As mentioned above, this type of PHN is due to qi stagnation , which cannot move blood, called “hypochondriac pain” or “pain in chest” in TCM. It leads to a severe prickling like pain in the areas innervated by intercostal nerves and presented as an intense and intractable PHN for a long time.
https://www.sciencedirect.com/science/article/pii/S2005290116300711
Historical development of the pain concept (Treatment of Pain with Chinese Herbs and Acupuncture) Aetiology and pathology of pain (Treatment of Pain with Chinese Herbs and Acupuncture) Part 1 Aetiology and pathology of pain (Treatment of Pain with Chinese Herbs and Acupuncture) Part 2
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Invasive procedures and strong medications are standard for treating intercostal neuralgia pain, but many patients explore alternative therapies and more natural ways of alleviating the symptoms. Ice, cold therapy, acupuncture and acupressure have all shown promising results.
https://healthyliving.azcentral.com/intercostal-neuralgia-pain-12194734.html
Fire or heat (qi/blood stagnation) type: the primary lesions occur in the trunk (upper and lower back, abdomen, intercostal region, and chest) with characteristic feature of severe pain. This type is more compatible with PHN .
https://www.sciencedirect.com/science/article/pii/S2005290116300711
— If the obstruction is in the Lung, the breathing is not smooth and symptoms such as cough with sputum and fever accompany the chest pain. — If the muscles and nerves of the chest are involved, the pain changes with breathing (e.g. intercostal neuralgia and trauma). — If the costal cartilage, muscles and skin are involved, the affected areas are tender and there may be skin lesions (e.g. Tietze’s syndrome and herpes zoster). Differentiation of severity
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Chest pain (Treatment of Pain with Chinese Herbs and Acupuncture) Part 1 Chest pain includes both pain and a sensation of compression in the chest. It may have a variety of causes, and be attributed to any of the following diseases in Western medicine:
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Intercostal neuralgia is a rare disorder which is often initially misdiagnosed due to the ambiguity of some of the symptoms. Between your ribs are muscles that contract when you inhale. These are called intercostals muscles. Intercostal neuralgia is pain in these muscles, often spasmodic in nature. The Facts Intercostal neuralgia is caused by nerve compression in the thoracic/abdominal area (ribcage area). Various conditions can cause this pinched nerve like: a rupture in abdominal tissue, a distended abdomen, scar tissue around the nerve, overused muscles in the abdomen and other conditions of the musculoskeletal system, like an irregular curvature of the vertebrae or having one leg shorter than the other.
https://healthyliving.azcentral.com/intercostal-neuralgia-pain-12194734.html
other disorders and diseases, such as hypertension, pleurisy, Tietze’s syndrome, intercostal neuralgia, herpes zoster, dermatomyositis, trauma and neurosis. Aetiology and pathology. According to TCM, chest
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If the Heart-Qi is obstructed, the chest pain occurs on the left side of the chest. If the stagnant Liver-Qi blocks the descent of the Lung-Qi, there may be a sensation of compression in the chest. This condition can be seen in cardiophrenia, hyperventilation, depression, Tietze’s syndrome and intercostal neuralgia. External Wind-Heat or Wind-Cold can directly invade the Lung, causing blockage of the Lung-Qi, generation of Heat and formation of Phlegm, injuring the Lung and causing chest pain.
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To prevent PHN, we need primary prevention. In TCM, early treatment of herpes causes a better effect on PHN pain control. PHN is often presented in the hypochondriasis area by intercostal nerves involvement in which the main pathogenesis is blood and qi stagnation at the microcapillary (collaterals in TCM) vessels. The present medications, including TCA, gabapentin, NSAIDs, have mainly sedative and analgesic effects.
https://www.sciencedirect.com/science/article/pii/S2005290116300711
intercostal neuralgia tcm
In traditional Chinese medicine, intercostal neuralgia is a rare disorder which is often initially misdiagnosed due to the ambiguity of some of the symptoms. Intercostal neuralgia is a rare disorder which is often initially misdiagnosed due to the ambiguity of some of the symptoms.