A selection of two points out of the following according to tenderness
on pressure: S.I.-9 Jianzhen, S.I.-10 Naoshu, S.I.-11 Tianzong, S.I.-12
Bingfeng, S.I.-13 Quyuan, S.I.-14 Jianwaishu and T.B.-15 Tianliao
with warm needle.The treatment in this case was prolonged and results slow to come due
partly to the long duration of the problem and partly to the cortisone
injections which usually slow down the results obtained with
acupuncture. The problem was however, resolved after 18 fortnightly
treatments.Elbow
Pain in the elbow is usually caused by a combination of exposure to Damp-Cold and
over-exertion, either due to sports or work. By far the most frequent area of pain is on the lateral
side of the elbow, i.e. along the Large Intestine channel, but pain can sometimes occur
immediately above the tip of the olecranon (i.e. along the Triple burner channel) or between the
olecranon and the medial condyle of the humerus (i.e. along the Small Intestine channel).
Occasionally, pain occurs on the medial surface of the arm along the Lung channel.
The pain often radiates upwards or downwards along the Large Intestine channel. In some cases,
pain can radiate from about L.I.-11 Quchi downwards along the Large Intestine channel.
Numbness and tingling can also be experienced down the arm and fingertips.
Treatment
The treatment is practically the same for acute or chronic cases apart of course for the intensity
of needle manipulation which, following general principles, would be more vigorous in acute
cases.
Distal Points
The main distal points are chosen from the Large Intestine channel and they are either L.I.-1
Shangyang or L.I.-4 Hegu. If the area of pain extends slightly over to the tip of the olecranon,
T.B.-5 Waiguan can be used in addition to one of the former. If the area of pain seems to cover
both the Large Intestine and Triple Burner channels, T.B.-8 Sanyangluo is selected.
Local Points
The most important local points are:
- L.I.-11 Quchi: this is one of the most important local points. In this case, this point
functions both as a local and a systemic point since it also benefits sinews in general, thus