CM SD Index - Differential Diagnosis

Condition Details

Painful elbow

TCM Diagnosis

Qi and blood stagnation

Herbal Formula

Arm Support

Acupuncture

Balance Method — Dr. Richard Tan

Shoulder pain:
- Needle ah shi points on the opposite wrist: Yangxi (LI 5), Yangchi (TH 4), Wangu (SI 4) to Yanggu (SI 5), Jingqu (LU 8) to Taiyuan (LU 9), Shenmen (HT 7), Daling (PC 7)
- Needle all ah shi points on the opposite ankle: Zhongfeng (LR 4), Shangqiu (SP 5), Taixi (KI 3), Kunlun (BL 60), Qiuxu (GB 40), Jiexi (ST 41)
Elbow pain:
- Needle ah shi points on the opposite knee: Yinlingquan (SP 9) to Xuehai (SP 10), Ququan (LR 8), Yingu (KI 10), Weiyang (BL 39) to Weizhong (BL 40), Xiyangguan (GB 33) to Yanglingquan (GB 34), Dubi (ST 35) to Zusanli (ST 36)
Wrist pain:
- Needle on the opposite side of the pain: Shangqiu (SP 5), Zhongfeng (LR 4), Rangu (KI 2), Taixi (KI 3), Yangxi (LI 5), Yanggu (SI 5), Yangchi (TH 4)
- Needle on the same side of the pain: Kunlun (BL 60), Qiuxu (GB 40), Jiexi (ST 41)

BodyMapping Acup — Cole Magbanua

Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
Shoulder pain : Shangqiu (SP 5), Zhongfeng (LR 4), Jiexi (ST 41), Qiuxu (GB 40), two needles from Kunlun (BL 60) to Pushen (BL 61), needle halfway between Jiexi (ST 41) and Qiuxu (GB 40), 2-3 needles from Fenglong (ST 40) to Jiexi (ST 41)
Elbow pain (lateral) : Needle in front and behind Yanglingquan (GB 34) or the fibula, Yangjiao (GB 35), Waiqiu (GB 36), Guangming (GB 37)
Elbow pain (medial) : Yingu (KI 10), thread needle from Ququan (LR 8) to Yinlingquan (SP 9)
Wrist pain (on the HT channel) : Needle ashi points from Taixi (KI 3) to Fuliu (KI 7)
Wrist pain (on the PC channel) : Needle ashi points from Zhongfeng (LR 4) to Xiguan (LR 7)
Wrist pain (on the Lu channel) : Shangqiu (SP 5), Zhongfeng (LR 4), needle ashi points from Ligou (LR 5) to Zhongdu (LR 6), Xiguan (LR 7)
Wrist pain (on the LI channel) : Needle ashi points from Fenglong (ST 40) to Jiexi (ST 41)
Wrist pain (on the SI channel) : Needle ashi points from Fuyang (BL 59) to Kunlun (BL 60)
Wrist pain (on the TH channel) : Xuanzhong (GB 39), also needle in front and behind the tibia and fibula
Whole arm pain : Zusanli (ST 36), Yanglingquan (GB 34), Weizhong (BL 40), Feiyang (BL 58), Xuanzhong (GB 39), Fenglong (ST 40), Sanyinjiao (SP 6)
Hand and finger pain : Needle opposite side foot and toe images. For example, left lateral finger pain on the metacarpal phalangeal joint, needle right lateral metatarsal phalgeal join on the toe.

