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HEEL PAIN(CALCANEUS PAIN)

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

WIND-COLD-DAMP

Clinical Manifestations	Heel pain with a cold, heavy sensation Pain is worse on exposure to Cold and alleviated by warmth Swelling of the joints Slight fever Aversion to Cold Numb or frigid toes Cold limbs Poor appetite No thirst Clear urine T: Pale C: White and moist P: Superficial and tense
Treatment Principle	Dispel wind-Cold-Damp Regulate Qi Invigorate the Blood alleviate pain
Herb Formulas	Juan Bi Tang Er Hao modified Chinese Patent Medicines: Feng Shi Pian Jing Fang Bai Du Pian Tian Ma Fu Qu Feng Bu Pian
Points	KI-3, LI-4, SI-4, SP-6, UB-58, UB-60, UB-63, UB-64 With a cold sensation in the heel: + moxa or moxa needle KI-3, UB-60 With swelling of the heel: + SP-9 With numbness of the heel: + plum-blossum the heel With heel pain along the Kidney channel: + KI-4, KI-5 With heel pain along the Bladder channel: + UB-59, UB-62 With painful toes: + Bafeng With a headache: + GB-20 With a fever: + DU-14

TOXIC FIRE

Clinical Manifestations	Acute heel pain which is worse with warmth and better with Cold Heat and burning in the heel Rednesws and swelling of the heel Formation of ulcers on the heel, maybe with pus Fever Aversion to Cold Thirst Restlessness Insomnia Yellow urine Constipation T: Red C: Yellow and dry P: Rapid and forceful
Treatment Principle	Clear Fire Eliminate toxicity Invigorate the Blood Relieve pain
Herb Formulas	Pu Ji Xiao Du Yin modified Chinese Patent Medicines: Feng Shi Xiao Tong Wan Niu Huang Jie Du Pian
Points	KI-2, LI-4, LI-11, SI-4, SJ-6, SP-6, SP-10, ST-44, UB-60, UB-63 With redness and swelling of the foot: + GB-43 With heel pain along the Kidney channel: + KI-4, KI-5 With itching of the feet: + LIV-2 With a stabbing pain at the heel: + KI-1 With a wound on the heel: + Bafeng With a fever: + DU-14 With nervousness: + GB-20 With throat pain and swelling: + LU-10 With coughing and expectoration of yellow Phlegm: + LU-5 With restlessness and insomnia: + HT-8

DAMP-HEAT

Clinical Manifestations	Heel pain with a feverish, heavy sensation Redness and swelling of the heel Symptoms worse with warmth and better with Cold Bitter taste in the mouth Poor appetite Fever A feeling of heaviness in the legs Painful urination Loose stools Abdominal pain and distention Deep yellow urine T: Red C: Yellow and greasy at the root P: Slippery and rapid
Treatment Principle	Eliminate Dampness Clear Heat Harmonize the collaterals Relieve pain
Herb Formulas	Si Miao Wan modified Chinese Patent Medicine: Si Miao Wan
Points	GB-34, KI-2, SI-3, SI-4, SJ-6, SP-6, SP-9, UB-63, UB-64 With a sharp paint: + LI-4, LIV-3 With a heavy sensation in the feet: + KI-6 With heel pain along the Kidney channel: + KI-3, KI-4, KI-5 With heel pain along the Bladder channel: + UB-59, UB-60, UB-62, UB-65 With redness on the feet: + SP-10 With ulcers on the feet: + ST-44 With itching on the heel: + Bafeng With a fever: + DU-14, LI-11 With a poor appetite: + REN-12, SP-4 With leukorrhea and itching in the genital area: + GB-41, LIV-5

QI AND BLOOD STAGNATION

Clinical Manifestations	Trauma to the heel with swollen muscles or tendons Long duration of heel pain A history of injury or surgery on the heel Stabbing pain with a fixed location Pain worsens at night Rigidity of the ankle joints A purplish color on the skin of the heel T: Purplish C: Thin P: Wiry and choppy
Treatment Principle	Promote the circulation of Qi and Blood Eliminate Blood Stasis Relieve pain
Herb Formulas	Fu Yuan Huo Xue Tang Chinese Patent Medicines: Jin Gu Die Shang Wan Xiao Huo Luo Dan
Points	GB-34, LI-4, LIV-3, SI-3, SI-4, SP-6, UB-60 With heel pain along the Kidney channel: + KI-3, KI-4, KI-5 With heel pain along the Bladder channel: + UB-59, UB-60, UB-62, UB-63, UB-64 C Bafeng With with a purplish color to the feet: + UB-67 With a bone fracture in the foot: + GB-39, KI-3 With red spots on the feet: + SP-10 With depression: + LIV-14, REN-17 With a cold foot or aversion to Cold: + ST-36, KI-3 With restlessness and insomnia: + HT-3, PC-6

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Heel pain with a dull sensation Symotoms worse with fatigue and exertion and alleviated with rest A slight, diffused tenderness on the heel Lower back pain Fatigue Lassitude Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods Nycturia T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood Nourish the muscles Alleviate pain
Herb Formulas	Ba Zhen Tang modified Chinese Patent Medicine: Shi Quan Da Bu Wan
Points	GB-34, GB-39, SI-3, SI-4, SP-6, ST-36, UB-63, UB-64 With heel pain along the Kidney channel: + KI-3, KI-4, KI-5 With a poor appetite: + REN-12, SP-3 With dizziness : + DU-20, GB-20 With diarrhea : + SP-9

lIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Heel pain with difficulty in ratation, flexion and extension Symptoms aggravated by overstrain or standing too long Symptoms relieved by rest Weakness of the knees and ankles Rigidity in the morning Joint deformity Muscular atrophy Fatigue Aversion to Cold Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five Sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys Strengthe the tendons and bones Unblock the channels Alleviate pain
Herb Formulas	Liu Wei Di Huang Wan modified Chinese Patent Medicines: Liu Wei Di Huang Wan Hai Ma Bu Shen Wan Kang Gu Zhong Sheng Pian
Points	GB-34, GB-39, KI-3, KI-6, KI-7, LIV-3, SI-3, SP-6, ST-36, UB-63 With heel pain along the Kidney channel: + KI-4, KI-5 With heel pain that is occasionally influenced by weather changes: + SJ-5 With an aversion to exposing the heel to Cold: + moxa or moxa needle KI-3, REN-6 With weakness of the low back, knees and legs: + UB-23 With impotence: + REN-4 For abdominal pain with a cold sensation: + ST-25 With frequent nocturnal urination: + KI-10 With fatigue and shortness of breath due to Kidney Deficiency: + DU-20

Blood Stagnatio

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Damp-Heat

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Fire or Heat Toxin

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Toxic Heat and Dampness

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Liver and Kidney Deficiency

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

Disharmony of the Chong and Ren Channels

Clinical Manifestations
Treatment Principle
Herb Formulas
Points