Yesterday I visited a good friend. He said that his elbow joints were painful. Especially when I got up to wash my face in the morning, my elbow was painful like an electric switch. Because of this, he hasn't gone to work for more than half a year, and now he has almost become a anxiety disorder . During the examination, it was found that there was obvious tenderness in the inner epicondyle of the elbow, no redness and swelling, and the electric switch-like pain of the elbow was lifted up. At the same time, obvious tendon tension and upper arm muscle spasm could be felt. This is what is called Jin Bi in Chinese medicine.
So what's the matter with the tendinous paralysis? How did ancient Chinese medicine know it?
Actually, the tendon occlusion is in the tendons. It is a rheumatism that mainly manifests itself as tendons, cramping pain, and poor joint flexion and extension. It is mostly caused by the invasion of righteous deficiency and evil, the blockage of qi and blood, and the loss of nourishment of the muscles and veins.
1. The origin of tendon paralysis
The name of tendon paralysis was first seen in " internal meridian ". In "Suwen·Bilun", it says: "Those who encounter this in spring are the tendons." Tang· Sun Simiao mentioned "jinji" in "Preparation for Emergency and Qianjin Essentials", which is closely related to Jinbi.
Second, the ancient clinical description of the tendons
In terms of clinical manifestations, "Suwen·Bilun" has the performance of "Arthralgia in tendons, but not flexion and extension". "Suwen·Long Thorn Jie Lun" also pointed out: "The disease lies in the tendons, and the joints are painful. "Lingshu·Xiqi Visceral Disease Form" says: "Slight astringency is cramped tendon paralysis", which points out the pulse characteristics of tendon paralysis. The main symptom in Sui Chaoyuan's "Theories on the Sources of All Diseases" was "the limbs cramp and cannot be flexed or stretched".
Third, the etiology and pathogenesis, understanding
As early as in "Suwen·Sishiji Nishi Theory", it was thought that "there is more than Shaoyang, and the diseased tendons are full." "Lingshu·Thorn Section True Evil" believes that the disease is caused by "virtual evil struggling at the tendons". The "Zhong Zang Sutra" believes that "the person with muscular numbness is called by anger and has no time, walking in a hurry, lustful evil injures the liver, and the liver loses its qi, so cold and heat are the guests. It’s anxious and can’t be soothed.” Han Huatuo's "Zangzang Jing" believes that "the common wind, cold, heat, and dampness enters the liver, and it is called muscle numbness", emphasizing the external pathogenic numbness.
3. Treatment aspects
put forward in "Suwen·Long Thorn Jie Lun" the needle that "spins the muscles for the reason, separates the flesh, not the bones, the disease has caused the sinews, and the disease has stopped" The thorn treatment method. "Lingshu·Official Needle" also mentions: "The person who restores the thorn, pierces it straight, before and after the lift, restores the tendons to treat the tendons." Liver, warm the qi to nourish the kidneys, and then take bait decoction pills." Wei Jin· Huangfu Mi "Acupuncture and Moxibustion A and B Meridian·Yin Shou Disease Fat Bi" refers to commonly used acupoints for the treatment of tendon paralysis, such as Yanglingquan and Zhongdu Reconciliation Creek. "Prescriptions for Emergency Preparations" under the Jinjimen, lists the treatment prescriptions and moxibustion methods. The Song Dynasty "Shengji Zonglu·Zhubimen" listed Jinbi strips, and attached the prescription classification. Xu Shuwei's " Puji original formula" is the name "Lingyangjiao San" for the treatment of muscle and muscles. The method of relaxing the muscles and healing muscles is used by later physicians, such as , Ming Dynasty, " Materia Medica" And the Qing Dynasty " Zhang's medical communication", " medical law", etc. have been recorded and explained.
4. Comparison of disease names in Chinese and Western medicine
The muscular paralysis of Wutibi is equivalent to in western medicine. Sciatica, fibromyalgia, periarthritis, , tennis elbow, bursa, bursa Inflammation, , lumbar muscle strain and muscle spasm caused by various factors have symptoms of muscle paralysis.
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