天井、主肩痛。痿痹不仁。不可屈伸。肩肉麻木。曲垣、主肩甲周痹。肩贞、肩
冲、主肩中热。头不可顾。曲池、天 、主肩重痛不举。清冷泉、(明同。)阳谷、主肩
不举。不得带衣。天井、疗肘痛引肩。不屈伸。(见肘。)肩外俞、治肩痹。曲垣、治
肩痛周痹。(并见肩背。)
两肩头冷疼。尤不可忽。予屡见将中风人臂骨脱臼。不与肩相连接。多有治不愈者。要
之、
掌心抚摩之。夜卧则多以被拥之。仅能不冷。后灸肩 。方免此患。盖肩 系两手之安否。
环跳系两足之安否。不可不灸也。
曲池、疗肘臂偏细。(明下见肘。)肩 、疗臂细无力酸疼。臂冷而缓。(明)臂
、肩 ,疗臂细无力。手不得向头。少海、(见瘰 。)乳根、听宫、疗臂痛。中渚、孔
、肘 、疗肘臂酸痛。(见肘痛。)间使、疗臂肿痛。屈伸难。(下)肩 、疗肩重不举。
臂痛。扁骨、(即肩 。)疗肩中热。指臂痛。乳根、治臂肿。(铜)太渊、治臂内廉痛
。居 、治腰引小腹痛。肩引胸臂挛急。手臂不得举而至肩。臂 、(见瘰 。)肘 、
治臂痛不举。(见肘。)听宫、治臂痛。孔最、治臂厥痛。可针。阳谷、治臂腕外侧痛
不举。掖门、(见咽肿。)前谷、治臂不得举。阳池、治因折伤手腕。捉物不得。肩臂痛
不举。极泉、治臂肘厥寒。
清冷渊、治 从肩臂不举。不得带衣。养老、治肩欲折。臂如拔。臂(明下作手。)痛
自上下。 、治臂酸无力。(见肩痛。)章门、治厥逆。肩臂不举。巨骨、治肩臂不
得屈伸而痛。(见肩痛。) 会、治臂痛不能举。气肿痉痛。肩 、治手臂挛急。(见偏
风)尺泽、肩贞、治风痹手臂不举。合谷、治痿臂。阳溪、治臂不举。(见肘。)天
宗、五里等、治臂痛。后溪、治臂急。窍阴等、腕骨、治臂不伸。附分、治臂不仁。(
并肘。)巨骨、前谷、主臂不举。尺泽、冲关、外关、窍阴、主臂不及头。前腋、主
臂挛急。手不上举。神门、少海、主臂挛。颜色焦枯。劳气失精。肩臂痛不得上头。肩
百壮。掖门、主臂痛。肩 、天宗、阳谷、主臂痛。前谷、后溪、阳溪、主臂重痛肘
挛。太泉、经渠、主臂内廉痛。
腕骨、曲池、前谷、阳谷、主臂腕急。腕外侧痛脱如拔。腕骨、天宗、主肩臂痛。(
见肩背痛。)列缺、主手臂身热。后溪、三里、曲池、疗臂痛。(明见肘痛。)
天井穴,主治肩痛。痿痹导致的感觉迟钝(不仁)。手臂无法屈伸。肩部肌肉麻木。曲垣穴,主治肩胛周围痹痛。肩贞穴、肩冲穴,主治肩中热。头部不能回顾。曲池穴、天髎穴,主治肩部沉重疼痛且无法抬起。清冷泉穴(《明堂》记载相同)、阳谷穴,主治肩部无法抬起。穿衣时无法扣带。天井穴,治疗肘痛牵引至肩部。手臂无法屈伸。(见肘部病症章节)。肩外俞穴,治疗肩痹。曲垣穴,治疗肩部周围痹痛引起的肩痛。(并见肩背病症章节)。
两个肩头寒冷疼痛,尤其不可忽视。我多次见到即将发生中风的人,其臂骨脱臼,不与肩关节相连结。大多有治疗后未能痊愈的。总之,要用掌心抚摸按摩它,夜间睡觉时多用被子覆盖保暖。仅仅能避免寒冷。后来艾灸肩井穴,才免除了这个祸患。因为肩井穴关系到双手的安全与否。环跳穴关系到双足的安全与否。不可不艾灸。
曲池穴,治疗肘部和手臂偏细(萎缩)。(《明堂》在肘部章节下有记载)。肩髎穴,治疗手臂细弱无力、酸痛。手臂寒冷而松弛。(《明堂》记载)。臂臑穴、肩井穴,治疗手臂细弱无力。手无法举过头顶。少海穴(见瘰疬章节)、乳根穴、听宫穴,治疗臂痛。中渚穴、孔最穴、肘髎穴,治疗肘臂酸痛。(见肘痛章节)。间使穴,治疗手臂肿痛。屈伸困难。(下部记载)。肩井穴,治疗肩部沉重无法抬起。臂痛。扁骨(即肩髎穴),治疗肩中热。手指和手臂疼痛。乳根穴,治疗手臂肿胀。(《铜人腧穴针灸图经》记载)。太渊穴,治疗手臂内侧疼痛。居髎穴,治疗腰痛牵引小腹痛。肩部牵引胸部和手臂拘挛紧急。手臂无法举起直至肩部。臂臑穴(见瘰疬章节)、肘髎穴,治疗臂痛无法抬起。(见肘部章节)。听宫穴,治疗臂痛。孔最穴,治疗臂厥痛。可以针刺。阳谷穴,治疗手臂腕部外侧疼痛且无法抬起。掖门穴(见咽肿章节)、前谷穴,治疗手臂无法抬起。阳池穴,治疗因折伤手腕。抓握物体无力。肩臂疼痛无法抬起。极泉穴,治疗手臂肘部厥冷寒凉。
