and contusion here refer to the injury of soft tissues, such as skin,
muscles and tendons of the trunk or limbs without fracture, dislocation or
manifestations are pain and swelling of the injured areas, and motor
impairment of the joints.
stagnation of qi and blood in the meridians of diseased areas is due to
injury of tendinous tissues and joints by violent movement, awkward posture
of the body, bruise, falling, traction or over twisting.
manifestations: Local swelling and pain, redness or ecchymosis. A new injury
is slightly swollen with tenderness. Large area of swelling together with
motor impairment of the joints is found in serious cases. Old injury is
characterized by absence of marked swelling but repeated recurrence due to
invasion of exogenous pathogenic wind, cold and damp. The injury mostly
happens in the shoulder, elbow, wrist, back, hip, knee, and ankle.
Analysis: Sprain or contusion at any place of the body is due to tendinous
injury with local qi stagnation and blood stasis, manifested by swelling and
pain with tenderness. In a protracted case, qi and blood are consumed, and
their circulation in the meridians tends to be further obstructed by
exposure to wind, cold and damp. That is why pain is exacerbated in bad
points are used as the principal points. Local and distal points of involved
meridians may be combined to ease tendons and activate blood circulation,
relieving swelling and pain. Apply needling plus moxibustion to the local
points and needling alone to the distal points.
- Neck: [BL10 - SI3].
- Shoulder joint:
[GB21 - LI15].
- Elbow joint: [LI11)
- Wrist joint: [TH4 -
- Hip joint: [GB30 -
- Knee joint: [ST35 -
- Ankle joint: [ST41
- GB40 - BL60].
Explanation: Local and distal points from the affected meridians are
selected to promote the circulation of qi and blood in the meridians.
Moxibustion to the local points promotes the circulation of qi and blood by
warmth so as to relieve swelling and pain, and to speed up the recovery of
the injuried tissues.
can be applied to the healthy side at the area corresponding to the affected
area. When manipulating the needle, ask the patient to move the sprained
joint. Alleviation or subsidence of pain may be expected.