My brother's right hand hurts badly. What's going on?

Extremity pain

[Concept]

Extremity pain refers to the symptoms of pain in the patient's upper or lower limbs, or pain in the tendons, muscles, and joints of the upper and lower limbs.

Extremity pain was first seen in the "Nei Jing", such as "limb and joint pain", "bone pain", arm pain", "foot pain", "lumbar and femoral pain", "femoral pain, knee pain, thigh pain", "Month + special, moon + walking and foot pain" etc. "Treatise on Febrile Diseases" and "Synopsis of the Golden Chamber" contain "pain in the joints", "pain in the limbs", "pain in the joints". Later generations called it "gout", " "Pain in the waist and legs", "Pain in the foot", "Shoulder and arm pain", "Finger pain", "Shake pain", "Foot pain", "Heel pain", "Solar pain", "Leg pain" and "Liuguaizi disease" in mountainous and hilly areas are all symptoms of limb pain

The Bi syndrome discussed in the "Nei Jing", such as "Xing Bi (Wind Bi)" and "Tong Bi (Cold Bi)". ", "Zhu Bi (damp Bi)", "Heat Bi", "Tenon Bi", "Pulse Bi", "Muscle Bi", "Skin Bi", "Bone Bi", "Peripheral Bi", "Zhong Bi" These are also syndromes with pain in the limbs as the main symptom.

To facilitate clinical diagnosis, this article focuses on pain in the limbs, shoulder pain, arm pain, lumbar spine pain, knee swelling and pain, foot pain, etc.

[Identification]

Common syndromes

Pain in the limbs due to wind evil obstruction: pain in the joints of the limbs, with no fixed location. It is most common in the fu organs, elbows, knees, ankles, etc., with difficulty in flexing and extending the joints, or with symptoms of cold and heat, thin white or greasy tongue coating, and frequent and floating pulse.

Cold pathogenic obstruction of the collaterals. Pain in the limbs: cold pain in the joints of the limbs, persistent pain, cold limbs, local skin color that is not red, aggravated by cold, pain relieved by warmth, white tongue coating, stringy and tight pulse.

Pain in the limbs caused by dampness blocking the collaterals: aching joints, persistent heaviness, or numbness of the skin. If left untreated for a long time, the muscles will become hard, the joints will become deformed, resulting in disability, white and greasy coating, and slow pulse. p>

Heat evil blocks the collaterals and causes pain in the limbs: joint pain in the limbs, local redness and swelling, combined with fever, thirst, irritability, red tongue with yellow coating, and rapid pulse. Pain: red and swollen joints, red and turbid urine, drowsiness and pain in the limbs, slippery or wet pulse, red tongue with yellow and greasy coating, which may be accompanied by red nodules on the skin.

Pain in the limbs due to Qi and blood deficiency: sore joints. , which is aggravated by exertion, and may include emaciated muscles, pale complexion, pale lip nails, lack of energy and laziness, mental fatigue, dizziness, spontaneous sweating due to wind, thin and weak pulse, pale tongue, thin coating and joint pain caused by blood stasis. For example, if the pain area persists and refuses to be pressed, the skin and nails are wrong, the body is thin or the joints are deformed and hard, the tongue is dark with petechiae, the coating is thin and greasy, and the pulse is thin and astringent, resulting in pain in the limbs and arms, and the body is sleepy. Heavy, head like a wrap, fat tongue, white and greasy coating, stringy and slippery pulse

Deficiency of liver and kidney, pain in limbs: muscle and bone relaxation or stiffness, soreness, dizziness, brittle claws and nails, waist and knees. Soreness and weakness, tinnitus and deafness, tooth shaking and hair loss, impotence and diarrhea, stringy and weak ulnar pulse, partial yin deficiency causes hot pain in the limbs and joints and prefers cold, bone pain that is severe at night, red cheeks and red lips, bright red tongue with less coating, or Red crimson and less fluid. Deficiency of partial yang is accompanied by swollen and weak legs, loose stools, clear and long urine, and lukewarm hands and feet.

Tell me what kind of situation your brother belongs to, and I can tell you the detailed treatment method;