DNA — Bob Doane

Identify the location of the pain and determine the muscle group involved. Second, choose a vessel that deliver blood to this jingjin. Third, choose vessels that treat the painful muscles. Finally, choose the correct area or zone based on imaging to needle.
Arm Pain (Coracobrachialis, Flexor Carpi Radialis, Pronator Quadratus, or Flexor Digitorum Profundus/PC Channel): Bilateral - 3 needles evenly spaced from Zhongzhu (TH 3) to Tianjing (TH 10), Taichong (LR 3) to Ququan (LR 8), Dubi (ST 35) to Xiangu (ST 43)
Arm Pain (Triceps Brachii Medial Head, Brachialis, Pronator Teres, Palmaris Longus and Brevis/Flexor Digitorum Superficialis/HT Channel): Bilateral - 3 needles evenly spaced from Wangu (SI 4) to Xiaohai (SI 8), Taixi (KI 3) to Yingu (KI 10), Yanglingquan (GB 34) to Qiuxu (GB 40)
Arm Pain (Biceps Brachii Short Head, Brachioradialis, Flexor Pollicis Longus and Brevis/LU Channel): Bilateral - 3 needles evenly spaced from Hegu (LI 4) to Quchi (LI 11), Shangqiu (SP 5) to Yinlingquan (SP 9), Weizhong (BL 40) to Shugu (BL 65)
Arm Pain (Triceps Brachii Long Head, Flexor Carpi Ulnaris/SI Channel): Bilateral - 3 needles evenly spaced from Shaohai (HT 3) to Shaofu (HT 8), Weizhong (BL 40) to Shugu (BL 65), Xingjian (LR 2) to Ququan (LR 8)
Arm Pain (Triceps Brachii Lateral Head, Extensor Digiti Minimi, Anconeus, Extensor Carpi Ulnaris/TH Channel): Bilateral - 3 needles evenly spaced from Yanglingquan (GB 34) to Qiuxu (GB 40), Quze (PC 3) to Laogong (PC 8), Zhaohai (KI 6) to Yingu (KI 10)
Elbow Pain: Bilateral - 5 needles on the medial side and 5 on the lateral side of the knees. Palpate for ah shi points.
Hand Pain: If the dorsum of the hand hurts, needle the dorsum and the palmar sides of the opposite hand. Needle the top or bottom of both feet in the correct corresponding anatomical areas. For pain of the extremities, it is better to use anatomical points, which match the area of the pain on the affected area.
Wrist Pain: Bilateral - 2 needles on each yin channel of the ankle. Palpate for ah shi points.
Finger Pain: If the pain is on the dorsal side, needle the dorsal side of the corresponding toe joints. If the pain is on the ventral side, needle the ventral side of the corresponding toe joints. Use as many needles as necessary to relieve the pain.

Tung Acup — Brad Whisnant

Shoulder:
- Primary points: Sihuazhong (T 77.09), Tianhuangfu [Shenguan] (T 77.18), Sizhi (T 77.20)
- Secondary points: Zhisima (T 11.07), Xinxi (T 11.09), Huoxi (T 11.16), Linggu (T 22.05), Zuqianjin (T 77.24), Zuwujin (T 77.25), Zhongjiuli (T 88.25)
Elbow:
- Primary points: Sanchasan (T 22.17)*, Linggu (T 22.05), Zhongjiuli (T 88.25)
- Secondary points: Dabai (T 22.04), Linggu (T 22.05), Sihuashang (T 77.08)
Wrist:
- Primary points: Dajian (T 11.01), Xiaojian (T 11.02)
- Secondary points: Cesanli (T 77.22), Cexiasanli (T 77.23)

Tung Acup — Henry McCann

Shoulder pain: Jianzhong (T 44.06), Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26), Sizhi (T 77.20). Moxa Jianliao (TH 14). Bleed Chize (LU 5), Tianzong (SI 11), Sanjiang (T DT.15), locally on shoulder.
Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuangfu [shenguan] (T 77.18), Tianhuang (T 77.17), Linggu (T 22.05) ipsilaterally. Bleed Tianzong (SI 11), Sihuawai (T 77.14), jing (well) points of affected channels.
Wrist pain: Sizhi (T 77.20), Huozhu (T 66.04), Qiuxu (GB 40) threaded to Zhaohai (KI 6), Shuiyu (T 44.17). Bleed Tianzong (SI 11), jing (well) points of affected channels.

