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Internal Medicine

1.  Painful Bi due to strain: strain due to falling and contusion, chronic muscle strain, and rheumatalgia are common and frequently-occurring disease. Choosing Ashi points or acupoints along the meridians according to different cases; applying electro-acupuncture for 15-20 minutes, pricking the superficial skin and cupping (bleeding cupping) for 10-15 minutes after local disinfection; applying Tuina with kris after withdrawing cups. The patients are advised to take the herbs home; to decoct it with 0.5kg mashed Lao Jiang wrapped with gauze, and add   few wine, cook it with soft fire after wine boils, take the Lao Jiang package out and squeeze out water, and then apply it on affect region by hot compress.

2. Facial paralysis: choosing Dicang (ST4) (Dicang (ST4)) ,Jiache (ST6) (Jiache (ST6)), Sibai (ST2) (Sibai (ST2)), Shangguan (GB3) (Tinghui (GB2)), Zazhu (Tongziliao (GB1)) and Sizhukong (TE23) (Sizhukong (TE23)) on affect side; applying electro-acupuncture by matched pair; bleeding cupping and Tuina on middle forehead, and affect region. Decocting modified Qian Zheng San. Advising the patients to apply hot compress and Tuina on affect region to help cure.

3. Painful Bi of shoulder, neck and upper limbs: it includes neck stiffness, cervical spondylosis, shoulder periarthritis, and upper limbs strain, etc.. Prescriptions: choosing Fengchi (GB20) (Fengchi (GB20)) and Yifeng (TE17) (Yifeng (TE17)), Dazhui (GV14) (Dazhui (GV14)) and Jianjing (GB21) (Jianjing (GB21)) or Ashi points for neck stiffness, applying electro-acupuncture with matched paired, applying bleeding cupping and Tuina on affect shoulder and neck; for the other diseases, such as cervical spondylosis, shoulder periarthritis, and upper limbs strain, acupoints selecting, electro-acupuncture, cupping and Tuina are applied according to the symptoms. The example of acupoints selection: Fengchi (GB20) and Jianjing (GB21), Jianyu (LI15) (Jianyu (LI15)) and Dazhui (GV 14), Quchi (LI11) He-Sea Point (Quchi (LI11) He-Sea Point) and Hegu (LI4) Yuan-Source Point (Hegu (LI4) Yuan-Source Point), Quchi (LI11) and Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point (Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point), Tianjing (TE10) (Tianjing (TE10)) and Waiguan (TE5) Luo-Connecting Point the Eight Confluent Point (Waiguan (TE5) Luo-Connecting Point the Eight Confluent Point),  Ashi points. Modified Qiang Huo Sheng Shi Tang is decocted for oral administration.

4. Painful Bi of lumbus and lower limbs: it includes lumbar muscle strain, hyperosteogeny of lumbar vertebrae, sciatica, and pain in knees and ankles, etc. prescription and medication: for the pain in lumbosacral region, choosing Shenshu (BL23) (Shenshu (BL23)), Dachangshu (BL25) (Dachangshu (BL25)), Xiaochangshu (BL27) (Xiaochangshu (BL27)) and Jiaji points of L2-L5; matching 2-3 acupoints into pairs on same side for electro-acupuncture; applying bleeding cupping and Tuina. Modified Du Huo Ji Sheng Tang is decocted for oral administration.

Key words: Chinese herbs, acupuncture, tuina, painful Bi

Writer: Fuqiang Tan
Datang health center, Yicheng county, Guangxi Zhuang autonomous region (546203)

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