↑ reinforcing ↓ reducing ⊥ even method.
1. Qi and Blood Stagnation
Clinical manifestations: Fixed, stabbing pain at the wrist with a palpable nodule or swelling that worsens with pressure and movement; irritability or emotional tension.
Tongue: Dark purple with stasis spots, distended sublingual veins. Pulse: Wiry, Choppy.
Treatment principle: Invigorate Blood and dispel stasis, move Qi, and alleviate pain at the wrist.
Note: no moxa. This site's \"Liver-Blood stasis\" slide is gynecological/hepatic-framed with no wrist-injury content, so no pattern link is given here.
2. Painful Obstruction due to Damp-Heat in the Channels
Clinical manifestations: Redness and heat around the wrist; swelling that feels hot; heavy aching in the arm, relieved by cold, worsened by warmth; irritability, thirst and dark urine.
Tongue: Red, possibly slightly swollen, yellow greasy coating. Pulse: Slippery, Rapid, possibly Soggy or Wiry.
Treatment principle: Clear Heat, drain Dampness, unblock the channel and relieve the painful obstruction.
Note: no moxa. No deck on this site has a joint/limb Painful Obstruction category, so no pattern link is given here.
3. Damp-Wind
Clinical manifestations: Wandering wrist pain that shifts to other joints; a heavy, swollen sensation in the wrist and arm; worse in damp or windy weather and with prolonged inactivity.
Tongue: Normal or slightly swollen, white greasy coating, moist. Pulse: Floating, Slippery or Moderate.
Treatment principle: Disperse Wind, drain Dampness and alleviate pain along the wandering joint pain.
Note: no moxa. No deck on this site has a generic Damp-Wind joint pattern, so no pattern link is given here.
4. Painful Obstruction with Liver and Kidney Deficiency
Clinical manifestations: A chronic dull ache with stiffness, limited range of motion, and weak grip strength with muscle atrophy around the wrist; worse with cold, damp weather, fatigue and overwork; lower back and knee soreness.
Tongue: Pale, thin, thin white coating. Pulse: Fine, weak, Slow, especially weak at the rear (Kidney) position.
Treatment principle: Dispel Wind-Dampness and relieve the obstruction while supplementing the Liver and Kidneys, addressing the underlying weakness behind a chronic, non-healing wrist.
Note: moxa applicable. This site's closest candidate, \"Kidney-Essence deficiency,\" is framed around bone development, hair and memory rather than a joint-specific Bi-syndrome picture, so no pattern link is given here.