Tung Acup — Esther Su

Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zuwujin (T 77.25), Zuqianjin (T 77.24), Tiaokou (ST 38), Chize (LU 5)
Elbow pain: Shangjiuli (T 88.26), Zhongjiuli (T 88.25), Xiajiuli (T 88.27), Fengshi (GB 31), Yanglingquan (GB 34)
Wrist pain: Cesanli (T 77.22), Cexiasanli (T 77.23), Yanglingquan (GB 34), Chize (LU 5), gua sha scraping along spine on the upper back and on the shoulder blades

Tung Acup — Dr. Chuan-Min Wang

Shoulder pain: Needle contralaterally Jianzhong (T 44.06), Zhongjiuli (T 88.25), Qili (T 88.51)*, Tianhuangfu [shenguan] (T 77.18), Sizhi (T 77.20).
Elbow pain: Needle contralaterally Quling (T 33.16), Cesanli (T 77.22), Cexiasanli (T 77.23).
Wrist pain: Needle contralaterally Cesanli (T 77.22), Cexiasanli (T 77.23), Tung’s Wantong (T 66.16)*.

Tung Acup — Classic

Needle contralateral to the pain. If the pain is present on both sides, needle bilaterally or the side with the more ah shi points.
General arm pain: Zuwujin (T 77.25), Shangjiuli (T 88.26), Zhongjiuli (T 88.25), Xiajiuli (T 88.27), Shangqu (T 44.16)
Lateral upper arm pain: Tongtian (T 88.03), Tongshan (T 88.02), Tongguan (T 88.01), Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), Sihuashang (T 77.08), Sihuaxia (T 77.11), Sihuazhong (T 77.09)
Medial upper arm pain: Shangquan (T 88.22), Zhongquan (T 88.21), Xiaquan (T 88.20), Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07)
Lateral forearm pain: Waisanguan (T 77.27), Zuqianjin (T 77.24), Zuwujin (T 77.25), Sihuazhong (T 77.09)
Medial forearm pain: Huoshan (T 33.06), Tianhuang (T 77.17), Dihuang (T 77.19), Renhuang (T 77.21), Waisanguan (T 77.27)
Frozen shoulder: Linggu (T 22.05), Dabai (T 22.04), Fanhoujue (T 22.12)*, Tianhuangfu [Shenguan] (T 77.18), Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14), Quchi (LI 11), Xiyan, Huantiao (GB 30), Renhuang (T 77.21), Sihuashang (T 77.08), Waisanguan (T 77.27), Sizhi (T 77.20), ah shi points around the second metacarpal phalangeal joint, Baguansan (T 11.30)*, Baguansi (T 11.31)*. Bleed the affected area with cupping. Bleed before needling for best result.
Tennis elbow, lateral epicondylitis: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Shangchun (T 77.15), Xiachun (T 77.16), Sizhi (T 77.20), Waisanguan (T 77.27)
Golfer’s elbow, medial epicondylitis: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Waisanguan (T 77.27), Tianhuang (T 88.13), Shangchun (T 77.15), Xiachun (T 77.16), Yinlingquan (SP 9), Quling (T 33.16)
Wrist pain: Sizhi (T 77.20), Waisanguan (T 77.27), three points around the ah shi points on the front of the ankle, Simashang (T 88.18), Simazhong (T 88.17), Simaxia (T 88.19), bleed the lateral malleolus.
Hand pain: Needle Gongsun (SP 4) towards Yongquan (KI 1), Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14), Tongshen (T 88.09), Tongwei (T 88.10), Houxi (SI 3) towards Laogong (PC 8), Renzong (T 44.08), Sizhi (T 77.20), Zhongjiuli (T 88.25)
Hand numbness: Sanchaer (T 22.16)*, Shouqianjin (T 33.09), Shouwujin (T 33.08), Zhongjiuli (T 88.25)
Hand cramps, spasms, tightness: Huoling (T 33.05)
Finger numbness: Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14), Sifeng, Xinling (T 33.17)*, Zhongjiuli (T 88.25)
Index finger pain: Sihuazhong (T 77.09)
Middle finger pain: Dan (T 11.13), Tongguan (T 88.01), Tongshan (T 88.02)

