Women: Liver Blood def. or Liver Qi stagnation
_Men: Liver Qi Stagnation, Liver Yang Rising
_Elderly: Liver Fire, Liver Wind
Treat problem locally
Address underlying condition

Question 3

ACUTE TX PTS
D
L

Answer 3

Distal
SI 3
TW 5
GB 39

Local
BL 10
GB 20
GV 16
GB 21
Ashi

Question 4

CHRONIC TX PTS
D
L

Answer 4

Distal
BL 60
TW 5, 8
PC 6
KD 4
ST 40

Local
Same as acute, palpate SI points
SI 11 , 13, TW 15

Question 5

Trapezius

Answer 5

6 PT

Question 6

Local and Adjacent Neck points

Answer 6

DU17
DU16
DU15
GB20
BL10
BAILAO
DU14
BL11
SI15
SI14
GB21

Question 7

Neck Patterns, Peilin
INV OF W-C
INV OF W-H
INV OF W-C+D
S OF LIV QI
HPA OF LIV YANG
HPA OF F OF LU &ST 
S OF BLD
DEF OF K-E

Answer 7

Invasion of Wind Cold
TW 5, LI 4, BL12, GB 20, LU 7
Invasion of Wind Heat
TW 5, LI 4, LI 11, BL 12, GB 20, LU 7, GV 14
Invasion of Wind, Cold and Damp
BL 11, BL 12, BL 58, BL 62, SI 3, TW 5, GB 20, GV 16, SP 9
Stagnation of Liver Qi
LIV 3, GB 20, GB 21, GB 35, GB 36, GB 41, PC 6
Hyperactivity of Liver Yang
GV 20, GB 20, GB 21, GB 44, LIV 2, LIV 8
Hyperactivity of Fire of Lung and Stomach
LU 5, LU 6, LU 10, BL 13, ST 42, ST 44, LI 4,CV 23,
Stagnation of Blood
GV 13, GV 14, LI 4, SP 6, SI 3, TW 5, BL 58, BL 62, GB 20, GB 35
Deficiency of Kidney Essence
BL 11, GB 39, KD 3, GV 14, SP 6, SI 3, BL 62

Question 8

SHOULDER JOINT/ÆTIOLOGY

Answer 8

ÆTIOLOGY
Cold
Excessive Work or exercise
Accidents
Gall Bladder problem
Large Intestine issue

Question 9

SHOULDER PTS

Answer 9

LI16
LI15
LI14
LI11
LI10
JU BEI
JIAN QIAN
JIAN NEI LING 

SJ15
SJ14
SJ13
SJ11

SI9
SI10

Question 10

Supraspinatus

Answer 10

1 PT

Question 11

Infraspinatus

Answer 11

1 PT

Question 12

Teres minor

Answer 12

1 PT

Question 13

AUTE TX PTS OF SHOULDER JOINT

DISTAL PTS w
ST/BL/GB
Assessment: LI/LU/SI

LOCAL PTS
LI/LU/SI/TW/GB/LU/HT
Pain in front of shoulder joint

Answer 13

Acute Tx
Distal points are primary with strong manipulation
ST 38, same side as affected (Frozen Shoulder)
BL 58, SI channel issue
GB 34
Assessment
Large Intestine: difficulty in abducting arm
Lung: difficulty to touch opposite shoulder
Small Intestine: difficulty twisting arm, back over to the scapula
Local points are important
Large Intestine: LI 15, LI 14
Small Intestine: SI 9, SI 10, SI 11, SI 12, SI 13, SI 14, SI 15
Triple Warmer: TW 14, TW 13, TW 15
Gall Bladder: GB 21
Lung: LU 2
Heart: HT 1
Jianneiling: pain in front of shoulder joint

Question 14

CHRONIC TX PTS OF SHOULDER JOINT

DISTAL PTS w
LI/LU/SI/TW

LOCA PTS;
LI/SI/TW/GB/LU/HT
Pain in front of shoulder joint

Answer 14

CHRONIC TX

Distal points, less stimulated or not at all
Large Intestine: LI 1, LI 4
Lung:  LU 7
Small Intestine:  SI 3, SI 1
Triple Warmer:  TW 1, TW 5

Local points are important (same as acute)
Large Intestine: LI 15, LI 14
Small Intestine: SI 9, SI 10, SI 11, SI 12, SI 13, SI 14, SI 15
Triple Warmer: TW 14, TW 13, TW 15
Gall Bladder: GB 21
Lung: LU 2
Heart: HT 1
Jianneiling: pain in front of shoulder joint

Question 15

SHOULDER Patterns, Peilin
INV OF W-C
INV OF C+D
S OF QI IN CHANNELS
S OF BLD IN CHANNELS
ACCUMULATION OF D-PHLEGM IN CHANNELS

Answer 15

Invasion of Wind Cold
LI 4, LI 15, LU 7, TW 5, GB 20, SI 9, SI 11
Invasion of Cold Damp
GB 20, LI 15, TW 5, SI 9, SI 11, ST 36
Stagnation of Qi in the Channels
LI 4, TW 5, PC 6, SP 6, LIV 3, GB 20
Stagnation of Blood in the Channels
SP 6, SP 10, LI 4, LIV 3
Accumulation of Damp Phlegm in Channels
LI 4, LI 15, TW 6, TW 14, SP 6, SP 9, ST 40, Ah shi pts.