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HIP PAIN

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	GB-26, GB-27, GB-28, GB-41, LIV-13, SJ-5 For Yang Deficiency with dull, deep pain which is better with Heat and pressure: UB-29 For Yang Excess with sharp, superficial pain which is worse with Heat and pressure and better with Cold: ST-31, ST-34 For Yin Deficiency with sharp, superficial pain which is better with Cold and pressure: SP-1 For Yin Excess with dull, deep pain which is worse with Cold and pressure and better with Heat: LIV-2

SHAO YANG JING

Clinical Manifestations	Hip pain Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize the Liver and Gallbladder Purge Internal Heat Resolve Phlegm
Herb Formulas	Xiao Chai Hu Tang Ning Shen Ling Fang
Points	GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5

WIND-COLD DAMP BI WITH WIND PREDOMINANT

Clinical Manifestations	Moving pain Pain aggravated by Wind Aversion to Wind Chills and fever Muscle numbness Shoulder pain Neck pain Elbow pain Hand pain Low back pain Hip pain Knee pain Foot pain Preference for warmth Limited movement Lack of thirst Cold extremities T: Pink C: Thin and white P: Wiry and tight
Treatment Principle	Disperse Wind Dispel Dampness Eliminate Cold Unblock the Channels Stop pain
Herb Formulas	Qu Feng Tang Fang Feng Tang modified Chinese Patent Medicine: Jing Fang Bai Du Pian
Points	Ahshi points, GB-20, GB-31, LI-4, LIV-3, SJ-5 GB-30. GB-31, GB-35, LI-4, SJ-5, SP-6, SP-10, UB-12 With a slight fever and chills: + DU-14 With a swollen hip joint: + SP-9 With redness, swelling and a hot sensation of the hip joint: + GB-44, ST-44 With hip pain along the Bladder Channel: + UB-36, UB-58, UB-63 With hip pain along the Gallbladder Channel: + GB-34, GB-36, GB-41 With hip pain along the Stomach Channel: + ST-30, ST-31, ST-34, ST-40, ST-42 With hip pain along the Liver Channel: + LIV-3, LIV-5, LIV-11, LIV-12

WIND-COLD-DAMP BI WITH COLD PREDOMINANT

Clinical Manifestations	Severe hip pain with a Cold feeling Pain radiates to the legs Pain aggravated by exposure to Cold and alleviated by warmth Aversion to Cold Cold extremities Coldness of the affected area Cold pain Pain better with warmth Pain aggravated by Cold Sharp, stabbing pain Shoulder pain Neck pain Elbow pain Low back pain Hand pain Knee pain Foot pain Lack of thirst Limited joint movement T: Pale or Purple C: Thin, white or Greasy white P: Wiry and tight
Treatment Principle	Warm the Channels Dispel Cold Remove Dampness Circulate the Blood Alleviate pain
Herb Formulas	Qu Han Bi Tang Wu Tou Tang Chinese Patent Medicine: Han Shi Bi Chong Ji
Points	GB-31, GB-34, SJ-6, SP-9, ST-40 With Yang Deficiency: + REN-4, REN-6 Ahshi Points, GB-30, GB-31, GB-41, SP-6, moxa or moxa needle LI-4, REN-4, SJ-5, ST-36 For swelling of the hip joints with a feeling of heaviness: + SP-9 With a cold body and cold extremities: + moxa KI-3, REN-8 With a slight fever and chills: + moxa DU-14 With a headache: + GB-20 With hip pain along the Bladder Channel: + UB-36, UB-58, UB-63 With hip pain along the Gallbladder Channel: + GB-34, GB-36, GB-40 With hip pain along the Stomach Channel: + ST-30, ST-31, ST-34, ST-40, ST-42 With hip pain along the Liver Channel: + LIV-3, LIV-5, LIV-11, LIV-12

WIND-COLD-DAMP BI WITH DAMP PREDOMINANT

Clinical Manifestations	A swollen, painful hip joint with limited movement Hip pain and swelling is worse in cloudy or rainy weather Numbness of the skin and muscles A heavy sensation in the buttocks and lower limbs Limping T: Normal C: Greasy and white P: Soft and slow
Treatment Principle	Eliminate Damp Dispel Wind and Cold Unblock the Channels Stop pain
Herb Formulas	Yi Yi Ren Tang Chinese Patent Medicines: Feng Shi Pian Tian Ma Qu Feng Bu Pian
Points	Ahshi Points, GB-29, GB-30, LI-4, SJ-6, SP-9, ST-31, ST-40, UB-12, UB-54, UB-58 With aversion to cold and cold extremities: + moxa or moxa needle REN-4 With numbness in the lower back and hip: + Plum Blossom the area With hip pain along the Bladder Channel: + UB-36, UB-58, UB-63 With hip pain along the Gallbladder Channel: + GB-34, GB-36, GB-40 With hip pain along the Stomach Channel: + ST-30, ST-34, ST-42 With hip pain along the Liver Channel: + LIV-3, LIV-5, LIV-11, LIV-12

