尺泽 关冲 外关 窍阴 主臂不及头。 前谷 后溪 阳溪 主臂重痛,肘挛。
会支沟 曲池 腕骨肘 主肘节痹,臂酸重,腋急痛,肘难屈伸。中膂俞 主腋挛。
腕骨 前谷 曲池 阳谷 主臂腕急,腕外侧痛脱如拔。天井 外关 曲池主臂痿不仁。 大
泉经渠 主臂内廉痛。 间使 主肘内廉痛。 巨骨 前谷 主臂不举。 肩 天宗 阳
谷主臂痛。 曲池 关冲 三里 中渚 阳谷 尺泽 主肘痛时寒。(又云∶关冲主肘疼
不能自带衣。) 鱼际 灵道 主肘挛柱满。 大陵 主肘挛腋肿。 阳辅申脉 委阳 天
池临泣 地五会 主腋下肿。
气舍 主肩肿不能顾。 涌泉 主肩背颈项痛。 曲池 天 主肩重痛不举。 腕
骨主肩臂痛。 天井主肩痛痿痹不仁,不可屈伸,肉麻木。 肩贞 关冲 肩 主肩中
热,头不可以顾。巨骨 主肩中痛,不能动摇。 后溪 主肩 痛。 支沟 关冲 主肩臂
酸重。 天宗 主肩重臂痛。 阳谷 清冷渊 主肩不举,不能带衣。 肩外俞 主肩胛痛
而寒至肘。 曲垣 主肩胛周痹。 养老 天柱 主肩痛欲折, 天牖 缺盆 神道 大杼
天突 水道 巨骨 主肩背痛。 前腋 主肩腋前痛与胸相引。 膈俞 京门 尺泽 主
肩背寒痉,肩胛内廉痛。 列缺 主肩背寒栗,
凡实则肩背热,背汗出,四肢暴肿。虚则肩背寒栗,气不足以息。
尺泽、关冲、外关、窍阴,主治手臂无法举过头顶。
前谷、后溪、阳溪,主治手臂沉重疼痛,肘部拘挛。
会支沟、曲池、腕骨、肘,主治肘关节痹痛,手臂酸重,腋下急痛,肘部难以屈伸。中膂俞,主治腋下拘挛。
腕骨、前谷、曲池、阳谷,主治手腕拘急,腕外侧疼痛剧烈如被拔除。天井、外关、曲池,主治手臂痿软麻木。大泉、经渠,主治手臂内侧疼痛。间使,主治肘部内侧疼痛。巨骨、前谷,主治手臂不能抬起。肩、天宗、阳谷,主治手臂疼痛。曲池、关冲、三里、中渚、阳谷、尺泽,主治肘部疼痛且伴有发冷。(又说:关冲主治肘部疼痛,导致患者无法自己穿衣。)鱼际、灵道,主治肘部拘挛伴胸部胀满。大陵,主治肘部拘挛及腋下肿胀。阳辅、申脉、委阳、天池、临泣、地五会,主治腋下肿胀。
气舍,主治肩部肿胀导致头部无法回顾。涌泉,主治肩背颈项疼痛。曲池、天,主治肩部沉重疼痛且无法抬起。腕骨,主治肩臂疼痛。天井,主治肩部疼痛、痿痹麻木,无法屈伸,肌肉麻木不仁。肩贞、关冲、肩,主治肩中热盛,头部无法回顾。巨骨,主治肩中疼痛,无法活动摇动。后溪,主治肩部疼痛。支沟、关冲,主治肩臂酸重。天宗,主治肩部沉重、手臂疼痛。阳谷、清冷渊,主治肩部无法抬起,不能穿衣。肩外俞,主治肩胛疼痛且寒气延伸至肘部。曲垣,主治肩胛周围痹痛。养老、天柱,主治肩部疼痛欲折裂。天牖、缺盆、神道、大杼、天突、水道、巨骨,主治肩背部疼痛。前腋,主治肩腋前部疼痛并牵引至胸部。膈俞、京门、尺泽,主治肩背寒性痉挛,肩胛内侧疼痛。列缺,主治肩背寒冷战栗。
凡是实证,表现为肩背发热,背部出汗,四肢突然肿胀。虚证,表现为肩背寒冷战栗,气息不足以致呼吸急促。
Chize (LU5), Guanzhong (SJ1), Waiguan (TE5), and Qiayin (GB46) govern arm inability to reach the head.