TCM Acup

Shoulder pain: Jianyu (LI 15), Jianliao (TH 14), Jianzhen (SI 9) and any other ah shi points
Elbow stiffness, spasm:
- Source 27 : Quchi (LI 11), Taiyuan (LU 9), Chize (LU 5), Jianyu (LI 15), Xiaohai (SI 8), Jianshi (PC 5), Daling (PC 7), Houxi (SI 3)
Elbow pain:
- Quchi (LI 11), Xiaohai (SI 8), Tianjing (TH 10), Shousanli (LI 10), Hegu (LI 4) and any other ah shi points
- Source 21 : Jianyu (LI 15), Quchi (LI 11), Tongli (HT 5), Shousanli (LI 10)
- Source 23 : Chize (LU 5), Quchi (LI 11), Quze (PC 3)
- Source 27 : Guanchong (TH 1), Chize (LU 5), Waiguan (TH 5), Tianjing (TH 10), Qiangu (SI 2), Naohui (TH 13), Zhigou (TH 6), Quchi (LI 11), Wangu (GB 12), Zhouliao (LI 12), Jianshi (PC 5), Zhongzhu (TH 3), Yangxi (LI 5), Yanggu (SI 5), Taiyuan (LU 9), Lieque (LU 7), Yemen (TH 2), Jianyu (LI 15), Shousanli (LI 10), Xiaohai (SI 8), Daling (PC 7), Houxi (SI 3), Yuji (LU 10), Zusanli (ST 36), Jianjing (GB 21), Yangchi (TH 4), Xuanzhong (GB 39), Zhongwan (CV 12), Hegu (LI 4)
- Source 29 : Quchi (LI 11), Guanchong (TH 1), Zusanli (ST 36), Zhongzhu (TH 3), Yanggu (SI 5), Chize (LU 5), Tianliao (TH 15). Bleed Guanchong (TH 1).
- Jianyu (LI 15), Yanggu (SI 5), Taiyuan (LU 9), Jingqu (LU 8), Jugu (LI 16), Qiangu (SI 2), Waiguan (TH 5), Chize (LU 5), Houxi (SI 3), Yangxi (LI 5). Bleed Guanchong (TH 1), Quchi (LI 11)
Tennis elbow, lateral epicondylitis:
- Source 12 : Wangu (GB 12), Yingxiang (LI 20), Quchi (LI 11), Shousanli (LI 10)
- Source 16 : Quchi (LI 11), Shousanli (LI 10), Zhoujian, Ashi points
- Source 18 : Ashi points, Quchi (LI 11), Shousanli (LI 10)
Wrist pain:
- Yangchi (TH 4), Yangxi (LI 5), Yanggu (SI 5) and any other ah shi points, Sizhi (T 77.20), Waisanguan (T 77.27),
- Source 12 : Xiabai (LU 4), Quchi (LI 11), Shousanli (LI 10), Waiguan (TH 5), Hegu (LI 4), Zhongdu (LR 6), Yangxi (LI 5), Quchi (LI 11), Wangu (GB 12)
- Source 32 : Daling (PC 7), Yangchi (TH 4), Wangu (GB 12)
- Source 29 : Wangu (GB 12), Qiangu (SI 2), Quchi (LI 11), Yanggu (SI 5), Zulinqi (GB 41), Daling (PC 7), three points around the ashi points on the front of the ankle
- Bleeding : Bleed the lateral malleolus.
Wrist weakness: Needle or moxa Lieque (LU 7).
Hand pain: Juque (CV 14), Jianzhen (SI 9), Shaoshang (LU 11), Daling (PC 7), Neiguan (PC 6), Jianshi (PC 5), Quchi (LI 11), Quze (PC 3), Yanglao (SI 6), Chize (LU 5), Hegu (LI 4), Yangchi (TH 4), Shousanli (LI 10), Dashu (BL 11), Jianjing (GB 21), Ximen (PC 4), Tianzhu (BL 10), Shenfeng (KI 23), Kufang (ST 14), Shaohai (HT 3), Xiaohai (SI 8), Shenmen (HT 7), Wangu (GB 12), Houxi (SI 3)
Hand numbness: Zulinqi (GB 41), Taichong (LR 3), Quchi (LI 11), Daling (PC 7), Hegu (LI 4), Zusanli (ST 36), Zhongzhu (TH 3), Houxi (SI 3), Chize (LU 5), Yanglingquan (GB 34)