WIND-COLD-DAMP BI WITH QI AND BLOOD STAGNATION

Clinical Manifestations	Hip pain Numbness Heaviness of the jaw joint Body aches Uneasy opening and closing of the mouth Lack of Heat or redness in the jaw area Pain is worse with Cold and better with warmth Severe pain in the joints and muscles Numbness Poor circulation Constant, fixed pain The pain can result from, trauma, surgery or degeneration Muscle ache of the neck, back, legs and shoulder Whole body pain Neck and spine pain Shoulder pain Elbow pain Pain at the waist Arm pain Low back pain Leg pain T: Dark or Slightly purple or purple spots C: Normal or Thick and white P: Choppy or Slippery or Slightly superficial or slightly rough or Slow and Soft or Wiry and tight or Floating and wiry
Treatment Principle	Expel Wind-Cold Dampness Move Qi Invigorate the Blood Break up Blood Stasis
Herb Formulas	Qu Feng Huo Xue Tang
Points

LIVER BLOOD DEFICIENCY WITH LIVER YANG RISING

Clinical Manifestations	Hip pain Migraines Temporal headache Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T:Red C: Yellow P: Wiry and full
Treatment Principle	Nourish the Liver Reinforce the Blood Subdue Yang
Herb Formulas
Points	GB-41, SJ-5

INTERNAL WIND

Clinical Manifestations	Hip pain Giddiness Lateral leg ache High blood pressure Red face Tight lateral leg muscles T: Red P: Wiry, full and rapid
Treatment Principle
Herb Formulas
Points	GB-29, SI-3 on the left, UB-62 on the right

LIVER AND KIDNEY DEFICIENCY

Clinical Manifestations	Chronic hip pain with difficulty in rotation Pain aggravated by overstraining or standing too long Lower back and knee weakness and pain Rigidity in the morning Joint deformity Muscular atrophy Fatigue Aversion to cold T: Normal C: Thin and white P: Wiry and weak
Treatment Principle	Strengthen the Kidneys and Liver Harmonize the collaterals Stop pain
Herb Formulas	Du Huo Ji Sheng Tang With Heat: Jiang Huang Wan Chinese Patent Medicines: Du Huo Ji Sheng Wan Hai Ma Bu Shen Wan Kang Gu Zheng Shen Pian
Points	Ahshi Points, GB-29, GB-30, GB-34, KI-3, SP-6, ST-31, UB-18, UB-23 With swollen hip joints: + SP-9 With a stabbing pain or aggravation of the hip pain at night: + LI-4, SP-10 With an extreme aversion to Cold and a Cold sensation in the joints: + moxa or moxa needle UB-23 With hip pain along the Bladder Channel: + UB-36, UB-58, UB-63 With hip pain along the Gallbladder Channel: + GB-35, GB-36, GB-40 With hip pain along the Stomach Channel: + ST-30, ST-34, ST-40, ST-42 With hip pain along the Liver Channel: + LIV-3, LIV-5, LIV-11, LIV-12

COLD IN THE CHANNELS DUE TO BLOOD DEFICIENCY

Clinical Manifestations	Hip pain Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation
Treatment Principle	Warm the Channels Disperse Cold Nourish the Blood Unblock the Blood vessels
Herb Formulas	Dang Gui Si Ni Tang
Points