清冷渊穴,治疗寒气从肩臂导致无法抬起。穿衣时无法扣带。养老穴,治疗肩部像要折断。手臂像被拔除一样疼痛。(《明堂》下卷将“臂”作“手”)。肩井穴,治疗手臂酸痛无力。(见肩痛章节)。章门穴,治疗厥逆。肩臂无法抬起。巨骨穴,治疗肩臂无法屈伸且疼痛。(见肩痛章节)。会穴(此处疑为缺字或通假,结合上下文可能指特定穴位或泛指,依原文保留),治疗臂痛无法抬起。气肿痉挛疼痛。肩井穴,治疗手臂拘挛紧急。(见偏风章节)。尺泽穴、肩贞穴,治疗风痹导致的手臂无法抬起。合谷穴,治疗痿证之手臂。阳溪穴,治疗手臂无法抬起。(见肘部章节)。天宗穴、五里穴等,治疗臂痛。后溪穴,治疗手臂拘急。窍阴穴等、腕骨穴,治疗手臂无法伸展。附分穴,治疗手臂感觉迟钝。(并见肘部章节)。巨骨穴、前谷穴,主治手臂无法抬起。尺泽穴、冲关穴、外关穴、窍阴穴,主治手臂无法举过头顶。前腋穴,主治手臂拘挛紧急。手无法上举。神门穴、少海穴,主治手臂拘挛。面色焦枯。劳损之气导致失精。肩臂疼痛无法举过头顶。肩部可灸百壮。掖门穴,主治臂痛。肩井穴、天宗穴、阳谷穴,主治臂痛。前谷穴、后溪穴、阳溪穴,主治肩部沉重疼痛、肘部拘挛。太渊穴(原文作太泉,应为太渊)、经渠穴,主治手臂内侧疼痛。
腕骨穴、曲池穴、前谷穴、阳谷穴,主治手臂腕部拘急。腕部外侧疼痛剧烈如被拔除。腕骨穴、天宗穴,主治肩臂疼痛。(见肩背痛章节)。列缺穴,主治手臂身体发热。后溪穴、三里穴、曲池穴,治疗臂痛。(《明堂》见肘痛章节)。
Tianjing (TE10) governs shoulder pain. It treats flaccidity and bi-syndrome with insensibility (numbness). The limbs cannot flex or extend. There is numbness of the shoulder muscles. Quyu (SI9) governs bi-syndrome around the scapula. Jianzhen (SI9), Jiangchong (an extra point), and Tianliao (SI15) govern heat in the shoulder. The head cannot look back. Quchi (LI11) and Tianliao (SI15) govern heavy, painful shoulders that cannot be raised. Qinglengquan (GB24) (identical to Ming Tang records) and Yanggu (SI5) govern the inability to raise the shoulder. One cannot fasten clothing straps. Tianjing (TE10) treats elbow pain radiating to the shoulder, with inability to flex or extend. (See Elbow section). Jianwaishu (SI14) treats shoulder bi-syndrome. Quyu (SI9) treats shoulder pain caused by periarthritis around the shoulder. (Also see Shoulder and Back section).
Cold and pain in both shoulder heads should not be neglected. I have often seen patients about to suffer a stroke whose arm bones are dislocated and disconnected from the shoulder joint. Many cases do not heal after treatment. In summary, one should massage it with the palm of the hand. At night during sleep, cover it with many blankets. This only prevents coldness. Later, moxibustion on Jianjing (GB21) prevented this affliction. For Jianjing (GB21) concerns the safety of both hands. Huantiao (GB30) concerns the safety of both feet. Moxibustion on these points is indispensable.
