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ase history A 33-year-old woman complained of pain in her entire body that had persisted for 15 days.

The pain started after she caught a cold 2 weeks previously. When she visited her doctor he had prescribed some painkillers. She had had no relief of the pain, however, so she asked for acupuncture treatment. When she came to the acupuncture department, she had a low fever, an aversion to cold with no sweating, pain and soreness in the entire body, headache, low back pain, joint pain, cold limbs, a pale tongue with a white coating and a superficial pulse. Diagnosis Invasion of Cold in the channels. Principle of treatment Dispel External Cold, warm the channels and relieve body pain. Acupuncture treatment The points LI-4, LU-7, GB-20, GB-34 and BL-58 were needled daily with reducing method. Explanations LI-4, the Source point of the Large Intestine channel, and LU-7, the Connecting point of the pain in the entire body 51

Invasion of Wind-Damp Symptoms and signs Pain in the entire body with a heavy sensation, soreness and numbness of the muscles, headache with a heavy feeling, painful and swollen joints, low fever, a poor appetite, a thirst without a desire to drink, loose and sticky stools, a white and sticky tongue coating and a deep and slippery pulse are the signs and symptoms of this condition. Principle of treatment Dispel the Wind, eliminate the Damp and relieve the pain. HERBAL TREATMENT PRESCRIPTION Main formula QIANG HUO SHENG SHI TANG Notopterygium Dispelling Dampness Decoction. This formula could be used to treat entire body pain due to invasion of Wind-Damp, especially Wind, Cold and Damp. Typically this formula was originally designed for headache, but its effect of treating the entire body pain is also obvious. Xi Xin Herba Asari 5g could be added into this formula to strengthen the effect of pain relieving. Alternative formulas JIU WEI QIANG HUO TANG Nine-herb Decoction with Notopterygium from the Analytic Collection. This formula could be used to treat pain due invasion of Wind-Damp with accumulation of Heat in the Interior, i.e. mixture of External Wind-Damp with Internal Heat. There is usually pain with no sweating, fever, painful body and joints, thirst, bitter taste

in the mouth, white and greasy coating of the tongue, superficial pulse. MA HUANG JIA ZHU TANG Ephedra Decoction plus Atractylodes. This formula could be used to treat mild case of pain due to invasion of Wind, Cold and Damp. MA XING YI GAN TANG Ephedra Apricot Kernel, Coicis and Licorice Decoction. This formula could be used to treat entire body pain and joint pain at an early stage which has been caused by invasion of Wind, Cold and Damp resulting from improper daily life, such as being caught in the rain or standing in wind after heavy sweating, etc. JUAN BI TANG Remove Painful Obstruction Decoction. This formula is indicated in both acute or chronic entire body pain and joint pain due to invasion of Wind-Damp with deficiency of Qi and Blood. Chuan Xiong Radix Ligustici Chuanxiong 10g should be added to relieve the body pain. DU HUO JI SHENG TANG Angelica Pubescens and Sangjisheng Decoction. This formula is indicated in chronic entire body pain and joint pain due to invasion of Wind-Damp with deficiency of Liver and Kidney. Modifications 1. If there is headache, add Bai Zhi Radix Angelicae Dahuricae 10g to dispel the Wind and to relieve the

