A Case of 32-Year Right Shoulder Pain and One-Year Right Knee Swelling: An Integrative Fengyang Daoist Medicine Record​

TCM case study, Female, 48 years old

the patient is uncomfortable before the treatment.

Chief Complaint: Right knee swelling and pain for 1 year; right shoulder pain with limited forward flexion (only 130 degrees) for 32 years.

Past Medical History: Right shoulder injury at age 16 followed by surgery. Chronic shoulder pain and limited forward flexion persisted after surgery, with no satisfactory response to long-term physical therapy. She underwent two additional knee surgeries over the subsequent 32 years. Referred by her elder sister; the husband of her sister’s classmate had similar severe shoulder dysfunction and obtained remarkable improvement after one session of treatment.

Tongue & Pulse: Pale tongue with white coating, sublingual stasis (++). Deep, thin and weak pulse on Guan and Chi positions.

TCM Diagnosis: Bi Syndrome due to Wind-Cold-Damp, Spleen and Kidney Yang Deficiency

Treatment Principle: Disperse cold and dampness, activate blood and unblock collaterals; tonify the spleen and kidney.

the patient is surprised after the treatment.

Treatment Plan

1. Tui Na / Bone Setting: Point pressure on right C5, shoulder-holding manipulation for 1 minute. Right shoulder pain resolved immediately; forward flexion improved from 130° to full 180°. Followed by 1-hour full-body Fengyang Nine Meridian Tui Na.

2. Grain Moxibustion (Needle Moxibustion): 10 moxa cones placed around the right knee, combined with foot moxibustion and quantum energy therapy.

3. Tonify Yang herbal extract foot soak: 30 minutes every night before bedtime.

4. Six Treasure Powder (Liu Bao Wan): 5g per packet, twice daily, taken with warm water before breakfast and lunch.

5. Fengyang Tai Chi: Lesson 1 – Tai Chi stepping practice, 15–30 minutes daily for 14 consecutive days. Return for follow-up after 14 days for 1-hour Tui Na and Lesson 2 of Fengyang Tai Chi