Qiangu (SI3), Houxi (SI3), and Yangxi (LI5) govern heavy pain in the arm and elbow contracture.
Huizhi Gou, Quchi (LI11), Wanggu (SI4), and Zhou, govern elbow bi-syndrome, soreness and heaviness of the arm, acute pain in the axilla, and difficulty in flexing and extending the elbow. Zhonglü Shu (BL27) governs axillary contracture.
Wanggu (SI4), Qiangu (SI3), Quchi (LI11), and Yanggu (SI5) govern acute stiffness of the wrist and arm, and severe pain on the lateral side of the wrist as if being pulled out. Tianjing (TE10), Waiguan (TE5), and Quchi (LI11) govern arm flaccidity and numbness. Daquan and Jingqu (LU8) govern pain on the medial aspect of the arm. Jianshi (PC5) governs pain on the medial aspect of the elbow. Jugu (GB1) and Qiangu (SI3) govern the inability to raise the arm. Jian, Tianzong (SI11), and Yanggu (SI5) govern arm pain. Quchi (LI11), Guanzhong (SJ1), Sanli (ST36), Zhongzhu (TE3), Yanggu (SI5), and Chize (LU5) govern elbow pain accompanied by chills. (It is also said: Guanzhong (SJ1) governs elbow pain that prevents the patient from dressing themselves.) Yuji (LU10) and Lingdao (HT4) govern elbow contracture with chest fullness. Daling (PC7) governs elbow contracture and axillary swelling. Yangfu (GB38), Shenmai (BL62), Weiyang (BL39), Tianchi (PC1), Linqi (GB15), and Di Wuhui (GB43) govern axillary swelling.
Qishe (ST11) governs shoulder swelling that prevents turning the head. Yongquan (KI1) governs pain in the shoulder, back, neck, and nape. Quchi (LI11) and Tian, govern heavy pain in the shoulder and inability to lift. Wanggu (SI4) governs shoulder and arm pain. Tianjing (TE10) governs shoulder pain, flaccid bi-syndrome with numbness, inability to flex and extend, and muscle numbness. Jianzhen (SI9), Guanzhong (SJ1), and Jian, govern heat in the shoulder and inability to turn the head. Jugu (GB1) governs pain in the shoulder and inability to move or shake. Houxi (SI3) governs shoulder pain. Zhigou (TE6) and Guanzhong (SJ1) govern soreness and heaviness of the shoulder and arm. Tianzong (SI11) governs heaviness of the shoulder and pain in the arm. Yanggu (SI5) and Qingleng Yuan (SI10) govern inability to raise the shoulder and dress oneself. Jianwai Shu (BL14) governs scapular pain with cold extending to the elbow. Qu Yuan (SI13) governs generalized bi-syndrome around the scapula. Yanglao (SI6) and Tianzhu (BL10) govern severe shoulder pain as if breaking. Tianyou (TE15), Quepen (ST12), Shendao (GV11), Dashu (BL11), Tantu (CV22), Shuidao (ST28), and Jugu (GB1) govern shoulder and back pain. Qianye governs pain in the anterior shoulder and axilla radiating to the chest. Ge Shu (BL17), Jingmen (LR25), and Chize (LU5) govern cold spasms of the shoulder and back, and pain on the medial aspect of the scapula. Lieque (LU7) governs cold shivering of the shoulder and back.
In cases of excess, there is heat in the shoulder and back, sweating on the back, and sudden swelling of the four limbs. In cases of deficiency, there is cold shivering of the shoulder and back, and insufficient qi leading to labored breathing.