headache 2. If there is swelling of the joints, add Fang Ji Radix Stephaniae Tetrandrae 10g and Fu Ling Poria 15g to eliminate the Damp and promote the urination. 3. If there is soreness of the muscles, add Mu Gua Fructus Chaenomelis 10g and Yi Yi Ren Semen Coicis 10g to eliminate the Damp and regulate the Qi circulation. 4. If there is heavy sensation in the body, add Can Sha Excrementum Bombycis Mori 10g and Ze Xie Rhizoma Alismatis 15g to promote urination and eliminate the Damp. 5. If there is a low fever, add Huo Xiang Herba Agastachis 6g and Pei Lan Herba Eupatorii 6g to promote the sweating and reduce the fever. 6. If there is a poor appetite, add Ban Xia Rhizoma Pinelliae 10g and Sha Ren Fructus Amomi 6g to dry the Damp and improve the appetite. 7. If there is much body pain, add Wu Shao She Zaocys Dhumnades 10g and Wei Ling Xian Radix Clematidis10g to harmonise the collaterals and to relieve the pain. Lung channel, regulate the circulation of the Liver and promote sweating in order to dispel External Wind-Cold from the channels GB-20, the meeting point of the Gallbladder channel and the Yang Linking channel, promotes the circulation of Qi, dispels External Cold and relieves the headache GB-34, the Gathering point of the tendons, promotes the Qi circulation and relieves the pain

BL-58, the Connecting point of the Bladder channel, regulates the Qi circulation and relieves the pain. After the first treatment, the patient sweated slightly and felt relief of the pain. The pain disappeared completely after the third treatment. Upon consultation a year later she reported having been free of pain since the treatment. 52 generalised body pain Patent remedy Tian Ma Qu Feng Bu Pian Gastrodia Dispel Wind Formula Tablet Feng Shi Pian Wind-Damp Tablet Huo Xiang Zheng Qi San Agastache Upright Qi Powder. ACUPUNCTURE TREATMENT MAIN POINTS LU-7 Lieque, TE-6 Zhigou, SP-6 Sanyinjiao, SP-9 Yinlingquan, ST-36 Zusanli, GB-34 Yanglingquan and BL-60 Kunlun. Reducing method is applied on these points. Moxibustion should be applied on Lu-7, TE--6, ST-36 and SP-9. Explanations LU-7, the Connecting point of the Lung channel, promotes the Qi circulation and dispels the WindDamp TE-6 dispels the Wind, promotes urination and eliminates the Damp SP-6, the crossing point of the Spleen, Kidney and Liver channels, and SP-9, the Sea point of the Spleen channel, eliminate the Damp and activate the Spleen ST-36, the Lower Sea point of the Stomach regulates

the Stomach-Qi and eliminates the Damp GB-34, the Sea point of the Gallbladder channel and the Gathering point for the tendons, regulates the Qi circulation and relieves pain in the tendons BL-60, the River point of the Bladder channel, promotes the circulation of Qi and eliminates the Wind-Damp Moxibustion dispels Wind, eliminates Damp, harmonizes the collaterals and relieve the pain. Alternative points TE-3 Zhongzhu, TE-4 Yangchi, TE-7 Huizong, BL-10 Tianzhu, BL-39 Weiyang, 58 Feiyang, BL-64 Jinggu and ST-40 Fenglong, etc. Modifications 1. If there is a low fever, add LI-4 and BL-20 to promote the sweating, to eliminate the WindDamp and reduce the fever 2. If there is joint pain, add BL-11, the Gathering point for the Bones, BL-20 and local Ah Shi points to regulate the Qi circulation and relieve the pain 3. If there is headache, add GV-20 and Extra Taiyang to promote sweating and relieve the headache 4. If there is a poor appetite, add CV-12, the Front Collecting point of the Stomach, and BL-20, the Back Transporting point of the Stomach, to promote the Qi circulation and improve the appetite 5. If there is numbness in the muscles, add SP-4, the Connecting point of the Spleen channel, to activate the Spleen and Stomach and reduce the numbness.

