Patient: I started to have wandering pain in my chest since March last year, and it has developed into pain in my chest and back and ribs. Since last year, I have been hospitalized at many major hospitals such as Guangzhou Army General Hospital, Southern Hospital and Zhongshan First Hospital, but the results of all the tests were that the real cause of the pain could not be found. I was hospitalized several times in the area, but in the end, the real problem could not be detected: finally the doctor considered it as rib neuritis and rib chondritis. Later, I was hospitalized and examined in the gastroenterology, neurology and respiratory departments of several large hospitals in Guangzhou, but the results were all unable to find the real cause of the pain. During this period, I had some tests and major examinations, including CD and enhanced CD of the chest, MRI and enhanced MRI of the thoracic spine (the sixth and seventh degeneration of the thoracic spine was detected), some biochemical tests, and a whole-body PET scan, but I only found multiple lymphatic tuberculosis in the mediastinum and both lung doors. I also had a thoracoscopy to take biopsies to confirm the diagnosis of lymphatic TB. The doctor said that it was not related to my chest and back pain, and I have been taking TB medicine for almost six months now, but the pain has gotten worse and the area has expanded. In April this year, I went to the gastroenterology department of Zhujiang Hospital in Guangzhou for an inpatient checkup, but the results still could not find any pain results. The doctors treated me with some blood circulation and antidepressants, but it was counterproductive to increase the pain. I was also referred by a friend, and I hope I can get your guidance and help here. I hope I can get your advice and help. I can contact you as soon as possible and go to your department for treatment and cure. Luo Hanhua, Department of Rehabilitation Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine: Positive signs and symptoms are as follows: 1. multiple pains in the thoracic back and rib cage, the pain is aggravated and the area has expanded, accompanied by numbness in the hands, tautness in the neck and fainting sensation when the head is in place; 2. thoracoscopic biopsy confirms the diagnosis of lymphatic tuberculosis; 3. MRI of the thoracic spine suggests degeneration of the sixth and seventh thoracic vertebrae. There are more causes of multiple bone pain and muscle pain, including: psychogenic musculoskeletal pain, fatigue myalgia, polymyositis, dermatomyositis, osteochondrosis, and scurvy acid. I don’t know if all the above disease related tests have been done? If the relevant tests are all negative, it is recommended that while continuing to treat tuberculosis, bring the relevant information to the hospital for examination and treatment in conjunction with the psychotherapy department, acupuncture department and rehabilitation department. Patient: Hello, Director Luo. My pain is mainly tense when I have pain, and I feel tense and painful when I push my chest out. I have also done acupuncture, but the effect is not good either. I went to the hospital to do the tests to film myself or know, but the biochemical tests done to ask the doctor himself, the doctor answered my then there is nothing wrong, every time in these large hospitals in the hospital results are the same. In the end, the doctor could only say that I was suffering from neuralgia and neurosis, and I didn’t know what kind of strange disease I was getting. Luo Hanhua, Department of Rehabilitation Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine: For blood biochemical tests, there are usually normal values for comparison in regular hospitals, and as long as the parameters are within the normal range, it means there is nothing wrong. If the diagnosis is neuralgia and neurological disorder syndrome, the effect of physiotherapy will be better. Patient: Hello, Director Luo. I have spent some time in the rehabilitation and physiotherapy department of the local hospital, but the effect is not better. I was also hospitalized in the neurology department of the Southern Hospital, but the doctor did not give me a clear diagnosis of my chest and back pain until I was discharged. I don’t understand why I can’t find out the cause of this pain. Luo Hanhua, Department of Rehabilitation Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine: Take the examination data with you and go to the Provincial Hospital of Traditional Chinese Medicine on Dade Road to find a famous old Chinese doctor of orthopedics and neurology for Chinese medicine treatment, which may help your situation. Patient: Hello, Director Luo. I have not been able to find the cause of my pain until now. When I went to the pain department in Qingyuan, the doctor said that I have a small joint disorder in the thoracic spine. When I went to the Chinese medicine department, they said I had thoracic paralysis. So I would like to consult you, can thoracic spine small joint disorder cause long-term pain? Do you have a treatment method? Luo Hanhua, Department of Rehabilitation Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine: It is recommended to bring the film and go to our famous veteran Chinese medicine doctor for treatment. Patient: Hello, Director Luo! I recently went back to the hospital to have some blood tests and EMG tests, and the results of the EMG test said that I have myogenic damage. What kind of treatment should I get? Luo Hanhua, Department of Rehabilitation Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine: Isn’t it “multiple pains in the chest and back and ribs”? From your electromyography report, you can see how to do the electromyography of the upper and lower limbs on the right side, and the left limb has been checked against? In addition: “myogenic damage” is a symptom, first rule out neurological diseases, we suggest to bring the test results to the neurology department of the hospital for examination and treatment first. Patient: Hello, Director Luo, thank you for your prompt reply. The electromyogram I had done was done on the right side, and the list was written for five muscles and two nerves. I would like to ask here for clarification: does myogenic damage mean that there is something wrong with the muscles? You said I ruled out neurology and had to go back to neurology to get tested. Last year, I went to the Southern Hospital of Southern Medical University in Guangzhou for inpatient neurological examination, but the doctor didn’t find any pain result for me. So I finally ask: Can I go to the provincial Chinese medicine hospital to see a doctor for myogenic damage like this and use Chinese herbal medicine to regulate it? Luo Hanhua, Department of Rehabilitation Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine: If the cause is identified, you can go to the Department of Neurology of the Provincial Hospital of Traditional Chinese Medicine for herbal conditioning.