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Sprains refer to the lesion of the joints of the limbs or soft tissues of the body, such as sprains of muscles, tendons, ligaments and vessels.  It is usually caused by violent movement or excessive exertion and twisting falling, pulling which force the joints to move beyond capacitfy.  The clinical manifestations are swelling and pain of the sprained region, and red, blue, or purple spots on the skin.  For a fresh sprain, the swelling and tenderness of the sprained region can often be seen.  The condition is comparatively serious if the swelling and tenderness are severe with motor impairment.  And for an old sprain, usually the swelling is not very obvious.  Sprains are often found in the neck, shoulders, elbows, wrists, waist, thigh, knees and ankles.
(1) Acupuncture
Treating principles: To unblock meridians and collateral, alleviate swelling and relieve pain, for an old sprain, moxibustion is added
Neck: Dazhui (GV14), Tianzhu (BL10), Fengchi (GB20), Houxi (SI3)
Shoulder: Jianyu (LI15), Jianliao (TE14), Jianzhen (SI9)
Elbow: Quchi (LI11), Xiaohai (SI8), Tianjing (TE10)
Wrist: Yangchi(TE4), Yangxi (LI5), Yanggu (SI5)
Waist: Shenshu (BL23), Yaoyangguan (GV3), Weizhong (BL40)
Thigh: Huantiao (GB30), Zhibian (BL54), Chengfu (BL36)
Knee: Xiyan (ST35), Liangqiu (ST34), Yangguan (GB33)
Ankle: Jiexi (ST41), Kunlun (BL60), Qiuxu (GB40)
(2) Pricking-cupping Bloodletting: It is effective for fresh sprains with marked swellings, and old sprains with blood stasis, and for invasion of the collaterals by cold.
(3) Ear Acupuncture: It is effective for all types of acute sprain with significant analgesic effect.
Acupuncture can relieve symptoms.  Cold compress should be used for sprain at the early stage to stop bleeding.  And then hot compress is applied to help alleviate swellings.

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