Most of the symptoms are caused by inflammation of the tendons or tendon sheaths around the shoulder joint, or chronic inflammation of the muscles. Topical medicines that activate blood circulation and remove blood stasis, reduce swelling and relieve pain can be applied locally, such as Eliminate Blood Stasis and Determine Pain Ointment, Activate Blood and Relieve Pain Ointment, Tongluo Pain Ointment and so on. Oral medicines such as horse chestnut seed extract tablets, blood circulation capsules, or blood circulation and swelling powder can be taken orally. If the local symptoms are relieved after treatment, appropriate local manipulative massage can be carried out. The strength of manipulative massage should be relatively light, not produce excessive stimulation, and acupuncture can be carried out. If the local swelling is more serious and not relieved by treatment, local ultrasound is needed to determine whether it is caused by localized cysts. Once localized cysts are present, surgical removal may be necessary.