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肘关节疼痛,胸大肌激痛点针刺后即时消失!

今天下午,我43岁男性肘关节疼痛年余,前来求诊。他说,曾于香港某医院中医诊所针灸治疗十余次,未见任何起色。其症状主要表现为肘关节附近酸胀疼痛,屈曲或伸直均会使疼痛加重,疼痛与气候变化无关,没有手指麻木,也不会夜晚疼痛。但其起病原因十分清楚。他描述时说,大约一年多之前,双手推重物,前进过程中,突然受到外力撞击。然后出现肘关节附近疼痛。 检查:肘关节附近未发现异常,但左侧胸大肌外上方明显僵硬。问病人是否疼痛时,病人尽管表现出很疼痛的样子,但他否认疼痛。我不信,于是,检查其右侧胸大肌同一位置,再问病人有什么不同,病人这才清楚,其左侧压痛显著。由于病人从来没感觉到左胸外上方疼痛,病人可能原以为是我捏得太重,才导致他的痛苦表情。所以,问他有无压痛时,病人相信肯定地说,没有疼痛!(从这里可以看出,有时,病人的话不能全信。) 于是,给病人针灸。让病人侧卧,针刺其胸大肌外上方激痛点,倒马刺法。行针得气后,即出针。嘱病人再活动肘关节。疼痛立即减轻90%,关节活动自如。 为什么会这样呢? 有兴趣的同道,可以思考一下。

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