Quchi (LI11) treats thinning (atrophy) of the elbow and arm. (Ming Tang records under Elbow). Jianliao (SJ14) treats arms that are thin, weak, sore, and painful. The arms are cold and flaccid. (Ming Tang records). Binao (LI14) and Jianjing (GB21) treat arms that are thin and weak. The hands cannot reach the head. Shaohai (HT3) (see Scrofula section), Rugen (ST18), and Tinggong (SI19) treat arm pain. Zhongzhu (TE3), Kongzui (LU6), and Zhouliao (SI10) treat sore and painful elbows and arms. (See Elbow Pain section). Jianshi (PC5) treats swollen and painful arms with difficulty in flexion and extension. (Lower section). Jianjing (GB21) treats heavy shoulders that cannot be raised and arm pain. Biangu (another name for Jianliao SJ14) treats heat in the shoulder and pain in the fingers and arms. Rugen (ST18) treats arm swelling. (Tongren records). Taiyuan (LU9) treats pain on the medial aspect of the arm. Juliao (GB29) treats lower back pain radiating to the hypochondrium. Shoulder pain radiating to the chest and arms with spasm and urgency. The arms cannot be raised to the shoulder level. Binao (LI14) (see Scrofula section), Zhouliao (SI10) treat arm pain with inability to raise. (See Elbow section). Tinggong (SI19) treats arm pain. Kongzui (LU6) treats arm jue-pain. Needling is permissible. Yanggu (SI5) treats pain on the lateral side of the wrist and arm with inability to raise. Yemen (extra point) (see Sore Throat section), Qiangu (SI2) treat inability to raise the arms. Yangchi (TE4) treats inability to grasp objects due to wrist fracture. It also treats shoulder and arm pain with inability to raise. Jiquan (HT1) treats jue-cold in the arms and elbows.
Qinglengyuan (SI11) treats inability to raise the shoulder and arm due to cold qi, making it impossible to fasten clothing. Yanglao (SI5) treats the sensation that the shoulder is about to break, and arm pain as if being pulled out. (Ming Tang Vol. 2 writes "hand" instead of "arm"). Jianjing (GB21) treats soreness and weakness in the arms. (See Shoulder Pain section). Zhangmen (LR13) treats jue-ni. It treats inability to raise the shoulder and arms. Jugu (SI10) treats pain in the shoulder and arms with inability to flex and extend. (See Shoulder Pain section). [Missing Character] hui treats arm pain with inability to raise, accompanied by qi swelling and spasmodic pain. Jianjing (GB21) treats spasticity and urgency in the arms. (See Hemiplegia section). Chize (LU5) and Jianzhen (SI9) treat wind-bi syndrome causing inability to raise the arms. Hegu (LI4) treats flaccidity of the arms. Yangxi (LI5) treats inability to raise the arms. (See Elbow section). Tiantong (SI11), Wuli (LI31), etc., treat arm pain. Houxi (SI3) treats arm urgency. Xiaoyin (GB44), etc., and Wanggu (SI4) treat inability to extend the arms. Fufen (BL17) treats insensibility in the arms. (Also see Elbow section). Jugu (SI10) and Qiangu (SI2) govern inability to raise the arms. Chize (LU5), Chongguan (extra point), Waiguan (TE5), and Xiaoyin (GB44) govern inability to raise the arms above the head. Qianye (extra point) governs arm spasticity and inability to raise the hands. Shenmen (HT7) and Shaohai (HT3) govern arm spasticity, with a sallow complexion, loss of essence due to labor and qi deficiency, and shoulder/arm pain preventing raising the hands above the head. Hundred strong moxa cones can be applied to the shoulder. Yemen (extra point) governs arm pain. Jianjing (GB21), Tiantong (SI11), and Yanggu (SI5) govern arm pain. Qiangu (SI2), Houxi (SI3), and Yangxi (LI5) govern heavy shoulder pain and elbow spasticity. Taiyuan (LU9) and Jingqu (LU8) govern pain on the medial aspect of the arm.
Wanggu (SI4), Quchi (LI11), Qiangu (SI2), and Yanggu (SI5) govern urgency in the wrists and arms. Severe pain on the lateral side of the wrist as if being pulled out. Wanggu (SI4) and Tiantong (SI11) govern shoulder and arm pain. (See Shoulder and Back Pain section). Lieque (LU7) governs body heat in the arms. Houxi (SI3), Sanli (ST36), and Quchi (LI11) treat arm pain. (Ming Tang sees under Elbow Pain section).