肘部肌腱炎

Chinese medicine refers to this condition simply as ‘elbow pain’. It is attributed to strain along the Muscle channels at the elbow which impedes the flow of Qi and Blood. Treatment is directed toward relaxing the muscles and opening the channels.

Needling

Principal points: Point( s) of tenderness
Supplementary points:LI-4 (Hegu),LI-10 (Shousanli)

Method:

Insert needles at points of tenderness, then partially withdraw and reinsert in different directions so that the needle sensation extends around the points.

Alternatively, several needles may be inserted in different directions at the same point.

Use moderate to strong stimulation at the supplementary points. Treat once daily or on alternating days. Ten to fifteen treatments constitute one course.

Electro-acupuncture can be added, or the needles warmed with moxibustion.

Moxibustion

Warm the affected area with moxa sticks for 10-20 minutes, or burn 1-3 moxa cones utilizing the indirect method.

Treat once or twice daily. If moxibustion is combined with acupuncture the result
may be more satisfactory.

Cutaneous acupuncture and cupping

Points: Point( s) of tenderness
Method: First tap the affected area until there is slight bleeding, then apply cups.

If difficulty is encountered keeping the cups in place, apply a layer of flour paste before attaching the cup. 如果難以將杯子固定到位，請在安裝杯子之前塗上一層麵粉糊。

Treat once every 2-3 days.

Ear acupuncture

Points: The point of tenderness in the Elbow area of the ear, Subcortex, Neurogate, Adrenal
Method: Treat once daily or on alternating days. Ten to fifteen treatments constitute one course.

Subcortex 皮質下層

On anterior side of the inner wall of the antitragus 對耳屏內壁前側

• Regulates excitation and inhibition of cerebral cortex.
  調節大腦皮質的興奮和抑制。
• Often used for insomnia, lassitude and other neuropsychiatric disorders
  常用於失眠、倦怠等神經精神疾病
• Also for inflammation, excessive sweating, and pain
  也可用於治療發炎、出汗過多和疼痛
  

Neurogate(EAR-SHENMEN) 神門

In the triangular fossa, medial and superior to the pelvic Cavity point.
在三角窩內，骨盆腔點內側上方

• Regulates excitation and inhibition of cerebral cortex Sedative, analgesic, antiallergy effects.
  調節大腦皮質的興奮與抑制 鎮靜、鎮痛、抗過敏作用
• Used for neuropsychiatric disorder (hysteria, psychosis, etc), hypertension, coughing, allergic asthma, itching symptoms, and pain
  用於神經精神疾病（癔病、精神病等）、高血壓、咳嗽、過敏性氣喘、搔癢症狀和疼痛
• Important point for anesthesia 麻醉要點

Adrenal 腎上腺

At the prominence on inferior part of tragus (if the ear has only one such prominence, the point is on the inferior border)
耳屏下緣突起處（若耳朵只有一處突起，則該點在下緣）

• Functions to stimulate adrenalin and adrenocortical hormones
  刺激腎上腺素和腎上腺皮質激素的功能
• Used for inflammation, allergies, shock, rheumatism and serious poisoning symptoms resulting from bacterial infection
  用於細菌感染引起的發炎、過敏、休克、風濕及嚴重中毒症狀
• Affects the dilation and constriction of blood vessels, hyper and hypotension, capillary hemorrhage
  影響血管擴張和收縮、高血壓和低血壓、微血管出血
• Regulates excitation or inhibition of respiratory function
  調節呼吸功能的興奮或抑制
• Used for fever, certain skin diseases, and chronic illnesses
  用於發燒、某些皮膚病和慢性疾病

Other prescriptions

1. Painful elbow: ST-42 (Chongyang 衝陽), LI-11 (Quchl曲池), TB-15 (Tianliao天髎).
2. Inability to extend forearm: LI-10 (Shousanli), GB44 (Qiaoyin 足竅陰). (Source: CNLAM)
3. Exhausted elbow: TB-10 (Tianjing), Ll-11 (Quchi), PC-5 (Jianshi間使), LI-5 (Yangxl), TB-3(Zhongzhu), LU9 (Taiyuan), SI-4 (Wangu), LU 7 (Lieque), TB-2 (Yemen). (Source: GCAM)

Remarks

• During the course of treatment, the patient’s elbow should be rested. If the joint becomes stiff due to inflammation, massage or surgery should be considered.