TOE PAIN

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Wandering toe pain which is aggravated on exposure to Wind
  • Difficult movement of the toes
  • Migrating pain in the joints especially the :
    Shoulders
    Elbows
    Knees
    Wrists
    Fingers
    Upper back and neck
  • Multiple joints
  • Pain quality changes
  • May move from soreness to numbness to aching
  • Sensitivity varies
  • Pain often appears abruptly, acutely or paroxysmal and then disappears
  • Limited range of motion
  • Chills and fever
  • Aversion to Wind
  • Symptoms are worse in windy weather
  • Sore throat
  • General body aches
  • Maybe perspiration
  • T: Pink
  • C: Thin and white or Sticky and yellow
  • P: Superficial and moderate
Treatment Principle
  • Eliminate Wind
  • Warm Cold
  • Expel Damp
  • Clear the Channels
  • Promote the circulation of Qi and Blood
  • Alleviate pain
Herb Formulas
  • Fang Feng Tang  modified
  • Chinese Patent Medicines:
    Feng Shi Pian
    Tian Ma Qu Feng Bu Pian
    Han Shi Bi Chong Ji
Points
Clinical Manifestations
  • Severe cold toe pain
  • Aversion to Cold
  • Cold extremities
  • Limited movement of the toes in the case of severe pain
  • Excruciating sharp, stabbing joint pain
  • Pain alleviated by warmth and aggravated by Cold
  • Pain with fixed location
  • Few joints are involved
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • Pain worse at night and better during the day
  • Pain mostly affects low back and lower extremities
  • Pain intense but short lived
  • Pain changes over days or weeks
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T: Pink or Pale
  • C: Thin and white (thicker than for Wind-Bi)
  • P: Superficial and tight or Wiry and tight or Deep, tight and slow
Treatment Principle
  • Warm the channels
  • Dispel Cold
  • Dispel Wind and Damp
  • Invigorate Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Pain and swelling of the toes with a heavy sensation
  • Limited movement of the toes
  • Numbness and heaviness of the extremities
  • Soreness and fixed pain of joints
  • Stiffness or numbness of the muscles or skin
  • Pain worse on cloudy or rainy days
  • Maybe peripheral or systemic edema
  • Pain is alleviated by pressure and warmth
  • Pain lingers and is recalcitrant to treatment
  • Worse during cloudy or wet weather
  • Limited movement
  • Edema
  • Maybe stifling sensation in chest
  • Maybe anorexia or indigestion
  • Maybe abdominal distention
  • Maybe loose or semi-liquid stools
  • T: Pink or Pale
  • C: Greasy and white
  • P: Slow, moderate and soft
Treatment Principle
  • Expel Damp
  • Clear the channels
Herb Formulas
  • Yi Yi Ren Tang  modified
  • Chinese Patent Medicines:
    Tian Ma Qu Feng Bu Pian
Points
Clinical Manifestations
  • Pain and swelling of the toes which is aggravated by touch
  • Redness and a burning sensation in the toes
  • Limited movement of the toes
  • Irritability
  • Restlessness
  • A slight fever
  • Poor appetite
  • Scanty, yellow urine
  • constipation or
  • Loose stools
  • A desire for cold drinks
  • T: Normal
  • C: Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Dispel Wind
  • Eliminate Dampness
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • A constant but not severe pain in one or more toes
  • Pain worse when walking
  • Rigidity of the toe in the morning
  • Hyperosteogeny (excessive bone growth)
  • Muscular atrophy
  • Low back and knee pain and weakness
  • Fatigue
  • T: Pale
  • C: thin and white
  • P: Thready and weak
Treatment Principle
  • Replenish Qi and Blood
  • Strengthen the Liver and Kidneys
  • Dispel Wind, Cold and Damp
  • Unblock the channels and collaterals
Herb Formulas
  • Du Huo Ji Sheng Tang   
  • Chinese Patent Medicines:
    Hai Ma Bu Shen Pian
    Du Huo Ji Sheng Wan

    Kang Gu Zheng Sheng Pian
Points
  • Bafeng, GB-34, GB-39, KI-3, LIV-3, SJ-6, ST-36
    With swollen toes and feet: + SP-9
    With swelling and possible deformity of the toes due to Qi and Blood Stagnation: + SP-10
    With severe aversion to Cold and a cold sensation in the joints: + moxa the toes
    With restlessness and insomnia: + HT-3, PC-6
Clinical Manifestations
  • Fixed pain with swelling in the toe(s)
  • Toe(s) purplish
  • Pain worse with pressure and moment
  • Pain worse at night
  • A history of trauma to the toe(s)
  • T: Normal
  • C: Thin and white
  • P: Wiry and tight
Treatment Principle
  • Promote the circulation of Qi and Blood
  • Eliminate Blood Stasis
  • Unblock the channels and collaterals
  • Alleviate pain
Herb Formulas
  • Acute stage: Qi Li San  topically
  • Middle and restoration stages: Ba Xian Xiao Yao Tang
  • Chinese Patent Medicines:
    Xiao Huo Luo Dan
    Jin Gu Die Shang Wan
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
Herb Formulas
Points