The most important joint in the shoulder is called glenohumeral joint, which is the most mobile joint in the human body and can do multi-directional activities. However, the greater the relative mobility, the more unstable the joint, and the normal operation needs to be maintained by ligaments and tendons around the joint. Therefore, the injury of ligaments and tendons near the shoulder joint and inflammation of synovial bursa may lead to shoulder pain.
The common shoulder pain in medicine is called adhesive joint capsulitis, also known as fifty shoulders, also known as frozen shoulders, which mostly occurs between 40 and 60 years old.
Acute and chronic pain has always been a difficult problem for Chinese medicine or western medicine! The human body's feeling of pain intensity is not necessarily proportional to the size of foreign * * *. In fact, a person's subjective consciousness and identity, past experience, present situation and personal emotions will all affect patients' personal cognition of pain. Generally speaking, acute pain is basically easier to deal with than chronic pain; The problem of pain is simpler than the symptoms of acid and numbness.
In the elemental questionnaire of Huangdi Neijing, the article "On Pain" pointed out that the occurrence of acute pain is that "the cold enters late and you can't cry, but there is less blood outside the pulse and you can't breathe inside the pulse, so you die and feel pain". In other words, once the cold invades the human body, it will lead to slow blood flow and cannot moisten blood vessels and muscles. The cause of chronic pain is the abnormal movement of qi, which leads to nine situations, such as "anger leads to qi rising, joy leads to qi slowing, sadness leads to qi disappearing, fear leads to qi falling, cold leads to qi exhaustion, shock leads to qi disorder, fatigue leads to qi consumption, and thinking leads to qi stagnation".
Causes of joint pain In other words, cold can lead to the weakness of "Qi" that keeps the human body running. In addition, Chinese medicine calls the pain at fixed points "arthralgia syndrome", or joint pain. The cause of arthralgia syndrome comes from the combination of wind, cold and dampness in nature, and then infringes on limbs, meridians, muscles and joints. Once qi and blood flow is not smooth or even blocked, it will cause swelling, swelling, pain or numbness of joints or muscles. Generally speaking, the occurrence of pain is nothing more than three reasons: first, excessive pathogenic factors; Second, lack of healthy qi; Third, the actual situation is mixed.
Why is fifty shoulders, the cause of traditional Chinese medicine, like cancer, easy to happen to middle-aged and elderly people aged 40 to 60? In fact, it is not difficult to understand from the perspective of physiological aging!
In the current medical development of mankind, all health care actions are actually just delaying aging, and it is absolutely impossible to abandon the old and rejuvenate as often mentioned in puppet shows! Otherwise, the population on the earth will exceed the existing population, and there will be phenomena outside the chart.
Undeniably, in the process of human aging, the functions of digestive system and immune system will be particularly significantly reduced. In this state, it is followed by the weakness of "healthy qi" in the body, and then the deficiency of essence, blood and body fluid appears under the condition that it can not promote and warm the internal organs.
In the theory of traditional Chinese medicine, the relationship between "qi" and "blood" has been paid considerable attention, which has led to the saying that "qi is handsome blood and blood is the mother of qi" Once the phenomenon of "qi stagnation" appears, it will lead to the pathological state of "blood stasis" with poor blood flow. In fact, tendons, muscles and blood vessels rely on the constantly flowing "qi" in the body to lead "blood" to nourish various tissues of the human body; Unfortunately, once the phenomenon of blood stasis lasts for a long time, it will cause blood deficiency and make them unable to get enough blood supply.
Spleen governs limbs, and spleen and stomach belong to exterior-interior relationship. Traditional Chinese medicine believes that the spleen plays the role of transporting water and distributing essence, which is the so-called "essence" in modern times. When not competent for this role, the human body will also have a heart with abnormal nutrient delivery, which will eventually affect the storage function of the stomach.
When the stomach can not properly decompose water, that is, digest the food it eats, it will further lead to unstable biochemical sources of qi and blood; Furthermore, the function of spleen in TCM also includes the immune system in western medicine. Therefore, when dealing with this kind of health problems caused by aging, the key is to solve the root cause: to keep the digestive system functioning to a certain extent.
The liver belongs to the wood in the five elements, which plays the role of collecting, storing and releasing blood in the body; In addition, the liver also plays an important role in biochemical qi and blood, coordinating internal organs and resisting external evils. Therefore, famous doctors from ancient times to the present, such as Tang Rongchuan in the late Qing Dynasty, said in his book On Diseases and Syndrome of Zang-fu Organs that "the nature of wood is mainly to relieve qi, and qi enters the stomach, relying entirely on the qi of liver wood to relieve qi, while Shui Gu is the essence".
From the physiological point of view of western medicine, it is easier to understand that Chinese medicine and western medicine are actually the same in some aspects, but the way or angle of exposition is different!
The role of the liver in the treatment of pain In fact, when a person eats food, the process of digestion has already begun in his mouth. When food reaches the stomach, the liver begins to regulate and circulate the whole body's blood, allowing a large amount of blood to enter the stomach, allowing the stomach to decompose the food it eats into exquisite nutrition and be absorbed by the body, just like a car that can only run on gasoline.
Similarly, Zhu Danxi in Yuan Dynasty also put forward the view that "the liver also has the responsibility of dispersing qi". In other words, when the liver is harmonious, the qi of the whole body can germinate, and then everything can develop!
Stagnation of liver qi, that is, depression, is basically a very bad phenomenon; Once the human body produces what Chinese medicine calls liver-qi discomfort, it will seriously affect the function of spleen and stomach. Therefore, the proposition that "all pain belongs to the liver" put forward in the Secret Book of Stone Chambers may explain why most patients with 50 shoulders can smell the bad mood in clinic.
One of the advantages of TCM is to solve the fundamental problems of diseases. For problems such as acute and chronic pain, besides considering the digestion and inhalation of the spleen and stomach, the most important thing is to care for the liver! After all, reading a book of medical essays reminds us that "doctors are good at regulating the liver, but good at treating all diseases", which is worthy of reference in health care!