DAMP-HEAT

Clinical Manifestations	A swollen, painful hip joint Pain is worse with pressure Limited movement A burning sensation with redness Irritability Restlessness Poor appetite Bitter taste in the mouth Scanty, yellow urination Occasional fever T: Normal C: Yellow and greasy P; Slippery and rapid In acute pain there may also be External symptoms: Aversion to Cold Fever Generalized body aches Headache T: Red C: Yellow and greasy P:Floating and slippery
Treatment Principle	Clear Heat Eliminate Damp Sedate the pain Maybe expel wind-Damp-Heat
Herb Formulas	Bai Hu Jia Gui Zhi Tang + San Miao Wan modified Chinese Patent Medicines: Feng Shi Xiao Tong Pian Shi Re Bi Chong Ji San Miao Wan
Points	Ahshi Points, GB-34, GB-40, GB-43, LI-4, SJ-6, SP-6, SP-9, ST-40, ST-44 With a red, swollen hip joint: + SP-10 With hip pain along the Bladder Channel: + UB-36, UB-58, UB-63 With hip pain along the Gallbladder Channel: + GB-35, GB-41 With hip pain along the Stomach Channel: + ST-30, ST-31, ST-34, ST-42 With hip pain along the Liver Channel: + LIV-3, LIV-5, LIV-11, LIV-12 With a fever: + DU-14, LI-11 With generalized body pain and a headache: + GB-20 With severe nausea and vomiting: + PC-6, ST-36 With an inguinal hernia with swelling, a distending pain in the testicle or scrotum and scanty urine: + LIV-5, REN-2, ST-30 With yellow, scanty urination: + REN-3

QI AND BLOOD STAGNATION

Clinical Manifestations	Fixed stabbing or pricking pain in the hip joints Swelling of the joints A history of trauma Limited movement of the joint Difficulty walking which is worse with rest and at night Pain alleviated by movement Pain is associated with red or hard nodules under the skin around the joints T: Purplish with purplish spots C: White P: Choppy or Deep and thready
Treatment Principle	Invigorate the Blood Dispel Stasis Unblock the Channels Sedate pain
Herb Formulas	Shen Tong Zhu Yu Tang Chinese Patent Medicines: Xiao Huo Luo Dan Jin Gui die Shang Wan
Points	Ahshi Points, GB-29, GB-30, LI-4, LIV-3, SP-6, SP-10, ST-31, UB-17 With a fracture of the hip bone: + GB-39, UB-11 For swelling of the hip joint with formation of pus: + SP-9 With severe pain and nocturnal restlessness: + HT-3, HT-7 With a sensation of Heat in the hip joints: + GB-44, ST-44 With hip pain of long duration: + ST-40 With hip pain along the Bladder Channel: + UB-36, UB-58, UB-63 With hip pain along the Gallbladder Channel: + GB-34, GB-35, GB-36, GB-41 With hip pain along the Stomach Channel: + ST-30, ST-31, ST-34, ST-42 With hip pain along the Liver Channel: + LIV-3, LIV-5, LIV-11, LIV-12

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Intermittent pain in both hips Pain alleviated by rest or pressure Pain aggravated by overwork Numbness and weakness of the lower limbs Muscular atrophy of the hips and legs Fatigue Pale complexion Poor appetite Loose stools Shortness of breath Aversion to Cold T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Activate the Spleen Tonify Qi Nourish the Blood Sedate the pain
Herb Formulas	Ba Zhen Tang modified Chinese Patent Medicines: Shi Quan Da Bu Wan Gui Pi Wan
Points	Ahshi Points, GB-30, GB-34, GB-39, KI-3, LIV-3, SP-6, ST-31, ST-36 With hip pain along the Bladder Channel: + UB-36, UB-58, UB-63 With hip pain along the Gallbladder Channel: + GB-35, GB-36, GB-40 With hip pain along the Stomach Channel: + ST-30, ST-34, ST-40, ST-42 With hip pain along the Liver Channel: + LIV-3, LIV-5, LIV-11, LIV-12 With an aversion to cold or cold limbs: + moxa or moxa needle REN-4, REN-6 With swelling in the hips: + SP-9, ST-40 With dizziness: + DU-20

TRIGGER POINTS

Clinical Manifestations	External Abdominal Oblique Muscle: Pain in the iliac fossa Hypocyhondriac pain Groin pain Testicular pain Iliopsoas Muscle: Pain in the iliac fossa Groin pain Adductor Magnus Muscle: Pain in the inguinal region Pain at the anteromedial aspect of the thigh Gluteus Minimus Muscle: Pain below the greater trochanter Pain in the posterior aspect of the thigh Gluteus Medius Muscle: Localized pain in the buttock Iliolumbar Ligament: Pain around the trochanter Pain in the groin Pain in the medial aspect of the thigh Pain in the external genitalia
Treatment Principle
Herb Formulas
Points	External Abdominal Oblique Muscle: in the area of GB-26 and GB-27 Iliopsoas Muscle: in the area of SP-12 Adductor Magnus Muscle: in the area of LIV-10 and LIV-11 Gluteus Minimus Muscle: in the area of GB-29 Gluteus Medius Muscle: in the area of Zhongkong Iliolumbar Ligament: in the area of UB-26