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Blocked Flow, Pain Theory and the Need for Proper Assessment

8:11 pm 24 October 2026 0 Comments

Traditional ideas about blocked flow can explain how pain is viewed in Chinese medicine, but they never replace proper assessment of a new or severe pain.

Traditional theory and modern assessment

Traditional Chinese medicine texts often describe pain as a problem of obstructed flow or insufficient nourishment. Within that framework, the ideas help practitioners organise their thinking. They do not, however, remove the need to understand a pain that is new, severe or recurring, or to consider whether medical investigation is required.

If pain follows an injury, comes with fever, numbness, weakness or changes in bladder or bowel control, or is getting rapidly worse, seek medical care promptly.

Illustrative, Freshwater: Dr Christine Shen, Acupuncturist, in a yellow dress, holds the hand of a patient in glasses with needles in her forearm.

Telling your pain's story

When you see Dr Christine Shen, Acupuncturist, at the clinic in Lane Cove, a clear description is more useful than choosing a technique from a list. Consider sharing:

  • exactly where the pain is and whether it spreads;
  • when it began and what was happening at the time;
  • how it affects movement, work and sleep;
  • anything new, such as swelling, fever or other symptoms.

A clear account helps shape a sensible plan and a practical way to notice change.

Pain lives in the whole person

Pain is shaped by tissues, nerves and also by stress, sleep, mood and past experiences. Persistent pain can make anyone feel worn down and irritable, and that strain can in turn make pain feel louder. A holistic conversation acknowledges these connections without suggesting pain is all in the mind.

Setting goals you can recognise

It often helps to distinguish the pain itself from what you would like to be able to do. Goals might include sitting more comfortably at your desk, walking further or understanding what aggravates a flare. Ask Christine how you will both gauge whether acupuncture is helping, and what would lead to a referral or change of direction.

A starting point, not a verdict

Keep a brief pain diary for a week before your appointment, noting activities, sleep and stress levels. Those notes give your first conversation depth and help you and Christine see patterns that memory alone might miss.

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