PANARTHRALGIA

Clinical Manifestations
  • Joint pain
  • Swelling and deformity
  • Inability to move joints
  • Pain spreads through all the joints of body
  • Latent: A prolonged history of attacks
Treatment Principle
Herb Formulas
  • For joint pain as intense as a tiger bite with scary pain in the bones and joints: Panarthralgia #2
Points
Clinical Manifestations
  • Red, swollen, numb fingers
  • Inflammation of throat and/or tongue
  • Fever and chills with more fever than chills
  • Perspiration
  • Cough with sticky yellow sputum
  • Aversion to Wind and Heat
  • Yellow nasal discharge
  • Thirst with desire for cold drinks
  • Red bumps around mouth and lips (herpes simplex)
  • Headache
  • Nasal obstruction
  • Sore, swollen throat
  • Dyspnea
  • Chest pain
  • Dry mouth
  • Rapid breathing
  • Maybe constipation
  • Maybe scanty urine
  • T: Red tip
  • C: Thin and yellow
  • P: Floating and rapid
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Clear the Lungs
Herb Formulas
Points
Etiology
  • Yuan Qi Deficiency
  • Irregular lifestyle
  • Excess- Exhausts Qi, Blood, Liver and Kidney
Clinical Manifestations
  • Joint deformation
  • Joints of limbs are sore and painful
  • Excruciating sharp, stabbing joint pain
  • Pain alleviated by warmth and aggravated by Cold
  • The pain is better during the day and worse at night
  • The body is crooked and gaunt
  • The fingers are crooked
  • The joints are like mallets
  • Pain with fixed location
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • The legs are severely swollen
  • Maybe only the feet are swollen
  • Pain mostly affects low back and lower extremities
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T: Pink or Pale
  • C: Thin and white (thicker than for Wind-Bi)
  • P: Superficial and tight or Wiry and tight - maybe slow
Treatment Principle
  • Warm the channels
  • Activate Qi and Blood.
Herb Formulas
Points
Clinical Manifestations
  • When Cold predominates: Chills and Fever
    Aversion to Cold
    Shang Han (anhidrosis) or
    Zhong Feng (sweat)
    Severe joint pain (multiple, successive or simultaneous)
    Decreased range of motion
    Pain worse with Wind and Cold
    Pain better with topical warmth
    T: Pale
    C: Thin and white
    P: Floating, tight and deep
  • When Wind and Cold predominate:
    Fever is high
    No sweat
  • When Wind and Damp predominate:
    Fever is mild
    Non-productive sweat
    Fever lingers
  • Wind-Cold-Damp stirs up latent pathogens on path to the Interior
Treatment Principle
  • Warm Yang
  • Dispel Cold
  • Alleviate Pain
Herb Formulas
Points
  • General points
Etiology
  • Underlying Yin Deficient constitution with Blood loss
  • Underlying Yin Deficient constitution with chronic disease
  • Underlying Yin Deficient constitution with Damp-Heat
  • Underlying Yin Deficient constitution with Toxic heat
  • Above etiologies cause local redness and Heat and pain which is worse at night
Clinical Manifestations
  • Prolonged history of attacks
  • Joint pain
  • Joints feel contracted
  • Limited motion
  • Slight topical burning sensation with redness and swelling
  • Pain worse at night
  • Maybe no clear joint problems
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Dry mouth
  • Irritability
  • Five Sole Heat
  • Insomnia and Vivid dreams
  • Low back and knees weak
  • T: Shiny and red
  • C: Normal
  • P: Thin and rapid
Treatment Principle
  • Nourish Yin and Blood
  • Clear Heat
  • Harmonize the Blood
  • With Excess Heat:
    Nourish Yin
    Decreases Fire
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Painful, numb bones and joints
  • Pain so excruciating it is like being ponded by a hammer
  • Deformed bones and joints
  • Localized Cold sensation
  • Muscles and sinews atrophied
  • Pale, lusterless face
  • Cold body and limbs
  • Spine bent forward (hunched)
  • Weak, sore low back
  • Weak, sore knees
  • Profuse urination
  • Watery stools
  • Daybreak diarrhea
  • T: Pale
  • C: White P:
  • Deep and Weak
Treatment Principle
  • Warm the Yang
  • Augment Qi
  • Alleviate pain
Herb Formulas
Points
Etiology
  • Chronic Cold-Damp Stagnation
  • Long term disease harms the Kidney Qi (Kidney Yin and Yang)
Clinical Manifestations
  • Joints stiff
  • Impaired motion
  • Pain is mild, dull or non-existent
  • Spontaneous sweat
  • Pale face
  • Light headedness
  • Tinnitus
  • Aversion to cold
  • Sore, weak lower back and legs
  • Profuse clear urine
  • Frequent nocturnal urination
  • Dribbling urine
  • T: Pale
  • C: Thin and white
  • P: Deep,thin and weak
Treatment Principle
  • Warm Yang
  • Tonify Qi
Herb Formulas
Points
  • General points
Etiology
  • Underlying Yin Deficient constitution with Blood loss
  • Underlying Yin Deficient constitution with chronic disease
  • Underlying Yin Deficient constitution with Damp-Heat
  • Underlying Yin Deficient constitution with Toxic heat
  • Above etiologies cause local redness and Heat and pain which is worse at night
Clinical Manifestations
  • Prolonged history of attacks
  • Joint pain
  • Joints feel contracted
  • Limited motion
  • Slight topical burning sensation with redness and swelling
  • Pain worse at night
  • Maybe no clear joint problems
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Dry mouth
  • Irritability
  • Five Sole Heat
  • Insomnia and Vivid dreams
  • Low back and knees weak
  • T: Shiny and red
  • C: Normal
  • P: Thin and rapid
Treatment Principle
  • Nourish Yin and Blood
  • Clear Heat
  • Harmonize the Blood
  • With Excess Heat:
    Nourish Yin
    Decreases Fire
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Fatigue
  • Scanty periods
  • Pain that is fixed, stabbing and /or severe
  • Pain is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots or Pale
  • C: White
  • P: Choppy or Wiry and choppy or Thready and rapid or Weak
Treatment Principle
  • Nourish Blood
  • Tonify the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Aversion to wind
  • Fever
  • Unproductive sweat
  • Joints are red, hot, swollen and painful
  • Cannot tolerate pressure
  • When toxic heat is intense, pain and swelling is excruciating
  • Worse at night
  • Better during the day
  • Weight loss
  • Scaly skin
  • T: Red and dry
  • C: Yellow
  • P: Thin and rapid
Treatment Principle
  • Clear Heat
  • Relieve toxicity
  • Invigorate the Blood
  • Unblock the collaterals
Herb Formulas
Points
  • General points