Repetitive Stress injury Flashcards
- Wind
- Damp
- Hear
- Generally Acute Onset, External Sx
Invasion of External Factors (Elbow)
- Overwork, Sports or overuse, Physical Trauma
- Acute Onset with Hx of trauma, Chronic Onset
Stagnation of Blood
Acute Elbow Pain, Aversion to Cold or Wind,
(varies with Weather and Limitation of Movement)
T: Thin White Coat
p: Floating, superficial
Tx: Dispel Wind and Eliminate External Factors
LI 4. LI 10, TW 5, GB 20, Ashi Points
Invasion of External Factors
🔹Multiple, tiny strains from repetitive motion
* Occurs in Muscles, tendons, attachments
* OCCUPATIONAL Etiology: Generally, pain in shoulder,
Elbow, forearm, wrist and hand.
* Sports Etiology: Knee and ankle
* PAIN: Dull, Sharp exacerbations, Use worsens
–At 1st with prolonged use, later any use at all
–May have swelling, numbness, tingling, heaviness, fatigue
* TCM: External Accumulation of Qi and Blood
* Rest is essential
* Acupuncture: local, distal, trigger pts, regular tx’s
REPETITIVE STRESS INJURY
Traumatic Hx or HX of Elbow Strain, elbow pain of long
Duration, Stabbing pain in Elbow, Aggravated at night or
by Immobility, Limitation, of elbow movement, dislike of
pressure and massage
T: Purplish
P: Wiry
Tx: Promote circulation of Bloo, eliminate Blood Stasis,
Relieves pain
LI 3, LI 4, LI 6, LI 10, TW 5, LV 3, SP 6
Stagnation of Blood
Hinge Joint
- Flexion of Elbow enables use to eat
- Enables Supination and pronation of Wrist
ELBOW
- Junction of forearm and hand
- Upper forearm muscles move wrist, fingers and thumb
- Wrist: Six Meridians
- Hand: Meridian Polarity
Points on Hands treat ACUTE problems and EMOTIONAL
issues
Forearm, Wrist, and Hand
Acute onset, short duration, external symptoms, invasion of
Pathogenic factors
External Pattern
Chronic onset, long duration, Sx of internal disorder, disorder
of Internal organs
Internal Pattern
-Acute wrist Pain, Swelling and pain in wrist with cold
Sensation, difficulty in relaxing or extending the wrist,
-Worsening of Pain in Cold Weather
-Alleviation of Sx with movement
-Spasm in fingers or arms Aversion To Cold
-Prefers Warmth
T: Purplish, White Coat
P: Wiry or Tight
Tx: LI 3, LI 4, LU 7, SI 4, TW 5, Ba Xie, Ashi
Invasion of Wind Cold
- Swelling and Pain of Wrist,
- Limitation of Movement
- Heavy sensation in the wrist and fingers,
- Formation of Soft Nodules around wrist,
- Poor appetite
- Loose stools
T: Pale, White and Greasy coat
P: Deep, Slippery
Tx: Promote Qi circulation, Eliminate Phlegm, Alleviate Pain
LI 4, LI 5, LU 7, TW 4, SI 6, SP 6, ST 40, Ashi
Accumulation of Phlegm Damp
- Chronic Wrist Pain with numbness
- Hx of Traumatic injury to wrist or wrist operation
- Pain Worse at Night or with Emotional Upset
- Alleviation of Pain with Movement
- Cold or Purplish a Hands
- Preference for Warmth
T: Purplish
P: Wiry
Tx: Regulate Qi and Blood, Eliminate Blood Stasis,
Alleviate Pain
LI 4, PC 7, LU 9, HT 7, SI 4, SI 5, SP 6, LV 3, Extra Ba Xie
Stagnation of Qi and Blood
- Slight Wrist Pain
- Numbness and Slight Stiffness of Wrist
