CM SD Index - Differential Diagnosis

Condition Details

Acute injuries to muscles, tendons, ligaments, and cartilages

TCM Diagnosis

Qi and blood stagnation

Herbal Formula

Flex (TMX)

Acupuncture

Balance Method — Dr. Richard Tan

The treatment protocol is different for each case, depending on the location and severity of injuries.

BodyMapping Acup — Cole Magbanua

Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
Needle muscle to treat the muscle, needle tendon to treat the tendon, needle ligament to treat the ligament, needle the bone to treat the bone. Treat the most painful area first.
General points: Fengshi (GB 31), Yanglingquan (GB 34), Zhengjin (T 77.01), Zhengzong (T 77.02), patellar tendon, Tianjing (TH 10), Yangxi (LI 5)
Neck pain : Two points from Lingdao (HT 4) to Shenmen (HT 7) two points from Lieque (LU 7) to Taiyuan (LU 9), Shangqiu (SP 5), in between Shangqiu (SP 5) and Sanyinjiao (SP 6), 3 needles from Zhongfeng (LR 4) to Ligou (LR 5), two needles from Taixi (KI 3) to Fuliu (KI 7), Zhenjing (T 1010.08), Boqiu (T 77.04)
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). Neelde the opposite ankle or hip.
Whole arm pain : Zusanli (ST 36), Yanglingquan (GB 34), Weizhong (BL 40), Feiyang (BL 58), Xuanzhong (GB 39), Fenglong (ST 40), Sanyinjiao (SP 6)
Elbow
- 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
- 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
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.
Back and hip pain: Needle the opposite side of the pain Chize (LU 5), two needles on Kongzui (LU 6); needle the same side of the pain, two needles from Chengshan (BL 57) to Feiyang (BL 58), three needles on ashi points around Feiyang (BL 58)
Knee
- Lateral and front of the knee pain, patella pain: Quchi (LI 11) and ashi points all around there.
- Medial knee pain : Shaohai (HT 3), Quze (PC 3) Chize (LU 5), Shousanli (LI 10) thread to Quze (PC 3).
- Back of the knee pain : Xiaohai (SI 8), Xinmen (T 33.12)
Ankle
- Lateral ankle pain : Needle ashi points from Yangchi (TH 4) to Waiguan (TH 5)
- Medial ankle pain : Needle ashi points from Lieque (LU 7) to Taiyuan (LU 9), Daling (PC 7)
- Front of the ankle pain : Needle ashi points from Yangxi (LI 5) to Pianli (LI 6)
Achilles pain : Needle ashi points from Wangu (SI 4) to Yanglao (SI 6) on the tendon
Foot and toe pain : Needle opposite side hand and finger images. For example, left lateral toe pain on the metatarsal phalangeal joint, needle right lateral metacarpal phalgeal join on the thumb.

DNA — Bob Doane

Identify the location of the pain and determine the muscle group that is involved.
Second, choose vessels that deliver blood to this jingjin (tendon/ligament).
Third, choose vessels that treat the painful muscles.
Finally, choose the correct area or zone to needle based on imaging.

Tung Acup — Brad Whisnant

Primary points: Houzhui (T 44.02), Shouying (T 44.03), Fuding (T 44.04), Houzhi (T 44.05), Liuwan (T 66.08), Shuiqu (T 66.09), Zhongjiuli (T 88.25), Shangjiuli (T 88.26), Xiajiuli (T 88.27), Yuhuo (T 1010.21), Biyi (T 1010.22)
Secondary points: Feixin (T 11.11), Erjiaoming (T 11.12), Fuyuan (T 11.22), Dabai (T 22.04), Linggu (T 22.05), Shouying (T 44.03), Fuding (T 44.04), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14)

Tung Acup — Henry McCann

Linggu (T 22.05), Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Jie (T 88.28)
Bleed Ear Apex, jing (well) points of affected channels or other areas based on location of condition
Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26)
Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuang (T 77.17)
Wrist pain: Sizhi (T 77.20), Shuiyu (T 44.17)
Knee pain: Jianzhong (T 44.06), Xinxi (T 11.09)
Ankle pain: Wuhu (T 11.27), Zhongbai (T 22.06), Xiabai (T 22.07)
Finger pain: Haibao (T 66.01), Huozhu (T 66.04), Menjin (T 66.05), Wuhu (T 11.27)
Big toe pain: Wuhu (T 11.27)
Post-surgical constipation: Huochuan (T 33.04)

