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How to Differentiate and Treat Bi-syndrome by Acupuncture and Moxibustion?Bi-syndrome is the syndrome due to invasion of the exogenous pathogenic factors of wind, cold and dampness, which obstruct the channels and collaterals, leading to stagnated flow of qi and blood, characterized by such clinical manifestations as aching pain, numbness, heaviness, limited flexion and extension of the muscles, tendons and joints, or swelling and burning heat of the joints. This syndrome includes rheumatic arthritis, rheumatoid arthritis, osseous arthritis, and various neuralgia. The endogenous causative factors for the occurrence of Bi-syndrome are insufficiency of yang-qi, essence and blood, while the exogenous causative factors are the pathogenic wind, cold, and dampness. At the initial stage of the disease, the excessiveness of pathogen usually prevails, and the disease tends to be located in the limbs, skin and muscles, and channels and collaterals; while at the chronic stage, there often exists deficiency of the vital-qi or deficiency and excess intermixed, and the disease tends to be located deeper in the tendons and bones or in the zang-fu organs.

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