classic text books mention "swollen glands" or cysts below ear a lot when they talk about LI channel s/s.
recently a patient came with swelling (with diameter of 1/2 in) near SI 19 and 1 cun below it.
patient had chronic headache (she had it for about 20 yrs) and pain in neck. (primarily on her right side)
upon palpation she had pain all around TMJ (right) and GB 20 UB 10 (right) area along with GB and SI channels in her right shoulder area. she shows some SI s/s along with the "swelling"
TX: st 36 + --> she felt better in GB 20 UB 10 area but some pain remained. SJ 17 SI 19 area was still painful.
LI 5- SI5 - her shoulder pain and jaw pain improved about 50%.
on her second visit, swelling is down about 60% and pain improved about 50%.
was that LI channel sign? or just swelling from TMJ syndrome?
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