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Sinew Contracture

How Chinese medicine differentiates sinew contracture (tightening, spasm, and reduced flexibility of muscles and tendons) — distinct from Muscle Spasm, Muscle Cramps and Tendon Injury already covered — the six patterns you'll actually meet in practice, and the points for each. 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. Sudden, severe, or one-sided contracture, especially with weakness or speech changes, needs urgent medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for sinew contracture — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver-Yang, clears Interior Wind.
G.B.-20Expels Wind, clears the head.
G.B.-34Resolves Liver-Qi stagnation, the master point for sinews.
KI-3Tonifies Kidney-Yin to anchor Yang.
SP-6Tonifies Blood and Yin, nourishes sinews.
BL-18Directly nourishes Liver-Blood.
ST-36Supports Spleen and Stomach to generate Blood.
ST-40Key point to transform Phlegm and Dampness.
DU-8Extinguishes Interior Wind and relaxes the sinews.
SP-9Resolves Dampness, opens water passages.
L.I.-11Clears Heat from the channels, cools Blood.
L.I.-4Regulates Qi and Blood in the channels.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Wind Agitating Internally Due to Liver-Yang Rising View full pattern →

Clinical manifestations: Sudden, forceful muscle spasms, throbbing headache with severe dizziness, tremor of hands or head, irritability and flushed face.
Tongue: Red body, stiff or trembling, possibly deviated, thin yellow or scanty coating. Pulse: Wiry, fine, possibly rapid.
Treatment principle: Calm Liver-Yang, extinguish Wind, clear Heat.
Note: no moxa. Linked to this site's Liver-Yang-rising slide with the source's own added Wind-generating extension flagged, since no deck slide names Liver-Yang-rising as the specific root of Wind.

2. Liver Wind Agitating Internally Due to Liver-Blood Deficiency View full pattern →

Clinical manifestations: Fine trembling of hands/feet, numbness and tingling in the limbs, dizziness, pale or sallow complexion, intermittent contractures.
Tongue: Pale, thin, possibly trembling when extended, thin white coating. Pulse: Fine and wiry, especially at the left Guan position.
Treatment principle: Nourish Liver-Blood, extinguish internal Wind, moisten dryness.
Note: moxa applicable on the tonifying points. Direct exact-name match with this site's own Liver-Blood-deficiency-generating-Wind slide.

3. Qi and Blood Deficiency

Clinical manifestations: Muscle weakness with occasional cramps/tightness, worsens after exertion or prolonged standing, pale face/lips/nail beds, dizziness or lightheadedness, numbness or tingling in the limbs.
Tongue: Pale body, may be thin or teeth-marked, thin white coating. Pulse: Fine, weak, especially at the right Guan position.
Treatment principle: Tonify both Qi and Blood to nourish and relax the sinews.
Note: moxa applicable throughout. This is the generic Qi-and-Blood-deficiency picture, already confirmed absent as a standalone slide on this site many times over — no pattern link is given; points still link fine individually.

4. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: Fixed stabbing pain in muscles/joints, joint swelling that feels hard, purplish discoloration around joints, subcutaneous nodules or hard lumps, numbness or heavy sensation in the limbs.
Tongue: Purple body with stasis spots, white greasy coating, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery.
Treatment principle: Transform Phlegm, extinguish Wind, unblock channels.
Note: no moxa. This site has no organ-nonspecific Phlegm-in-the-channels slide, a gap confirmed absent many times over (most recently for Weak Shoulder, batch 39) — no pattern link is given; points still link fine individually.

5. Painful Obstruction Due to Damp-Heat in Channels

Clinical manifestations: Joint pain with local redness and heat, swelling that is hot to touch, heavy aching sensation in the limbs, pain relieved by cold, aggravated by warmth.
Tongue: Red body, possibly slightly swollen, yellow greasy coating. Pulse: Slippery and rapid, possibly soggy.
Treatment principle: Clear Damp-Heat from the channels, unblock collaterals.
Note: no moxa. This is a joint-localized Damp-Heat Bi-syndrome with no organ marker (no bitter taste, no dark urine), so it is not forced onto a Liver/Gallbladder or Bladder Damp-Heat slide — no pattern link is given; points still link fine individually.

6. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Soreness and weakness of the lower back and knees, night sweats, heat in palms/soles/chest, dry eyes with blurred vision, dizziness and ringing in the ears, chronic tightness especially in the lower back and knees.
Tongue: Red, thin body with cracks, dry with little or no coating. Pulse: Fine, rapid, often wiry, weak at the left Chi position.
Treatment principle: Nourish Kidney and Liver Yin to restore foundational moisture and lubrication.
Note: no moxa given the Yin deficiency. Direct exact-name match with this site's own Kidney-and-Liver-Yin-deficiency slide.
Related conditions

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