肩部疾病的肌肉辯證與針灸治療

Common Shoulder Muscles Differential Diagnosis and Acupuncture Treatment

肩部疾病最困擾病人的是肌肉功能受損引起活動受限，包括穿衣服、擦屁股、梳頭、舉手拿高處物品等日常活動都受到影響，甚至無法自理生活而須要旁人照顧，大幅的降低病人生活品質。肩部肌肉痙攣或撕裂幾乎在所有的肩部疾病都會出現，包括肩關節周圍炎、棘上肌肌腱炎、肱二頭肌肌腱炎、肩部夾擠症候群等。本文分析與肩部活動最相關的肌肉，整理其位置、活動與針灸治療的穴位，以提供中醫師臨床參考。

Muscle dysfunction which causes limited mobility are the most serious distress for patient with shoulder disease. Limited activities such as an inability to wear clothes, comb hair, backside, raise hands seriously reduce the patient's quality of life. Muscle spasm or tear appears in almost all shoulder diseases, including frozen shoulder, supraspinatus tendinitis, bicep brachii tendinitis, shoulder impingement syndrome. In this article, we analyzes shoulder muscle location , activity and points of acupuncture for for clinical chinese medicine physicians.