
Q I am a female office worker in my 40s. My elbow hurts, so why am I being told to take herbal medicine? I question whether I really need to take medication when it is just a localized issue.
A Tendons are tissues with a poor blood supply, so if the body's overall recovery ability is low, they do not heal well with local treatment alone. Herbal medicine plays a role in supporting the effectiveness of acupuncture treatment by replenishing the Qi and blood that nourish the tendons and dissolving stagnant blood stasis at the site of injury. It is particularly valuable to use in conjunction with other treatments in cases of chronic conditions or frequent recurrence.
Detailed Answer
Tendons are tissues with a very low blood vessel distribution compared to muscles or skin. Therefore, once damaged, recovery is slow, and it slows down even further with age or a decline in overall physical condition. This is why, even when using the arm with the same intensity, some people recover quickly while others develop chronic conditions. Sleep deprivation, chronic fatigue, nutritional imbalances, and hormonal changes are all factors that impair tendon regenerative capacity; therefore, an approach that improves the overall recovery environment, separate from local treatment, is often necessary. In Korean medicine, the liver governs tendons, and liver blood nourishes them. Overworking the eyes and hands in an office job and accumulating stress depletes liver blood, leaving the tendons unable to receive proper nutrition. If this is compounded by blood stasis at the site of injury, pain is likely to recur even if local treatment reduces it, as the tendons themselves remain weak. Dongjedang's internal treatment is not merely about simple tonics. The sequence involves first clearing accumulated dampness, blood stasis, and toxins from the body to open pathways for the flow of Qi and blood, and then replenishing liver blood and spleen Qi with herbal medicine tailored to the individual's constitution to build a body capable of self-healing. If acupuncture and needle needles are external treatments that directly address the injured area, herbal medicine serves as the soil management that sustains that recovery. Treating the entire body together, rather than just local symptoms, is the condition for treatment without recurrence.
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