肩膀痛的中醫說明與保健建議 Shoulder Pain: TCM Understanding and Care

🔎 常見症狀與可能原因
Common Symptoms and Causes

- 肩膀痠痛或疼痛 / Shoulder soreness or pain
  - 左肩痛：可能與肺或肝功能有關 / Left shoulder: may relate to lung or liver function
  - 右肩痛：常見與心臟或肺臟壓力有關 / Right shoulder: may relate to heart or lung pressure
  - 肩前痛：治療相對困難，可能涉及經絡淤阻 / Front shoulder pain: may indicate meridian blockage

- 五十肩（肩周炎） / Frozen shoulder (Adhesive capsulitis)
  - 關節僵硬、活動受限，常在夜間加重 / Stiffness and restricted motion, often worse at night

- 肩不舉、舉手困難 / Limited shoulder mobility
  - 可能與小腸經或膀胱經相關 / May involve the Small Intestine or Bladder meridians

🧭 中醫經絡觀點
TCM Meridians Involved

- 小腸經：繞肩胛、交肩上，治療滑鼠肩、五十肩常用 / Small Intestine: around the scapula, used for frozen or mouse shoulder
- 三焦經：肩膀痛、肩頸緊繃 / Triple Burner: shoulder pain and neck tension
- 膀胱經：與肩部後側與肩不舉有關 / Bladder: linked to posterior shoulder pain and movement restriction
- 肺經：虛證－氣虛、寒氣內侵，肩背痠痛；實證－氣鬱、風寒束表 / Lung: deficiency—cold, fatigue, pain; excess—tightness, cough, upper back tension
- 大腸經：肩前與外側痛，對五十肩有幫助 / Large Intestine: anterior/lateral pain, useful for frozen shoulder
- 肝經：情緒緊張、氣鬱型肩痛常見 / Liver: emotional tension-related shoulder pain

🧠 經筋理論在肩痛治療的應用
Tendon-Meridian Theory in TCM

經筋反映經絡在筋膜與肌肉層的表現，負責姿勢與活動穩定。
Tendino-muscular meridians represent how meridians influence fascia and muscles, affecting posture and movement.

肩痛多與經筋有關，治療需配合針灸、推拿、拔罐與溫灸等方式沿經筋鬆解。
Shoulder pain often involves these lines, and treatment includes acupuncture, massage, cupping, and moxibustion.

🪡 常用針灸穴位
Common Acupuncture Points

- 肩貞（SI9）、臑俞（SI10）：滑鼠肩、五十肩 / SI9 & SI10: mouse shoulder, frozen shoulder
- 中平穴（足三里下一寸）：肩僵冷痛 / Zhongping (1 cun below ST36): stiffness, cold shoulder pain
- 天宗穴：舒緩肩胛壓痛 / Tianzong: relieves scapular pain and tension
- 太衝穴：疏肝解鬱，可治療肺經肩前痛 / Taichong: soothes liver qi, helps lung-related front shoulder pain

🩺 治療方針
Treatment Strategy

- 疏通氣血 / Move qi and blood
- 祛風散寒 / Dispel wind and cold
- 補氣養血 / Tonify qi and blood
- 疏肝解鬱 / Soothe liver and relieve emotional stagnation

🧘 日常預防與保健
Daily Prevention and Self-Care

✅ 保暖肩頸 / Keep shoulders warm
✅ 每日活動關節 / Daily joint exercises
✅ 避免長期姿勢固定 / Avoid prolonged posture
✅ 正確睡姿 / Use proper pillow and avoid shoulder pressure
✅ 保持情緒與睡眠穩定 / Stay emotionally balanced and well rested

📌 醫學中心建議運動（中國醫藥大學附設醫院）
Exercise Tip (China Medical University Hospital)

🔄 鐘擺運動 / Pendulum Exercise (2–3 times/day, 10 minutes each):
1. 身體微彎，手臂自然垂 / Bend slightly, arm hanging down
2. 利用身體擺動手臂前後左右 / Swing arm gently with body motion
3. 畫小圈，順或逆時針 / Draw small circles, clockwise or counterclockwise

💬 提醒：若肩痛持續兩週以上，請諮詢專業中醫師。
Reminder: If shoulder pain lasts more than two weeks, seek TCM evaluation.

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Encounters Natural Healing cares for your wellness