Clinical Information For the Treatment Of Shoulder Pain

What Is Shoulder Pain?

whatisshoulderpain?

Shoulder Pain - Basics

Shoulder pain can be the symptom of several different injuries or conditions. These can include Adhesive Capsulitis (limited range of movement due to a shoulder injury), a strain or fracture (due to an injury or overexertion), tendinitis (inflammation of the tendons inside the shoulder), and others. 

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The Following (5)Formulas TCM Herbal Formulas May Be Useful For Shoulder Pain

Chai Hu Gui Zhi Tang Wan (Bupleurum and Cinnamon Twig Decoction)

Clinical Usages

  • A combination of gui zhi tang and xiao chai hu tang - together they work with both taiyang and shaoyang syndromes - common colds and flu, fever, chills, joint pain, nausea, abdominal/epigastric distention.  Neuralgias from wind invasions - trigeminal neuralgia, frozen shoulder, etc.
  • With the right underlying factors also useful for a range of middle jiao issues such as hepatitis, cirrhosis, cholecystitis, gastric ulcers, pancreatitis, appendicitis.
  • Epilepsy.

    Clinical Categorization

    Ge Gen Wan (Kudzu Decoction)

    Clinical Usages

    • Wind-cold invasion with upper neck and back pain - cold or flu, mild fever, no sweating, stiffness.

      Clinical Categorization

      Cautions

        • Avoid with fever.
        • Due to having ephedra use caution in patients with hypertension, panic disorder, insomnia, etc.

          Huang Qi Gui Zhi Wu Wu Wan (Astragalus and Cinnamon Twig Five Herb Decoction)

          Clinical Usages

          • Common with blood deficient patterns for dispersing interior cold, xue bi, (blood painful obstruction), generally manifesting as numbness of the extremities.  With the appropriate underlying patterns - shoulder pain, neck pain, knee pain.
          • Diabetic neuropathy, peripheral neuropathy, polyneuropathy, conditions such as raynaud's with the right underlying factors, frostbite.
          • Facial paralysis, post-stroke recovery.
          • Restless leg syndrome.
          • Certain cardiovascular issues, heart disease.

            Clinical Categorization

            Shen Tong Zhu Yu Wan (Remove Stagnant Blood from a Painful Body Pills)

            Clinical Usages

            • Qi and Blood stagnation blocking the channels and collaterals - pain in the extremities, shoulder pain, elbow pain, leg pain.
            • With the right underlying patterns - possibly useful for fibromyalgia, complex regional pain syndrome, etc.
            • Arthritic conditions - rheumatoid, neuralgia.

              Clinical Categorization

              Cautions

              • Avoid during pregnancy.

                Yan Hu Suo Zhi Tong Wan (Corydalis Powder)

                Clinical Usages

                • Pain of all types from qi and blood stagnation - often combined with other more systemic formulas based on the individual.  Pain and inflammation from acute trauma, generalized aches and pains or more chronic issues.  The formula has an analgesic affect on pain and is mild enough to be used for chronic conditions.  
                • As it disperses wind-cold, also useful for muscle aches with the common cold.

                  Clinical Categorization

                  Cautions

                  • Avoid during pregnancy.

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