Correctly selecting a treatment site for periarthritis of the shoulder

  Acupuncture treatment of frozen shoulder, should have a relatively good effect, however, some patients who visit the clinic, the effect is slow, even if the disease is not long, but also difficult to perform, one of the important reasons, is to take the points are not allowed.  The current acupuncturists, most of them from the school, they learned the knowledge, basically from the textbook, acupuncture clinical content, including internal and external women and children, skin and other disciplines, the experts who wrote the textbook can not be all-inclusive, so that their involvement in the disease is not deep, is to be theoretical derivation, the legislative formula points. It is believed that frozen shoulder is attacked by wind and cold, and the shoulder joint space should be the focus of the attack. Therefore, several acupuncture points in the shoulder joint space, such as shoulder, shoulder s, and related meridian points, such as shoulder well, Tianzong, arm, and Quchi, become the main characters in the textbook.  However, among the above-mentioned acupuncture points that can trigger tenderness in patients with frozen shoulder, the incidence of all of them, with the exception of the Tianzong point, is rare. Acupuncture clinically always selects the shoulder, shoulder s, which in most cases is deviated from the site of the lesion.  Frozen shoulder is often the result of different acute inflammations of the periapical area that have not been treated in time, and the affected muscle groups vary from person to person. However, in general, it is mainly manifested in three parts of the shoulder: the front and the back of the shoulder and the arm, but the specific parts, such as the lesion site in the front of the shoulder, can vary greatly from person to person.  The clinical manifestations of frozen shoulder are either the inability to lift the arm or the back, or both. If the arm cannot be lifted, the lesion is mainly in the lateral zone from the scapula to the arm, and the muscles involved are mainly the infraspinatus, teres major, teres minor, or infraspinatus. If the arm is not back, the lesion is mainly in the vertical zone under the rostral process along the anterior axillary wall to the head of the striatum, and the muscles involved are mainly the biceps brachii and the rostro-humeral muscles.  Therefore, in the selection of acupuncture points, pain should be used as the acupoint, and the points should be selected by the key acupuncture point A is method. If the arm cannot be lifted up, Tianzong, Shoulderzhen and Hui should be the main points, and the pressure pain points should be inquired (or Bingfeng, Yu, near the shoulder head should be the second), and if the arm cannot be carried back, the pressure pain points should be inquired in the vicinity of the anterior shoulder and rostral prominence, and down along the anterior axillary wrinkle wall, as well as the hand three li of the forearm, which are the locations of the two upper and lower biceps tendons attached to the bone.  After the treatment points with pain as the acupoint are identified, the appropriate acupuncture method is selected for treatment. A comparison of the advantages and disadvantages of acupuncture without asking the patient for the specific location of the disease will be seen in a few days.