🌿 Periarthritis of the Shoulder
Periarthritis of the Shoulder
（1）
【Differential Diagnosis】Chronic injury invading the meridians, with deficiency of tendons and muscles due to lack of nourishment.
【Treatment Principle】Activating blood circulation and nourishing blood, relaxing tendons and unblocking meridians.
【Formula Name】Shu Jin Yang Xue Tang (Tonic for Tendons and Blood).
【Composition】Dang Gui 12g, Sheng Di 12g, Shu Di 12g, Ji Xue Teng 10g, Chi Shao 10g, Bai Shao 10g, Zhi Gan Cao 10g, Wei Ling Xian 10g, Gui Zhi 6g, Wu Gong 6g, Ju Luo 6g, Huang Qi 15g, Xi Xin 1g.
【Usage】Decoct in water, take orally twice daily, one dose per day.
【Source】Fang by Yu Ximing.
（2）
【Differential Diagnosis】Cold pathogen obstructing blood stasis, blocking the meridians.
【Treatment Principle】Warming the meridians, dispelling cold, resolving phlegm, removing blood stasis.
【Formula Name】Yang He Huo Luo Tang (Modified).
【Composition】Ma Huang 5g, Bai Jie Zi 10g, Shu Di 15g, Gui Zhi 10g, Gan Cao 3g, Pao Fu Zi 10g, Jiang Huang 6g, Yin Yang Huo 15g, Dang Gui 10g, Chuan Xiong 6g, Zhi Ru Mo Ge 6g each.
【Usage】Decoct in water, take orally once daily.
【Source】Fang by Zheng Guozhen.
（3）
【Differential Diagnosis】Deficiency of liver and kidney, obstruction of joints by stagnation.
【Treatment Principle】Nourishing liver and kidney, warming meridians and unblocking collaterals.
【Formula Name】San Bi Tang (Modified).
【Composition】Qiang Huo 12g, Dang Shen 12g, Qin Jiao 10g, Fang Feng 10g, Dang Gui 10g, Fu Ling 10g, Gou Ji 10g, Shu Di 15g, Huang Qi 15g, Bai Shao 10g, Xi Xin 2g, Wu Gong 2 pieces, Chuan Xiong 6g, Zhi Gan Cao 6g.
【Usage】Decoct in water, take orally twice daily, one dose per day.
【Source】Fang by Yu Ximing.
（4）
【Differential Diagnosis】Cold coagulating blood stasis, accompanied by qi deficiency.
【Treatment Principle】Warming meridians to dispel cold, tonifying qi and activating blood circulation.
【Formula Name】Jian Ning Tang (with added herbs).
【Composition】Huang Qi 30g, Chuan Wu and Cao Wu each 9g, Dang Gui 30g, Dan Shen 30g, Gui Zhi 15g, Tou Gu Cao 30g, Qiang Huo 18g, Sheng Di 30g, Xiang Fu 15g, Gan Cao 6g.
【Usage】Decoct in water, take orally twice daily, one dose per day.
【Source】Fang by Lou Duofeng.
（5）
【Differential Diagnosis】Overuse injury to tendons and bones, deficiency of nutritive and defensive qi, blood stasis, obstruction of channels.
【Treatment Principle】Regulating nutritive and defensive qi, promoting blood and qi flow, relaxing tendons and relieving pain.
【Formula Name】Juan Bi Tang (with added herbs).
【Composition】Zhi Huang Qi 15g, Dang Gui 15g, Jiang Huang 10g, Qiang Huo 10g, Chi Shao 10g, Fang Feng 10g, Gan Cao 3g, Sheng Jiang 10g, Da Zao 3 pieces, Chuan Xiong 10g, Hong Hua 10g, Dan Shen 15g, Ji Xue Teng 15g, Mo Yao 10g, Xu Duan 15g.
【Usage】Decoct in water, take orally three times daily, one dose per day.
【Source】Fang by Qiu Feng.
（6）
【Differential Diagnosis】Liver and kidney deficiency, wind-dampness obstruction, stagnation in collaterals.
【Treatment Principle】Tonifying liver and kidney, activating blood and unblocking collaterals.
【Formula Name】Bu Gan Yi Shen Tong Liao Tang (Liver and Kidney Tonic and Collateral-Opening Decoction).
【Composition】Dang Gui 9g, Du Zhong 9g, Huang Qi 12g, Dang Shen 9g, Chuan Duan 9g, Tu Si Zi 9g, Qiang Huo 9g, Lu Jiao Shuang 9g, Gou Qi 9g, Sheng Jin Cao 6g, He Shou Wu 9g, Cheng Cao 3g, Shan Zha 9g, Gu Ya 9g.
【Usage】Decoct in water, take orally twice daily, one dose per day.