Tung Acup — Esther Su

Trauma points: Tianhuangfu [shenguan] (T 77.18), Sanchasan (T 22.17)*, Taixi (KI 3), Fuliu (KI 7)
Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zuwujin (T 77.25), Zuqianjin (T 77.24), Tiaokou (ST 38)
Elbow pain: Tianhuangfu [shenguan] (T 77.18), Shangjiuli (T 88.26), Zhongjiuli (T 88.25), Xiajiuli (T 88.27), Fengshi (GB 31), Yanglingquan (GB 34)
Wrist pain: Tianhuangfu [shenguan] (T 77.18), Cesanli (T 77.22), Cexiasanli (T 77.23), Yanglingquan (GB 34), Chize (LU 5)
Knee pain: Tianhuangfu [shenguan] (T 77.18), between Dabai (T 22.04) and Linggu (T 22.05), Neiguan (PC 6), Yanglingquan (GB 34). Bleed Gaohuangshu (BL 43) with cupping
Ankle pain: Tianhuangfu [shenguan] (T 77.18), Xiaojie (T 22.13)*
Finger pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 1,2,3
Big toe pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 3,4,5, Baihui (GV 20)

Tung Acup — Dr. Chuan-Min Wang

Trauma, broken bones, post-surgical rehab: Needle bilaterally Tianhuangfu [shenguan] (T 77.18), Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14).

Tung Acup — Classic

Head: Zhengjin (T 77.01), Zhengzong (T 77.02) with strong stimulation, Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Zhengshi (T 77.03). Bleed dark veins nearby the medial malleolus or Shuijing (T 66.13). Bleed before needling for best result.
Postpartum retained placenta: Linggu (T 22.05), Renhuang (T 77.21), Jiemeiyi (T 88.04), Jiemeier (T 88.05), Jiemeisan (T 88.06), Huobao (T 55.01), Huozhu (T 66.04)
Testicle injury: Tianhuang (T 88.13), Minghuang (T 88.12), Qihuang (T 88.14), Jiemeiyi (T 88.04), Jiemeier (T 88.05), Jiemeisan (T 88.06), three needles on each side of the inguinal groove
Thrombosis: Jianfeng (T 44.31)*, Shangquan (T 88.22), Xiaquan (T 88.20), Zhongquan (T 88.21), Shenjian (T 44.19)

TCM Acup

Ah shi points
Post-surgical pain: Taixi (KI 3), Xuanzhong (GB 39), Xingjian (LR 2), Futu (ST 32)
Spine sprain: Bleed the sprained area as well as Weizhong (BL 40), Yinlingquan (SP 9), Qiuxu (GB 40), Zhaohai (KI 6) or dark veins nearby.
Postpartum abdominal pain from blood stasis:
- Source 21 : Qihai (CV 6), Sanyinjiao (SP 6)
- Source 27 :
  - Shuifen (CV 9), Zhaohai (KI 6), Guanyuan (CV 4), Gaohuangshu (BL 43), Sanyinjiao (SP 6), Qihai (CV 6), Zhongji (CV 3), Zusanli (ST 36), Ququan (LR 8), Fuliu (KI 7). Moxa Qihai (CV 6).
  - Excess : Guanyuan (CV 4), Qihai (CV 6), Sanyinjiao (SP 6), Tianshu (ST 25), Guilai (ST 29), Zusanli (ST 36).
  - Deficiency : Guanyuan (CV 4), Qihai (CV 6), Zhongwan (CV 12), Zusanli (ST 36), Shenshu (BL 23)
- Source 29 :
  - Abdominal Pain from abortion or miscarriage : Moxa Qimen (LR 14), Qihai (CV 6), Sanyinjiao (SP 6)
Postpartum retained placenta:
- Source 21: Zhongji (CV 3), Jianjing (GB 21), Sanyinjiao (SP 6)
- Source 23: Bleed Yintang (Ex-HN3), Baihui (GV 20). Moxa Zhigou (TH 6).
- Source 27: Kunlun (BL 60), Guanyuan (CV 4), Zhangmen (LR 13), Qichong (ST 30), Jianjing (GB 21), Zusanli (ST 36), Zhongji (CV 3), Sanyinjiao (SP 6), Zhaohai (KI 6), Neiguan (PC 6). Moxa Zhongji (CV 3), Zhiyin (BL 67).
- Source 29: Guanyuan (CV 4), Zhangmen (LR 13), Jianjing (GB 21), Zhongji (CV 3), Hegu (LI 4), Sanyinjiao (SP 6), Taichong (LR 3). Storng stimulation for 2-3 minutes.

