An 11 years old Islandic gelding used for western horse riding was injured during training in the field. During training outdoors, both the rider and the horse fell down. The horse showed a lameness in the left front leg immediately after falling down.The western vet made the diagnosis of a subluxation of the left shoulder joint: Lamenes Grade IV. The patient was treated with Phenylbutazone 1mg/kg BID and stall rest for 14 days. There was only a little improvement after 2 weeks of treatment. The western vet referred the case to me.
TCVM Patient Evaluation
Constitution: Earth Tongue: little lavender
Pulse: wiry to normal Channel: LI, TH
Sensitive points on palpation: LI-1 (Ting point) on the left, LI-15 on the left, TH-14 on the left, TH-15 on the left
BL-54 on the right
TCVM Diagnosis: Qi and Blood Stagnation in the Large Intestine and San Jiao Meridian (Channel Bi syndrome)
Herbal Medicine: Body Sore 15 grams BID
Acupoints dry needled: LI-1, TH-1, GB-34, BL-11
Tui-Na Techniques Applied:
1. Moo-fa (Touching skin and muscle)
a) Action: Harmonizes the middle Jiao, regulates Qi, removes accumulation and drains stagnation.
b) Indications: Chest, abdomen and hypochondriac areas
c) Locations applied: From neck to hip region (Zhang-mo-fa) concentrating over inner and outer bladder channel. Backshu points, Hua-tuo-jia-ji points of cervical area thru the lumbar region, concentrating over the hips and GB points around the hips.
2. Gun-fa (Rolling)
a) Action: Invigorates the Blood, smoothes the tendons and joints, warms the Channels and expels Cold.
b) Indications: Pain in the shoulders, waist, buttocks and the limbs with thick muscles; Bi syndromes, numbness in the limbs, hemiplegia and obstruction of the joints movements.
c) Locations applied: Shoulder, waist, back
3. Yi-zhi-chan (Single thumb)
a) Action: Regulates the Zang-Fu organs, promotes the circulation of the Meridians and Collaterals and smoothes the tendons.
b) Indications: Headache, insomnia, facial paralysis, coronary heart disease, gastric ulcers and pain in the joints and tendons.
c) Locations applied: Various points on the whole body, usually on the head, face, chest, abdomen and limbs.
a) Action: Relaxes the tendons, dissipates local stagnation, excites the muscles, and improves circulation of blood.
b) Indications: Various parts of the body, Bi syndromes. Useful for Qi-Blood Stagnation and internal organ disorders.
c) Locations applied: Applied to lumbar, pelvic and hip muscle groups.
5. Ca-fa (Rubbing)
a) Action: Warms the Channels, unblocks the collaterals, and tonify the Zang-Fu organs
b) Indications: It is used to treat internal organ disorders or dysfunction of Qi and Blood. Asthma, chest pain, Qi stagnation, Cold pattern, abdominal pain and diarrhea.
c) Locations applied: The shoulder, chest and abdomen.
6. An-fa (Pressing)
a) Action: Invigorates the Blood and Qi and unblocks obstructions.
b) Indications: Whole body, sore areas, painful joints, headache, toothache, angina, stomach pain, diarrhea, vomiting, dizziness and limb pain.
c) Locations applied: Whole body sore area or painful points.
a) Action: Regulates the Yin and Wei, unblocks the Qi and Blood, extends the chest and regulates Qi, eliminates food retentention and swelling and relieves pain.
b) Indications: Headache, dizziness, insomnia, palpitations, stifling sensation in the chest, distention of the gastric and hypochondriac regions, constipation and diarrhea or swelling and pain from an injury or trauma.
c) Locations applied: Various points on the whole body.
8. Ba-shen-fa (Stretching)
a) Action: Stretches the tendons, regulates the Channels.
b) Indications: Malposition of the joints and injured tendons.
c) Locations applied: Performed to the patient’s tail.
9. Zhen-fa (Vibrating)
a) Action: Invigorates the Yang Qi, eliminates accumulation, regulates the middle Jiao, balances the intestine/stomach functions.
b) Indications: Chest, abdomen and back. Digestive disorders and local Qi and Blood stagnation.
c) Locations applied: Chest, abdomen, waist and back
Outcome and Follow Up Treatment
This horse was checked 2 weeks later. The lameness had almost disappeared. Only a lameness Grade I was seen.
Tongue: slightly swollen and wet, color pink
Pulse: wiry to normal
Sensitive points on palpation: LI-1 (Ting point) on the left, LI-15 on the left
TCVM Diagnosis: Qi and Blood Stagnation in the Large Intestine Meridian (Channel Bi syndrome)
Herbal Medicine: Body Sore was continued
Acupoints dry needled: LI-1 left side, ST-45 right side
Tui-Na Techniques Used: Moo-fa, Ba-shen-fa, Zhen-fa
Two weeks later at the 3rd visit the horse was sound and much more relaxed. This case demonstrated the use of Tui-na along with acupuncture and herbal medicine to effectively treat equine subluxation that conventional medicine made little improvements on.
- Xie, H. Diagnostic Points for Equine Conditions, Reddick, FL. Chi Institute . 2007.
- Xie, H. Preast, V. Chinese Veterinary Herbal Handbook, 2nd Edition, Reddick, FL, Chi Institute. 2009.
- Xie, H. Preast, V. Xie’s Veterinary Acupuncture. Ames Iowa, Blackwell Publishing, 2007
- Xie, H., Ferguson, B., Deng, X. Application of Tui-Na in Veterinary Medicine, 2nd Ed, Reddick, FL, Chi Institute . 2007.
Notes, Certified Veterinary Tui-na Class 2009, November 12 to 15, 2009, Reddick, FL, Chi Institute