Shoulder periarthritis is one of the common diseases that cause shoulder pain and dysfunction, also known as leaky shoulder, fifty shoulder, frozen shoulder, etc.; referred to as periarthritis. The basis of this disease is the aseptic inflammation of the joint capsule of the shoulder joint caused by strain, trauma, wind and cold, which leads to local adhesions and causes a series of symptoms such as pain and dysfunction of the shoulder. The disease is more common in women than in men at the age of 50 and is more common in manual laborers. If not treated effectively, it may seriously affect the functional activities of the shoulder joint. It is generally believed that this disease is related to the lack of qi and blood, external wind and cold, and traumatic strain and injury. 1. Diagnosis 1.1 Clinical manifestations 1.1.1 Symptoms: The clinical manifestations of this disease are mainly two symptoms, namely shoulder pain and limitation of functional activities of the shoulder joint. 1.1.1.1 Pain: The pain is paroxysmal in the early stage, often triggered by weather changes and exertion, and gradually develops into persistent pain, which gradually worsens, with light day and heavy night, unable to sleep at night and unable to lie on the affected side. When the shoulder is stretched, it can cause severe pain. 1.1.2 Signs 1.1.2.1 Compression pain: widespread pressure pain around the shoulder joint, and it may radiate to the neck and elbow. 1.1.2.2 Restriction of functional activities: Active and passive activities of the shoulder joint are restricted in all directions. In severe cases, the function of the elbow joint is also limited. 1.1.2.3 Muscle atrophy: Over time, disuse atrophy of the deltoid muscle may occur. 1.2 Diagnostic criteria 1.2.1 Widespread pain around the shoulder joint, with the painful point on the joint space. 1.2.2 Restriction of active and passive movements of the shoulder joint in all directions. 2. Identification 2.1 Deficiency of qi and blood: Old age and physical weakness or overexertion lead to deficiency of liver and kidney essence, deficiency of qi and blood, loss of nourishment for tendons, and deficiency of blood to produce pain. In the long run, the tendons and veins are constricted and not used. The tongue is light with little coating and the pulse is thin. 2.2 External wind, cold and dampness: living in a wet place for a long time, rain or shine, sleeping at night when the wind is on the shoulders, resulting in wind, cold and dampness in the blood and tendons. In the veins, blood coagulation does not flow, the veins are constricted and painful. The evil of cold and dampness overflowing in the tendons and flesh is flexed but not stretched, impotent and not used. The tongue is dark with slippery coating and the pulse is stringent. 2.3 Traumatic injury to tendons and bones: fall, flash and contusion, tendons and veins are damaged, blocked by blood, the veins and collaterals do not pass, not pass is pain. In the long run, the tendons and veins are not nourished, constricted and not used. The tongue is dark with stasis and less coating, and the pulse is tight. This disease, regardless of the cause of the disease, the tendons and veins are not nourished, constricted and not used, the veins and vasculature stasis, not pass is pain. 3.1 Treatment 3.1 Treatment principle: Relieve tendons and channels, activate blood circulation, relieve pain, loosen adhesions, and smooth joints. 3.2 Technique: pushing with one finger, kneading, pointing, pressing, holding, pulling, stretching, shaking, etc. 3.3 Acupuncture points: shoulder well, tianzong, shoulder k, shoulder s, shoulder ching, quchi, hegu. 3.4 Operation: Patient in sitting position. Use the kneading method or the one-finger Zen pushing method to treat around the affected shoulder joint, from front to back several times, together with the passive abduction, internal retraction, external rotation and lifting of the affected limb; then use the tendon splitting method and the tendon paddling method to operate 3 – 5 times from front to back at the shoulder joint, together with the abduction of the affected limb; press and knead the above points to the extent of soreness and swelling. Then, use the shoulder joint shaking method and trigger method. When doing the shaking method, the amplitude should be from small to large; when doing the wrenching method, the force should be from light to heavy, and the action should not be too violent, to the extent that the patient can tolerate. Finally, rubbing method is used to repeatedly rub and shake the upper limbs from the shoulder to the forearm as the end action of the manipulation. 3.5 Other treatment 3.5.1 Acupuncture: It is very effective for the early pain treatment of this disease. 3.5.2 Physiotherapy: It has some auxiliary effect on the treatment of this disease. 3.5.3 Closure: It is effective for the treatment of pain of this disease. 3.5.4 Drug patch: commonly used are dog skin paste, Qizheng pain relief patch, Doc’s self-heating patch, blood-vitalizing bone patch, etc. 4. Functional exercise: The shoulder dysfunction in this disease is mainly caused by shoulder joint adhesions. Treatment must be accompanied by appropriate functional exercise of the shoulder, which requires patients to be persistent and progressive, and varies from person to person. The following methods can be chosen according to the specific situation. 4.1 Wall climbing activity: facing the wall, use both hands or one hand to slowly climb up the wall, make the upper limbs as high as possible, and keep the upper limbs straight, try to make the body closer to the wall. Then slowly back down to the original place, repeated several times. 4.2 Posterior hand pulling: hands backward, pull the affected wrist with the healthy hand, gradually pull upward to the maximum angle, repeat several times. 4.3 External rotation exercise: Stand with your back against the wall, make a fist with both hands and flex your elbow, rotate both arms externally and try to make the back of your fist against the wall, repeat several times. 4.4 Shoulder shaking activities: lunge, one hand in the waist, the other hand holding an empty fist near the waist, for the front and back of the ring turn shaking, the amplitude from small to large, the action from slow to fast.