Ear Acup — Traditional

Knee injuries: Knees, Adrenal Gland, Pituitary Gland
Post-operative pain: Needle the reflective location of the surgery, Subcortex, Shenmen, and Lung. Needle twice a day with strong stimulation and leave the needles in for one to two hours. These points are more effective to relieve sharp pain associated with surgery and not as well for distension and pain as the result of abdominal surgery.
Post-operative flatulence: Select and needle the sensitive points along the Large Intestine and Small Intestine, Stomach, Sympathetic, and Spleen. Strongly stimulate for one to two hours to help alleviate distension and promote passage of gas.

Auricular Medicine — Dr. Li-Chun Huang

Acute sprain and contusion: corresponding points (to the area of injury)
- For pain, add Large Auricular Nerve, Lesser Occipital Nerve. Bleed Ear Apex.
- For tranquilizing the mind, add Shenmen.

Recovery from injuries to muscles, tendons, ligaments, and cartilages

TCM Diagnosis

Liver blood and Kidney yin deficiencies

Herbal Formula

Flex (MLT)

Acupuncture

Balance Method — Dr. Richard Tan

The treatment protocol is different for each case, depending on the location and severity of injuries.

BodyMapping Acup — Cole Magbanua

Needle the opposite side of the pain. If the pain is bilateral, needle bilaterally.
Needle muscle to treat the muscle, needle tendon to treat the tendon, needle ligament to treat the ligament, needle the bone to treat the bone. Treat the most painful area first.
General points: Fengshi (GB 31), Yanglingquan (GB 34), Zhengjin (T 77.01), Zhengzong (T 77.02), patellar tendon, Tianjing (TH 10), Yangxi (LI 5)
Neck pain : Two points from Lingdao (HT 4) to Shenmen (HT 7) two points from Lieque (LU 7) to Taiyuan (LU 9), Shangqiu (SP 5), in between Shangqiu (SP 5) and Sanyinjiao (SP 6), 3 needles from Zhongfeng (LR 4) to Ligou (LR 5), two needles from Taixi (KI 3) to Fuliu (KI 7), Zhenjing (T 1010.08), Boqiu (T 77.04)
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). Neelde the opposite ankle or hip.
Whole arm pain : Zusanli (ST 36), Yanglingquan (GB 34), Weizhong (BL 40), Feiyang (BL 58), Xuanzhong (GB 39), Fenglong (ST 40), Sanyinjiao (SP 6)
Elbow
- 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
- 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
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.
Back and hip pain: Needle the opposite side of the pain Chize (LU 5), two needles on Kongzui (LU 6); needle the same side of the pain, two needles from Chengshan (BL 57) to Feiyang (BL 58), three needles on ashi points around Feiyang (BL 58)
Knee
- Lateral and front of the knee pain, patella pain: Quchi (LI 11) and ashi points all around there.
- Medial knee pain : Shaohai (HT 3), Quze (PC 3) Chize (LU 5), Shousanli (LI 10) thread to Quze (PC 3).
- Back of the knee pain : Xiaohai (SI 8), Xinmen (T 33.12)
Ankle
- Lateral ankle pain : Needle ashi points from Yangchi (TH 4) to Waiguan (TH 5)
- Medial ankle pain : Needle ashi points from Lieque (LU 7) to Taiyuan (LU 9), Daling (PC 7)
- Front of the ankle pain : Needle ashi points from Yangxi (LI 5) to Pianli (LI 6)
Achilles pain : Needle ashi points from Wangu (SI 4) to Yanglao (SI 6) on the tendon
Foot and toe pain : Needle opposite side hand and finger images. For example, left lateral toe pain on the metatarsal phalangeal joint, needle right lateral metacarpal phalgeal join on the thumb.

DNA — Bob Doane

Identify the location of the pain and determine the muscle group that is involved.
Second, choose vessels that deliver blood to this jingjin (tendon/ligament).
Third, choose vessels that treat the painful muscles.
Finally, choose the correct area or zone to needle based on imaging.

Tung Acup — Brad Whisnant

Primary points: Houzhui (T 44.02), Shouying (T 44.03), Fuding (T 44.04), Houzhi (T 44.05), Liuwan (T 66.08), Shuiqu (T 66.09), Zhongjiuli (T 88.25), Shangjiuli (T 88.26), Xiajiuli (T 88.27), Yuhuo (T 1010.21), Biyi (T 1010.22)
Secondary points: Feixin (T 11.11), Erjiaoming (T 11.12), Fuyuan (T 11.22), Dabai (T 22.04), Linggu (T 22.05), Shouying (T 44.03), Fuding (T 44.04), Sanchayi (T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14)