Hand cramps, spasms, tightness: Daling (PC 7), Shousanli (LI 10), Jianyu (LI 15), Quchi (LI 11), Quze (PC 3), Jianshi (PC 5), Houxi (SI 3), Hegu (LI 4), Chize (LU 5), Xuanzhong (GB 39), Baxie (Ex-UE9), Yangxi (LI 5), Yanglingquan (GB 34)
General arm pain:
- Shaoze (SI 1), Shangyang (LI 1), Qiangu (SI 2), Yemen (TH 2), Lieque (LU 7), Yangxi (LI 5), Chize (LU 5), Guanchong (TH 1), Waiguan (TH 5), Houxi (SI 3), Wangu (GB 12), Quchi (LI 11), Tianjing (TH 10), Jingqu (LU 8), Jugu (LI 16), Jianliao (TH 14), Yanggu (SI 5)
- Jianyu (LI 15), Jianliao (TH 14), Shaohai (HT 3), Rugen (ST 18), Tinggong (SI 19), Jianshi (PC 5), Taiyuan (LU 9), Zhouliao (LI 12), Yanggu (SI 5), Yemen (TH 2), Yongquan (KI 1), Chize (LU 5), Jianzhen (SI 9), Hegu (LI 4), Yangxi (LI 5), Shouwuli (LI 13), Wangu (GB 12), Jugu (LI 16), Qiangu (SI 2), Waiguan (TH 5), Shenmen (HT 7), Houxi (SI 3), Shousanli (LI 10), Quchi (LI 11), Jianjing (GB 21), Zhongzhu (TH 3)
- Jianshi (PC 5), Jianyu (LI 15), Hegu (LI 4), Taichong (LR 3), Quchi (LI 11), Chize (LU 5), Sanjian (LI 3), Fengfu (GV 16)
Medial upper arm pain: Yixi (BL 45), Daling (PC 7)
Lateral forearm pain: Hegu (LI 4), Quchi (LI 11), Zhigou (TH 6), Daling (PC 7), Jianyu (LI 15), Chize (LU 5)
Inabiliy to raise the arm:
- Quchi (LI 11), Chize (LU 5), Jianyu (LI 15), Zusanli (ST 36), Shaohai (HT 3), Taiyuan (LU 9), Yangchi (TH 4), Yangxi (LI 5), Yanggu (SI 5), Qiangu (SI 2), Hegu (LI 4), Yemen (TH 2), Waiguan (TH 5), Wangu (GB 12)
- Jianjing (GB 21), Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10), Yangchi (TH 4), Kongzui (LU 6), Hegu (LI 4), Shaoshang (LU 11)
Arm coldness or pain: Jianjing (GB 21), Quchi (LI 11), Xialian (LI 8), Chize (LU 5), Shenmen (HT 7)
Arm atrophy or weakness: Tianjing (TH 10), Waiguan (TH 5), Quchi (LI 11)
Arm cramps or spasms:
- Yangchi (TH 4), Hegu (LI 4), Chize (LU 5), Quchi (LI 11), Zhongzhu (TH 3), Jianyu (LI 15), Shaoshang (LU 11), Shousanli (LI 10), Daling (PC 7), Shenmen (HT 7), Sanyinjiao (SP 6), Wangu (GB 12)
- Houxi (SI 3), Qiangu (SI 2), Yangxi (LI 5)
- Naohui (TH 13), Zhigou (TH 6), Quchi (LI 11), Wangu (GB 12), Zhouliao (LI 12)
Arm biceps tendon pain: Source 12 : Yuji (LU 10), Yingxiang (LI 20)
Arm numbness and pain: Jianjing (GB 21), Quchi (LI 11), Waiguan (TH 5), Jingqu (LU 8), Zhigou (TH 6), Yangxi (LI 5), Wangu (GB 12), Shanglian (LI 9), Hegu (LI 4), Lieque (LU 7)
Arm redness, swelling and pain: Quchi (LI 11), Tongli (HT 5), Zhongzhu (TH 3), Hegu (LI 4), Shousanli (LI 10), Yemen (TH 2), Yangchi (TH 4)

Auricular Medicine — Dr. Li-Chun Huang

Tennis elbow (external humeral epicondylitis): Elbow. Bleed Helix 2.
Carpal tunnel syndrome: Wrist (front and back of ear). Bleed Helix 1.
Trigger finger: Wrist (front and back), Finger (front & back). Bleed Ear Apex.

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