【Source】Fang by Li Mingzhi.
（7）
【Differential Diagnosis】Deficiency of liver essence and qi, tendons losing warmth, further affected by wind-cold, obstructing the shoulder.
【Treatment Principle】Warming and tonifying liver and kidney, expelling wind and cold.
【Formula Name】Bu Gan Yi Qi Tang (Liver-Tonifying and Qi-Nourishing Decoction).
【Composition】Kun Huang Qi 30g, Dang Shen 20g, Shan Yu Rou 20g, Sang Zhi 10g, Gui Zhi 10g, Du Zhong 10g, Dang Gui 10g, Chuan Xiong 10g, Bai Shao 10g, Sheng Jiang 10g.
【Usage】Decoct in water, take orally twice daily, one dose per day.
【Source】Fang by Cheng Yuanwen.
（8）
【Differential Diagnosis】Deficiency of liver and kidney, external pathogens invading internally, qi deficiency with blood stasis.
【Treatment Principle】Tonifying kidney and liver, invigorating qi and activating blood, expelling wind and eliminating dampness.
【Formula Name】Juan Bi Jie Ning Tang (Relieving Stagnation and Unblocking Decoction).
【Composition】Huang Qi 20g, Ge Gen 20g, Shan Yu Rou 10g, Sheng Jin Cao 10g, Gui Zhi 10g, Jiang Huang 10g, Tian San Qi 5g, Dang Gui 12g, Fang Feng 12g, Qin Jiao 15g, Gan Cao 6g.
【Usage】Decoct in water, add a small amount of yellow wine, warm and take orally three times daily, one dose per day.
【Source】Fang by Wang Xizhou.
（9）
【Differential Diagnosis】Deficiency of vital energy, disharmony of nutritive and defensive qi, invasion by external wind-cold-damp pathogens affecting the channels, lingering without resolution.
【Treatment Principle】Harmonizing nutritive and defensive qi, activating blood and relieving pain.
【Formula Name】Jian Ning Tang.
【Composition】Ma Huang 15g, Gui Zhi 15g, Wei Ling Xian 15g, Bai Shao 25g, Chuan Shan Long 30g, Hong Hua 10g, Gan Cao 10g, Sheng Jiang 3 slices, Da Zao 5 pieces.
【Usage】Decoct in water, take orally twice daily, one dose per day.
【Source】Fang by Chai Guojian.
（10）
【Differential Diagnosis】Deficiency of vital energy, external binding of wind-cold, disharmony of nutritive and defensive qi, internal blockage of channels.
【Treatment Principle】Unblocking channels and activating collaterals to relieve pain.
【Formula Name】Huo Luo Ding Tong Tang (Activating Meridians and Relieving Pain Decoction).
【Composition】Chuan Shan Long 20g, Mo Yao 10g, Tu Chong 10g, Jia Zhu 10g, Chuan Jiao 10g, Qing Lang Chong 10g, Lu Feng Fang 15g, Wu She 15g, Qiang Huo 15g, Wei Ling Xian 15g.
【Usage】Decoct in water, take orally twice daily, one dose per day.
【Source】Fang by Ren Jixue.
（11）
【Differential Diagnosis】Wind-cold invading through weakness, congealing in the shoulder, causing stiffness and pain.
【Treatment Principle】Soothing liver, harmonizing spleen, dispersing cold and expelling wind.
【Formula Name】Zeng Sun Xiao Yao San (Modified Free and Easy Wanderer Powder).
【Composition】Chai Hu 10g, Dang Gui 10g, Bai Shao 15g, Chen Pi 15g, Qing Ban Xia 10g, Qiang Huo 10g, Gui Zhi 10g, Bai Jie Zi 10g, Fu Pian 10g, Qin Jiao 10g, Fu Ling 10g, use white wine as guide.
【Usage】Decoct in water, take orally twice daily after meals, one dose per day.
【Source】Fang by Guo Huanzhang.
（12）
【Differential Diagnosis】Deficiency of defensive qi, invasion by pathogenic wind, cold-damp obstruction of meridians.
【Treatment Principle】Tonifying defensive qi, unblocking meridians, dispelling cold and dampness.
【Formula Name】Jia Wei Huang Qi Gui Zhi Wu Wu Tang (Modified Astragalus and Cinnamon Five-Ingredient Decoction).
【Composition】Huang Qi 60g, Dang Gui 20g, Gui Zhi 12g, Bai Shao 20g, Zhi Gan Cao 16g, Da Zao 10g, Wei Ling Xian 12g, Chuan Shan Jia 6g, Fang Feng 12g, Wu Gong 2 pieces, Sheng Jiang 10g, Qiang Huo 12g.
【Usage】Decoct in water, take orally twice daily, one dose per day.
【Source】Fang by Hu Guodong.