Knee pain. Limitation of flexion, extension and rotation.

Causes

• Attack of wind, cold, dampness: Pain with swelling and cold, that is relieved with heat. Moxibustion GV-4, GV-14, GV-3 and local points
• Trauma: Very intense pain, fixed, worse at night (Blood stasis), or swollen and hot (Heat Bi Syndrome). BL-17 and Ashi points.
• Wear and tear: Chronic, mild pain. Osteoarthritis. Difficulty starting, improves after moving for a while, if walks a lot then it hurts more. It is usually related to Kidney and Liver deficiency. BL-18, BL-23, CV-6.

Affected channels

If the inner part is affected:

• Spleen Channel
• Kidney Channel
• Liver Channel

The outer part:

• Stomach Channel
• Gall Bladder Channel

Back part:

• Bladder Channel
• Kidney Channel

Treatment

Distal points: BL-11, GB-39. There is a point according to Master Tung's acupuncture on the opposite shoulder, on the deltoid.

Local points:

• SP-9, LR-7, GB-34, ST-36, Xin Yan, ST-35.
• SP-10, ST-34, He Ding
• BL-40, BL-55, BL-56, BL-39
• KI-10, KI-7, KI-3
• Xi Xia (above the patellar tendon)

Use a lot of heated needle, except in the case of Heat Bi, for which we will use cupping.

Cupping bloodletting at a very tender point on palpation in the interscapular region, the height between BL-13 and BL-16, on the same side as the affected knee, is effective for chronic degenerative knee pain.