- Weakness of Wrist and Hands
- Pale Lips
- Dizziness
- Palpatations
- Dry Stools
T: Pale, Thin White Coat
P: Thready and Weak
Tx: Tonify Qi, Nourish Blood and Alleviate Pain
PC7, HT 7, ST 36, SP 6, LU 9, Ashi
Blood Deficiency
Local points LU 9, 10 Distal LI 6, 10
LI 3, 4, 5 LU 7
SI, 3, 4, 5
TW 3, 4, 5
HT 5, 7, 8
PC 6, 7
Shang Ba Xie, Ba Xie, Sifeng
Points of the Wrist and Hands
- Palm Pain with a cold
- Heavy Sensation
- Worse with Exposure to Cold and Humid Weather
or by contact with Water - Alleviated by Warmth
- Swelling of Joints
- Pale Skin of Hands
- Slight Fever
- Aversion to Cold
- Numb or Frigid Fingers
- Cold limbs
- Poor Appetite
- Absence of Thirst
- Clear Urine
T: Pale, White Moist Coat
P: Floating, Tense
Tx: Dispel Cold-Damp, Promote Blood Circulation
LI4, LI 5, TW 5, LU 7, SI 3, LV 3
Invasion of External Cold Damp ( Hand: Palmar Pain)
- Palmar Pain with a hot and heavy sensation
- Accompanied by Redness
- Swelling and a Burning feeling in the finger joints
or all the limb joints - Preference for Cold
- Fever
- Thirst
- Yellow Urine
- Restlessness
T: Red, Yellow Coat
P: Rapid, Slippery
TX: Clear Damp-Heat, Promote Blood Circulation
LI 3, LI 11, TW 5, PC 6, SP 6, SP9
Invasion of External Damp-Heat. (Hand: Palmar Pain)
- Formation of Ulcers and Edema in the Palm
- Reddish skin in the Palm with Hot feeling
- Aggravation of Pain with Pressure
- Itching and a Wet Palm
- Thirst with Cold Drinks
- Bitter taste in Mouth
- Fever
- Aversion to Cold
- Constipation
- Scanty and Yellow Urine
T: Red, yellow and dry coat
P: Rapid
Tx: LI 4, LI 11, PC 8, TW 2, SP 6, ST 40
Invasion of Toxic Fire (Hand : Palmar Pain)
- Palmar Pain with a Distending and cold sensation
- Aggravated by emotional upset or exposure to Cold
( esp during menstrual period) - Pale Color of skin on Hand
- Hypochondriac Pain
- Fatigue
- Poor Appetite
- Dull Feeling in Stomach
- Irritability
T: Pale, White Coat
P: Deep Wiry
Tx: Regulate Liver Qi, Warm Liver Channel, Dispels Cold
LI 4, ST 36, PC 6, LV 3, BL 18, GB 20
Liver Qi Stagnation with Yang Deficiency ( Hand: Palmar Pain)
- Traumatic Injury to or Operation on Wrists
- Palm and Fingers
- Long-Standing Pain in Palm
- Stabbing Pain with a fixed location
- Worse at night
- Alleviated by movement
- Rigidity of Palm or fingers
- Swelling of Joint and Hands
T: Purplish, thin Coat
P: Wiry and Choppy
Tx: LI 3, TW 5, LU 7, PC 6, GB 34, ST 36, BL17
Blood Stagnation (Hand: Palmar Pain)
- Swelling and Pain in Fingers
- Heaviness and Numbness of Fingers with a Cold sensation
- Worse in Damp Cold Weather
- Limitation of Joint
- Movement
- Spasms of Fingers
- Difficulty Grasping
- Heaviness of Body
- Aversion to Cold
- Poor Appetite
- loose Stools
T: Pale, white, greasy coating
P: Deep, Slow and Slippery or Tight
Tx: Dispel Cold, Remove Damp, regulate Qi
TW 5, CV 12, SP 6, SP 9, LI 4, Extra Ba Xie, Ashi
Accumulation of Cold-Damp (Hand: Finger Pain)
- Swelling, Redness and Pain in Fingers
- Worse in Damp, Warm Weather
- Heaviness and Numbness in Fingers
