肩凝
Alias肩周炎
Traditional Chinese Medicine Definition
Shoulder Adhesions (Scapulohumeral Periarthritis)
In traditional Chinese medicine, shoulder adhesions, also known as scapulohumeral periarthritis, fall under the category of "Bi Syndrome." According to the records in "Internal Medicine of Traditional Chinese Medicine," shoulder adhesions refer to chronic aseptic inflammation of the shoulder joint and its surrounding soft tissues, leading to symptoms such as shoulder pain and restricted movement. The pathogenesis is often due to the obstruction of Qi and blood circulation, resulting in the malnourishment of the sinews and bones.
肩凝在中医临床中是一种常见的肢体经络病证。其核心病机为气血运行不畅，筋骨失于濡养。常见诱因包括劳累过度、姿势不当、感受风寒湿邪等。在辨证时，需注意区分以下关键点：
1. 寒热虚实：风寒痹阻证表现为肩部疼痛，遇风寒加重，夜间痛甚；气滞血瘀证则表现为肩部刺痛，活动受限，痛处固定；气血亏虚证则表现为肩部酸痛，抬举无力，劳累加重。
2. 辨证要点：观察疼痛的性质、部位、时间变化，以及患者的体质状况，综合判断病机。
整体调理方向提示：中医临床中，根据不同证型采取相应的治疗原则。如风寒痹阻证宜祛风散寒，通络止痛；气滞血瘀证宜活血化瘀，理气止痛；气血亏虚证宜补气养血，强筋壮骨。治疗过程中，注重调整患者的生活习惯，加强功能锻炼，以促进肩部功能的恢复。
Common Syndrome Types and Key Points of Differentiation
风寒痹阻证
Main Manifestations：肩部疼痛，遇风寒加重，夜间痛甚
Management Approach：祛风散寒，通络止痛
气滞血瘀证
Main Manifestations：肩部刺痛，活动受限，痛处固定
Management Approach：活血化瘀，理气止痛
气血亏虚证
Main Manifestations：肩部酸痛，抬举无力，劳累加重
Management Approach：补气养血，强筋壮骨
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)