Female, 57 years old.

Reason for consultation

Migratory arthralgia

Clinical history

Chronic pain in knees, peri-scapular area and left axilla, lower back pain. Pain increases with humid and cold weather. No joint swelling.

• Nervousness
• Anxiety
• Hypochondriac tightness
• Globus hystericus
• Difficult digestion
• Insomnia (difficulty falling asleep)
• Mental and physical fatigue
• Obesity
• Epigastric swelling
• Frontal and vertex headache
• Sometimes pain in 17 TB
• Heartburn
• Memory loss
• Low blood pressure
• Normal appetite
• Cyanotic tongue
• Very fine and weak pulse

History:

• Right mastectomy for cancer (chemotherapy)
• Total hysterectomy for uterine fibroids
• Osteoarthritis

Diagnosis

• Liver-Qi and Blood stagnation with phlegm accumulation and Spleen-Qi deficiency.
• Cold Bi syndrome.

Therapeutic principles

Drain Liver. Move energy and blood

Treatment

Drain LR:

• LR-2, LR-3

Tonify Spleen and eliminate dampness:

• SP-3, SP-9

Move Qi and Blood:

• ST-36, 4 LI + 3 LR

Pain:

• BL-20, BL-23
• local treatment on the shoulder

Insomnia: 6 PC + 3 LR (calms the Shen)