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Lateral Epicondylitis

How Chinese medicine differentiates lateral epicondylitis (tennis elbow) into the four patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Elbow Pain page. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Elbow pain with numbness, weakness, or trauma needs medical evaluation to rule out a nerve or structural injury before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for lateral epicondylitis — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-11Clears Heat and cools Blood. Removes obstructions from the channel. Benefits the sinews and joints.
L.I.-10Removes obstructions from the channel. Regulates the Intestines. Tonifies Qi and Blood — the 'ST-36 of the arm'.
L.I.-4Expels exterior Wind and releases the Exterior. Stops pain.
T.B.-5Expels Wind-Heat. Benefits the ears. Clears Heat in the head.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence. Strengthens the lower back and knees.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Painful Obstruction With Wind-Cold-Damp

Clinical manifestations: Pain worsens in cold, damp weather, elbow stiffness and difficulty moving, heaviness or numbness in the forearm, pain relieved by warmth and gentle movement, no redness or warmth at the elbow.
Tongue: Pale, slightly swollen with teeth marks, white greasy coating. Pulse: Wiry and tight, slow, or soggy.
Treatment principle: Dispels Wind-Dampness, tonifies Qi and harmonizes the Protective and Nutritive Qi, invigorates Blood and unblocks the channels.
Note: moxa applicable given the Cold-Damp signs. This site has no organ-nonspecific Wind-Cold-Damp Bi-syndrome slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

2. Painful Obstruction Due to Damp-Heat in the Channels

Clinical manifestations: Burning pain, redness and swelling, hot to the touch, worse with warmth, better with cold, thirst present.
Tongue: Red body, possibly swollen, yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and drains Dampness, unblocks the channels and collaterals, relieves painful obstruction.
Note: no moxa. This site has no Damp-Heat-in-the-channels (non-organ-specific) slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

3. Painful Obstruction With Qi and Blood Deficiency

Clinical manifestations: Dull ache at the elbow, worsens with fatigue or overuse, numbness or tingling in the forearm, general fatigue and lack of strength, pale face, sensitivity to cold.
Tongue: Pale, possibly thin with teeth marks, thin white coating. Pulse: Fine and weak, may be slow.
Treatment principle: Tonifies Qi, nourishes Blood, strengthens the Spleen.
Note: moxa applicable on ST-36. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

4. Painful Obstruction With Liver and Kidney Deficiency

Clinical manifestations: Dull, aching elbow pain worsening with cold or damp, lower back and knee soreness or weakness, fatigue and lack of stamina, numbness or tingling in the limbs, preference for warmth, aversion to cold.
Tongue: Pale, thin body, thin white coating. Pulse: Fine, weak, and slow, Chi position particularly weak, left Guan may be wiry but thin.
Treatment principle: Dispels Wind-Dampness, relieves painful obstruction, supplements the Liver and Kidneys.
Note: moxa applicable on KI-3/BL-23. The Cold/warmth-preferring framing here doesn't cleanly fit this site's own Kidney-and-Liver-Yin-deficiency slide (which is Empty-Heat framed), and this site has no plain combined Liver-and-Kidney (non-Yin-specific) deficiency slide either — no pattern link is given here; points still link fine individually.
Related conditions

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