肩(jian)(jian)周(zhou)炎(yan)是(shi)以肩(jian)(jian)關(guan)(guan)節(jie)疼(teng)痛(tong)(tong)(tong)(tong)和活(huo)動(dong)(dong)不便為主(zhu)要癥狀的(de)常見病(bing)(bing)癥。，本(ben)病(bing)(bing)早(zao)期肩(jian)(jian)關(guan)(guan)節(jie)呈陣發(fa)(fa)性(xing)疼(teng)痛(tong)(tong)(tong)(tong)，常因天氣變化及勞累而(er)(er)誘發(fa)(fa)，以后逐漸(jian)發(fa)(fa)展為持續性(xing)疼(teng)痛(tong)(tong)(tong)(tong)，并(bing)逐漸(jian)加重(zhong)(zhong)，晝輕夜重(zhong)(zhong)，肩(jian)(jian)關(guan)(guan)節(jie)向各個方(fang)向的(de)主(zhu)動(dong)(dong)和被動(dong)(dong)活(huo)動(dong)(dong)均受(shou)限(xian)(xian)。肩(jian)(jian)部(bu)(bu)受(shou)到(dao)牽(qian)拉時，可(ke)引起(qi)劇(ju)烈疼(teng)痛(tong)(tong)(tong)(tong)。肩(jian)(jian)關(guan)(guan)節(jie)可(ke)有(you)廣泛壓痛(tong)(tong)(tong)(tong)，并(bing)向頸部(bu)(bu)及肘部(bu)(bu)放射(she)，還可(ke)出(chu)現不同程度的(de)三角肌的(de)萎縮。本(ben)病(bing)(bing)女性(xing)多(duo)于男性(xing)，左側多(duo)于右側，亦可(ke)兩側先(xian)后發(fa)(fa)病(bing)(bing)。多(duo)為中(zhong)、老年患(huan)病(bing)(bing)。 逐漸(jian)出(chu)現肩(jian)(jian)部(bu)(bu)某一處肩(jian)(jian)周(zhou)炎(yan)痛(tong)(tong)(tong)(tong)，與動(dong)(dong)作、姿(zi)勢(shi)有(you)明顯(xian)關(guan)(guan)系。隨病(bing)(bing)程延長，疼(teng)痛(tong)(tong)(tong)(tong)范(fan)圍(wei)(wei)擴(kuo)大，并(bing)牽(qian)涉(she)到(dao)上臂中(zhong)段(duan)，同時伴(ban)肩(jian)(jian)關(guan)(guan)節(jie)活(huo)動(dong)(dong)受(shou)限(xian)(xian)。如欲增大活(huo)動(dong)(dong)范(fan)圍(wei)(wei)，則(ze)有(you)劇(ju)烈銳痛(tong)(tong)(tong)(tong)發(fa)(fa)生。嚴重(zhong)(zhong)時患(huan)肢不能梳頭、洗面和扣(kou)腰帶。夜間因翻(fan)身移動(dong)(dong)肩(jian)(jian)部(bu)(bu)而(er)(er)痛(tong)(tong)(tong)(tong)醒(xing)。病(bing)(bing)人初(chu)期尚能指出(chu)疼(teng)痛(tong)(tong)(tong)(tong)點，后期范(fan)圍(wei)(wei)擴(kuo)大，感覺疼(teng)痛(tong)(tong)(tong)(tong)來于肱(gong)骨(gu)。

中醫認為(wei)，因外(wai)感風(feng)(feng)濕(shi)、肺(fei)受風(feng)(feng)熱(re)、強力負重，跌仆損(sun)傷等原因，傷及手三陽(yang)所致(zhi)。以肩(jian)為(wei)手三陽(yang)經交會處，又屬肺(fei)臟分域。由外(wai)感風(feng)(feng)濕(shi)所致(zhi)者(zhe)，肩(jian)痛偏后(hou)，常與(yu)背(bei)痛并(bing)見，治(zhi)宜祛風(feng)(feng)化濕(shi)，方用羌活勝濕(shi)湯加(jia)減;如因肺(fei)受風(feng)(feng)熱(re)者(zhe)，證(zheng)見肩(jian)痛偏前，痛連(lian)手臂，方用防風(feng)(feng)湯、羌活散(san)等。如因強力負重或跌仆損(sun)傷者(zhe)，痛有(you)定處，伸屈不利(li)，或痛引頸項等，可結合傷科、推拿、針(zhen)灸治(zhi)療(liao)。

肩(jian)(jian)(jian)(jian)膀痛可以(yi)是肩(jian)(jian)(jian)(jian)關節(jie)(jie)本身(shen)的(de)(de)疾(ji)病(bing)(bing)(bing)，如肩(jian)(jian)(jian)(jian)關節(jie)(jie)炎(yan)癥(zheng)或(huo)損傷；但有(you)時(shi)肩(jian)(jian)(jian)(jian)關節(jie)(jie)疼痛并(bing)不(bu)一(yi)定是肩(jian)(jian)(jian)(jian)關節(jie)(jie)本身(shen)的(de)(de)原因(yin)。頸部(bu)(bu)的(de)(de)疾(ji)患(huan)，如最常見的(de)(de)頸椎病(bing)(bing)(bing)就(jiu)可以(yi)導(dao)致肩(jian)(jian)(jian)(jian)部(bu)(bu)疼痛。心(xin)臟疾(ji)病(bing)(bing)(bing)如心(xin)肌梗(geng)塞、心(xin)絞(jiao)痛有(you)時(shi)也會向左肩(jian)(jian)(jian)(jian)部(bu)(bu)放射，而被誤診為肩(jian)(jian)(jian)(jian)周炎(yan)。膽(dan)囊疾(ji)病(bing)(bing)(bing)如膽(dan)結石、膽(dan)囊炎(yan)疼痛向右肩(jian)(jian)(jian)(jian)部(bu)(bu)放射。總之，能(neng)夠(gou)引起肩(jian)(jian)(jian)(jian)部(bu)(bu)疼痛的(de)(de)疾(ji)病(bing)(bing)(bing)很多，對于肩(jian)(jian)(jian)(jian)部(bu)(bu)疼痛應該仔細(xi)尋找病(bing)(bing)(bing)因(yin)。