Pattern Full

Cold invading the Channels joints and muscles

Tòng Bì 痛痹

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Diagnostic Signs

Tongue

White coating

Pulse

Tight (Jin), Floating (Fu)

Diagnostic Considerations

Key characteristic symptoms of this pattern are the intense joints pain and stiffness which can be  relieved when applying heat.

Causes & Pathology

Common Causes

Pathological Mechanism

It is a type of the Painful Obstruction Syndrome (Bi Syndrome 痹证). The Chinese name is called Tong Bi or Han Bi (痛痹 / 寒痹).

The Defensive Qi can be penetrated by external Pernicious Influences when the patients is in poor health. When the Cold invades the Channels and joints and settles there, it causes intense pain and stiffness, often in a single local place.

The Cold can also invade muscles and sinews and lead to pain and stiffness there, especially around shoulders and neck area.

This pain can be relieved by applying heat and worsen when exposed cold.

Treatment Approach

Treatment Principle

Warm the Channels, disperse Cold from Exterior, relieve pain