Carpal Tunnel Syndrome TCM Therapy



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Health care methods of carpal tunnel syndrome

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1. Herbal therapy
1) Internal Medicine
1) Prescription: Modified Yiyiren Tang
2) Prescription: Modified Baihu Guizhi Tang

2. External Medicine
1) Wrap an ice bag with a piece of thin cloth and apply it on the wrist and forearm for 5-15 minutes; take it 2-3 times a day and which can relieve the swelling and inflammation; meanwhile, try to the occasion which may cause the injury in wrist. 
2) Apply the Baozhen Ointment or the Wanying Ointment on the tender point. 
3) Fumigate and wash the effected hands with the Baxian Xiaoyao Tang.
4) Ingredients: The root of Fangfeng, tenuifolia 3g, the rhizome of Chuanxiong 3g, angelica 6g, the rhizome of Chinese atractylode 10g, the root bark of the peony tree 10g, pericarpium zanthoxyli 10g, Kuh-seng 15g,  golden cypress 6g, liquorice 6g.
Decoct the above ingredients in water for the decoction; then fumigate and wash the effected wrist with it.

3. Acupoints Massage
1)Points selected: Hegu (LI 4), Laogong (PC8), Neiguan (PC6), Yangxi (LI 5).

Manipulation: Take a sitting position and knead-press the acupoints of Hegu (LI 4), Laogong (PC8), Neiguan (PC6), and Yangxi (LI 5) for about 1 minute respectively.

2) Push-kneading method: Unbend the effected limbs and keep the centre of the palm entad. The operator holds the forearm of the effected elbow with one hand and pushes while kneading repeatedly along the lung meridians of hand-taiyin, the heart meridians of hand-shaoyin and the pericardium meridian with the thenar eminence, thumb and forefinger of the other hand for 3 minutes; then, hold the effected wrist with one hand while relieving and kneading the wrist and the radialis of palm with the other thumb for 2 minutes. 

3) Plucking method: The operator holds the far-end of the effected forearm with one hand while holding the fingers with the other hand; take traction with both hands in the opposite direction; the hand which holds the palm should extend back and bend wrist properly for 5-7 times.

4) Vibration method: The operator holds the far-end of the effected forearm with one hand while holding the fingers with the other hand; take traction with both hands in the opposite direction; the hand which holds the palm should take vibration movement repeatedly for 1-2 minutes.

5) Tightening method: The operator holds the wrist with the left hand while holding the far-end of the effected finger end with right forefinger and middle finger; undraw rapidly till a rattler is gained; to be taken on the second, third and the forth finger orderly.  

4. Guasha Therapy
1) Points selected: Ashi; large intestine meridian: Hegu (LI 4); pericardium meridian: Neiguan (PC6), Daling (PC7) and Quze (PC3); extra nerve points: Baxie (EX- UE 9) 
2) Scraping order: First, scrape the point of pain spot; then scrape the palmar on the upper limbs and the back of hand orderly.

5. Cupping Therapy
Points Selected: Quze (PC3), Neiguan (PC6), Daling (PC7), Yuji (LI 10), Hegu (LI 4) and Ashi Points.
Manipulation: Take the fire cupping method, keep the cup sucked in place for 10 minutes; take it once a day and 10 times is a course of treatment.

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