- Difficulty Grasping
- Limitation of Joint Movement
- Spasm of Fingers
- Heaviness of Body
- Poor Appetite
- Loose Stools
T: Red, yellow, greasy coat
P: Deep, Slippery and Rapid or Tight and Rapid
Tx: Dry Damp, Clear Heat, Regulates Qi, Alleviates Pain
TW 6, CV 12, LI 2, LI 3, LI 4, ST 40, ST 44, SP 9, Extra Ba Xie, Ashi
Accumulation of Damp-Heat (Hand: Finger Pain)
- Chronic Hx of Finger Pain or Hx of Trauma or Operation
- Pain and Numbness in Fingers
- Worse at Night
- Better with Movement
- Cold or Purplish Fingers and Hands
- Preference for Warmth
T: Purplish
P: Deep, Wiry
Tx: Regulate Qi and Blood, Alleviate Pain
LI 4, LI 11, PC 6, LU 7, SP6, Extra Ba Xie, Ashi
Stagnation of Qi and Blood (Hand: Finger Pain)
- Slight Finger Pain
- Numbness of Fingers with Stiffness
- Weakness in Hands
- Pale Complexion
- Pale Lips
- Dizziness
- Palpatations
- Dry Stools
T: Pale, Thin, White Coat
P: Thready Weak
Tx: Tonify Qi, Nourish Blood, Alleviate Pain
LI 4, PC 6, HT 7, SP 6, ST 36, KD 3, Ashi
Blood Deficiency ( Hand: Finger Pain)
- Slight Finger Pain with Spasm
- Gradual Deformity of fingers,
- Weakness of Fingers, Wrists, Arms and Legs
- Tiredness
- Lower Back Pain
- Tinnitus
- Poor Memory
- Hair Loss
T: Thin Coat
P: Weak, esp in KD
Tx: Tonify KD and LV, Nourish Essence, Strengthen Tendons
and Bones, Alleviate Pain
LI 4, PC 6, KD 3, LV 3, SP 6, Ashi
Liver and Kidney Essence Deficiency ( Hand: Finger Pain)
- WIND: *Wandering Pain
*Worse in Windy Weather
*Limited Movement
*Chills and Fever
T: Thin White Greasy
P: Superficial
COLD: * Severe Pain
* Cold Feeling
* Better with Warmth
* Cold Limbs
T: White Coat
P: Tight, Superficial
DAMP: *Pain and Swelling
*Limited Joint Movement
*Worse in Cloudy and Rainy Weather
*Numbness of the Skin and Muscles
*Heavy Sensation in Buttocks and lower limbs
*Limping
T: White, greasy coat
P: Soft, Slow
Invasion of Wind-Cold-Damp ( Lower Extremities)
- Swelling, Pain, Limited Movement
- Burning Sensation with Redness
- Irritability, Restlessness
- Poor Appetite
- Bitter Taste
- Scanty yellow Urine
- Occasional Fever
T: Yellow and greasy coat
P: Rapid pulse
Downward Flow of Damp Heat. ( Lower Extremities)
- Fixed, Stabbing Pain
- Swelling of Joints
- Hx of Trauma
- Limited Movement
- Worse with Rest and at Night
- Alleviated by Movement
- Red or Hard Nodules under the skin around Joints
T: Purplish, purple spots
P: Choppy or Thready
Stagnation of Qi and Blood. ( lower extremities )
- Intermittent Pain, Alleviated with rest or Pressure
- Aggravated by Overwork
- Numbness and Weakness of lower limbs
- Tiredness, Pale Complexion
- Poor Appetite
- Loose stools
- SOB, Aversion to Cold
T: Pale, Thin White Coat
P: Thready, Weak
Qi and Blood Deficiency ( lower extremities )
- Chronic Pain
- Difficult Movement, Aggravated by Overstrain
- Weakness of Lower Back and knees
- Rigidity in the Morning
- Joint Deformity
- Muscular Atrophy, Fatigue
- Lower Back Pain
- Aversion to Cold
T: Thin, White Coat
P: Deep, Wiry, weak on KD
Liver and Kidney Deficiency ( lower extremities )
