TMJ Flashcards
Etiology
Rain, water, damp —-> Wind cold damp invasion
Fractures/dislocation
Teeth Grinding —> Qi and Blood Stag
Prolonged Stress
Qi and Blood Stag. in Shoayang and Yangming Meridians
Illness
Congenital —-> Liver and Kidney Def.
Irregular Diet —> Qi and Blood Def.
Malnourishment of mm. region of Shaoyang and Yangming meridians
Definition
A disorder of the temporomandibular joint structure characterized by pain, muscle spasm, clicking of the joint and limitation in jaw movement.
Belongs to Bi Syndrome
Mm. Involved
Lateral Pterygoid mm.
Western Tx
SST- Stabilization Splint Therapy
Surgical
Physical Therapy- Cervical Postural Therapy
Medicine- NSAIDS, Analgesics
What are the 5 Meridians that go to the jaw?
- Foot Yangming
- Hand Yangming
- Hand Shaoyang
- Foot Shaoyang
- Hand Taiyang
TMJ Syndromes
Wind Cold Damp Invasion
Qi and Blood Stag.
Qi and Blood Deficiency
Liver and Kidney Deficiency
TCM Diagnosis
Stag of Qi and Blood
Malnourishment of mm. region
Who was Dr. Jinshen?
Discovered acup and neurotransmitters
Pattern Differentiation
Sinus Vs. TMJ
Upper Resp. Infection History Pain at TMJ Jt
Palpate for tenderness No pain bending forward
Maxillary tender/pain (St3)
Runny nose
Headache bending over
Toothache vs. TMJ
POT
Remove Stagnation in Shaoyang and Yangming Meridian
Tx
Local (Affected Side): St 6/7, GB 2/3, SI 18/19, SJ 17/21 Ashi
Distal (Bilaterally): *LI 4,SJ 3/5, GB 41, Sp 9
Main Prescription: ST 7, SI 19, SJ 17, LI 4 –>Warming needle/moxa
Try to use only around 3 points as to not cause a mm. spasm
EA - 15 Min
Auricular: Liver, Shenmen, kidney, jaw
Ear Seeds
Herbal: Put She Xiang(musk) on SI 18 & St 6 -10mg each for 48 hours
Atrophy Points
St 36
Pc 6
Headache radiating to Taiyang points
St 8
GB 8
Taiyang
If face is swollen, hypertrophy points
Distal: LI 4 reducing method
Local: St 4/5 gentle stimulation
Education
Eat less hard food Change unilateral chewing to bilateral chewing See Dentist Exercise to raise Zheng Qi Regulate Diet Tx Stomatic Diseases
Electro Acupuncture Points
Gb 3 SI 19 St 6/7 SJ 17/21 LI 4 on diseased side
*Mixed wave ~ “Breaking skin” High to low constant
Wind Cold Damp Points
SJ 5
GB 20
Pain and soreness at TMJ, alleviated by warmth, aggravated by opening the mouth, especially chewing food, in some cases difficulty opening the mouth or clicking sound, could have temporal headache, worse in cold rainy weather or cold wet environment, no local redness and heat sensation, could have general joint pain
Wind Cold Damp Invasion
Wind Cold Damp Invasion T & P
T: Thin and white
P: Wiry and tight
Qi and Blood Stagnation Points
Liv 3
GB 41
Qi and Blood Stag T and Pulse
P: Slight purple, thin and white
T: Wiry or choppy
Pain and soreness at TMJ, alleviated by warmth, aggravated by opening the mouth, especially chewing food, in some cases difficulty opening the mouth or clicking sound, could have temporal headache, worse when experiencing stress or emotional disturbance, may have history of injury
Qi and Blood Stag.
Qi and Blood Deficiency
Palpation, dizziness, abdominal distension, poor appetite, loose stool, fatigue
Qi and Blood Deficiency T and P
T: Pale tongue with scallop, thin and white coat
P: Thready
Qi and Blood Deficiency Points
UB 17/18
UB 20
Sp 10
St 36
Liver and Kidney Deficiency Points
Sp 6 GB 39 UB 18 (Yin and Blood) UB 23 Du 4 Ren 4 (Yang and Qi) Kid 3/6/7
Liver and Kidney Deficiency T and P
T: Red and little coating
P: Deep and thready
Loose teeth, dizziness, blurred vision, tinnitus, soreness and weakness of knees and lumbar, insomnia, dream disturbed sleep
Liver and Kidney Deficiency
How do you needle SI 17?
Insert with needle open
Cautions
Avoid Bruising
Use dry cotton balls to press on point to stop bleeding
Be careful if patient on blood thinners
Herbal
Put She Xiang on SI 18 and St 6
(10mg) for 48 hours