Invasion of Damp-Heat Symptoms and signs Invasion of Damp-Heat can present with pain in the entire body with an acute onset, or chronic pain with an acute aggravation, a hot and heavy sensation in the entire body, swelling of the body, aggravation of the pain by heat, alleviation of the pain by cold, lumbago, scanty and yellow urine, constipation, fever and an aversion to cold, headache, a bitter taste in mouth, thirst, a red tongue with a thick yellow coating and a slippery and rapid pulse. Principle of treatment Clear the Heat, eliminate the Damp and relieve the pain. HERBAL TREATMENT PRESCRIPTION Main formula GAN LU XIAO DU DAN Sweet Dew Special Pill to Eliminate Toxin. This formula can be used to treat entire body pain due to invasion of Wind, Damp-Heat, in which Damp and Heat are in equal proportion. Meanwhile, Luo Shi Teng Caulis Trachelospermi 15g and Sang Zhi Ramulus Mori Albae 15g should be added to dispel the Wind, to eliminate the Damp-Heat and relieve the pain. Alternative formula SAN REN TANG Three-Nut Decoction. This formula can be used to treat entire body pain and joint pain due to invasion of Wind, Damp and Heat, in which Damp is the predominant pathogenic factor. Meanwhile, Luo Shi Teng Caulis Trachelospermi 15g and Sang Zhi Ramulus

Mori Albae 15g should be added to dispel the Wind, to eliminate the Damp-Heat and relieve the pain. Modifications 1. If there are swollen and painful joints, add Qing Feng Teng Caulis Sinomenii 20g, Hu Zhang Rhizoma Polygoni Cuspidati 15g and Luo Shi Teng Caulis Trachelospermi 15g to dispel the Wind, to eliminate the Damp-Heat and relieve the pain 2. If there is fever, add Sheng Ma Rhizoma Cimicifugae 10g and Chai Hu Radix Bupleuri 12g to clear the Heat and relieve the pain 3. If there is swelling of the body, add Ku Shen Radix Sophorae Flavescentis 10g, Lian Qiao Fructus pain in the entire body 53 Forsythiae 10g and Jin Yin Hua Flos Lonicerae 10g to eliminate the Damp-Heat, remove the Toxin and relieve the swelling 4. If there is constipation, add Da Huang Radix et Rhizoma Rhei 10g and Mang Xiao Natrii Sulfas 10g to clear the Fire, promote the defecation and to relieve the constipation. Patent remedy Gan Lu Xiao Du Dan Sweet Dew Special Pill to Eliminate Toxin. ACUPUNCTURE TREATMENT MAIN POINTS LI-4 Hegu, LU-7 Lieque, TE-5 Waiguan, LR-4 Zhongfeng, SP-9 Yinlingquan and GB-34 Yanglingquan. Reducing method is used on these points. Explanations LI-4, the Source point of the Large Intestine channel,

eliminates the Damp-Heat by promoting sweating LU-7, the Connecting point of the Lung channel, disperses the Lung-Qi and eliminates the Damp-Heat TE-5, the Connecting point of the Triple Burner channel, promotes the circulation of Qi and relieves the pain LR-4, the River point of the Liver channel, eliminates the Damp-Heat in the lower limbs SP-9, the Sea point of the Spleen channel, promotes the urination and removes the Damp-Heat GB-34, the Sea point of the Gallbladder channel and the Gathering point for the Tendons, regulates the Qi circulation, eliminates the Damp-Heat and relieve the body pain. Alternative points LI-2 Erjian, LI-3 Sanjian, TE-6 Zhigou, BL-39 Weiyang, BL-40 Weizhong, BL-58 Feiyang, BL-64 Jinggu, ST-40 Fenglong and SP-6 Sanyinjiao, etc. Modifications 1. If there is fever, add LI-11 and GV-14 to clear the Damp-Heat and to lower the fever by inducing the sweating 2. If there is swelling of the muscles, add SP-6 and TE-6 to eliminate the Damp-Heat and reduce the swelling 3. If there are painful joints, add BL-11, BL-40 and some local Ah Shi points to remove the Qi stagnation in order to relieve pain 4. If there is headache, add GV-20 and GB-20 to regulate the Qi circulation and relieve the headache 5. If there is constipation, add ST-25, the Front

Collecting point of the Large Intestine and ST-37, the Lower Sea point of the Large Intestine, to promote the defecation and to relieve the constipation 6. If there is lumbago, add BL-23 and BL-58 to strengthen the lower back and to relieve the pain.