Tung Acup — Henry McCann

Linggu (T 22.05), Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Jie (T 88.28)
Bleed Ear Apex, jing (well) points of affected channels or other areas based on location of condition
Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zhongjiuli (T 88.25), Shangjiuli (T 88.26)
Elbow pain: Shuanglongyi (T 77.29)*, Shuanglonger (T 77.30)*, Tianhuang (T 77.17)
Wrist pain: Sizhi (T 77.20), Shuiyu (T 44.17)
Knee pain: Jianzhong (T 44.06), Xinxi (T 11.09)
Ankle pain: Wuhu (T 11.27), Zhongbai (T 22.06), Xiabai (T 22.07)
Finger pain: Haibao (T 66.01), Huozhu (T 66.04), Menjin (T 66.05), Wuhu (T 11.27)
Big toe pain: Wuhu (T 11.27)
Post-surgical constipation: Huochuan (T 33.04)

Tung Acup — Esther Su

Trauma points: Tianhuangfu [shenguan] (T 77.18), Sanchasan (T 22.17)*, Taixi (KI 3), Fuliu (KI 7)
Shoulder pain: Tianhuangfu [shenguan] (T 77.18), Zuwujin (T 77.25), Zuqianjin (T 77.24), Tiaokou (ST 38)
Elbow pain: Tianhuangfu [shenguan] (T 77.18), Shangjiuli (T 88.26), Zhongjiuli (T 88.25), Xiajiuli (T 88.27), Fengshi (GB 31), Yanglingquan (GB 34)
Wrist pain: Tianhuangfu [shenguan] (T 77.18), Cesanli (T 77.22), Cexiasanli (T 77.23), Yanglingquan (GB 34), Chize (LU 5)
Knee pain: Tianhuangfu [shenguan] (T 77.18), between Dabai (T 22.04) and Linggu (T 22.05), Neiguan (PC 6), Yanglingquan (GB 34). Bleed Gaohuangshu (BL 43) with cupping
Ankle pain: Tianhuangfu [shenguan] (T 77.18), Xiaojie (T 22.13)*
Finger pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 1,2,3
Big toe pain: Tianhuangfu [shenguan] (T 77.18), Wuhu (T 11.27) points 3,4,5, Baihui (GV 20)

Tung Acup — Dr. Chuan-Min Wang

Trauma, broken bones, post-surgical rehab: Needle bilaterally Tianhuangfu [shenguan] (T 77.18), Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14).

TCM Acup

Ah shi points
Post-surgical pain: Taixi (KI 3), Xuanzhong (GB 39), Xingjian (LR 2), Futu (ST 32)
Spine sprain: Bleed the sprained area as well as Weizhong (BL 40), Yinlingquan (SP 9), Qiuxu (GB 40), Zhaohai (KI 6) or dark veins nearby.
Postpartum abdominal pain from blood stasis:
- Source 21 : Qihai (CV 6), Sanyinjiao (SP 6)
- Source 27 :
  - Shuifen (CV 9), Zhaohai (KI 6), Guanyuan (CV 4), Gaohuangshu (BL 43), Sanyinjiao (SP 6), Qihai (CV 6), Zhongji (CV 3), Zusanli (ST 36), Ququan (LR 8), Fuliu (KI 7). Moxa Qihai (CV 6).
  - Excess : Guanyuan (CV 4), Qihai (CV 6), Sanyinjiao (SP 6), Tianshu (ST 25), Guilai (ST 29), Zusanli (ST 36).
  - Deficiency : Guanyuan (CV 4), Qihai (CV 6), Zhongwan (CV 12), Zusanli (ST 36), Shenshu (BL 23)
- Source 29 :
  - Abdominal Pain from abortion or miscarriage : Moxa Qimen (LR 14), Qihai (CV 6), Sanyinjiao (SP 6)
Postpartum retained placenta:
- Source 21: Zhongji (CV 3), Jianjing (GB 21), Sanyinjiao (SP 6)
- Source 23: Bleed Yintang (Ex-HN3), Baihui (GV 20). Moxa Zhigou (TH 6).
- Source 27: Kunlun (BL 60), Guanyuan (CV 4), Zhangmen (LR 13), Qichong (ST 30), Jianjing (GB 21), Zusanli (ST 36), Zhongji (CV 3), Sanyinjiao (SP 6), Zhaohai (KI 6), Neiguan (PC 6). Moxa Zhongji (CV 3), Zhiyin (BL 67).
- Source 29: Guanyuan (CV 4), Zhangmen (LR 13), Jianjing (GB 21), Zhongji (CV 3), Hegu (LI 4), Sanyinjiao (SP 6), Taichong (LR 3). Storng stimulation for 2-3 minutes.

Auricular Medicine — Dr. Li-Chun Huang

Acute sprain and contusion: corresponding points (to the area of injury)
- For pain, add Large Auricular Nerve, Lesser Occipital Nerve. Bleed Ear Apex.
- For tranquilizing the mind, add Shenmen.

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