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Back pain is not tight, and acupuncture and medicine have a good effect!

Source of information: Time: 2020-02-21 02:42:23

Millennium Tongzhou vitality north stream

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Some sedentary friends, after a busy day of work, want to twist their bodies and move their muscles, they find a magic phenomenon-low back pain! Some female friends also suffer from low back pain every few days when they report to the "big aunt". Nowadays, many people suffer from low back pain because they have been sitting for too long or their lifestyle is unreasonable. How to fix the problem of low back pain? Acupuncture has a good effect ~
Summary of symptoms and symptoms Back pain refers to a type of medical symptoms with low back pain as the main symptom of low back caused by feeling of external evils, or injury, or kidney deficiency. Its main parts include pain caused by lumbosacral vertebrae and their corresponding intervertebral discs, ligaments, fascia, and muscle lesions. Common in lumbar disc degeneration, lumbar disc herniation, lumbar disc herniation, lumbar spinal stenosis, lumbar degenerative joint pain, lumbar synovial impaction, lumbar spine joint dislocation, lumbar and sacral ankylosing spondylitis, ankylosing髂 arthritis, etc. It belongs to the category of "back pain" or "biosis" in traditional Chinese medicine.
Zhang Ji believes that the occurrence of this disease is based on kidney deficiency, and that external evils such as wind cold and dampness or trauma and blood stasis are the cause of the disease, causing the waist and veins and blood to be “unconnected” or “dishonored” and painful. Zhang Ji emphasized that on the basis of dialectical treatment of the disease, physical diagnosis and Western medicine classification should also be emphasized, so as to further accurately diagnose and improve the curative effect.
Summary of experience 1 The etiology and pathogenesis of the "Su Wen · Pulse to be subtle theory" cloud: "the waist of the kidneys." Low back pain is caused by internal injuries, feelings of external evils and trauma are different, but they are closely related to the kidneys. "Seven Songyan Collection · Back Pain" states: "Of course, there is a difference between pain and reality. The so-called deficiency is the deficiency of the spirit and blood of the two kidneys, and the two kidneys suffer from diseased ears. Self-reliance is in the blood veins of the meridians of the waist, which is invaded by wind, cold and dampness, and is blocked by flashes and dampness. In the cavity in the waist, the pain is caused by the stagnation of wet phlegm and blood stasis. Divide and conquer. "Therefore, low back pain is often due to kidney deficiency, and it also suffers from rheumatism, wind cold, and hot and humid evils, resulting in impaired meridians and qi and blood. "Symptoms and Remedies: Back Pain" states: "Only the kidney is given first, followed by those who see the evil to treat, the urgent need to cure the symptoms, the urgent need to cure the symptoms, the first pain should be sparse and the evil stagnation, and the meridian tunnel, long pain It is advisable to replenish Zhenyuan and nourish blood gas. "Therefore, when treating, the clinic must carefully distinguish its cause:" pain if there is no passage "or" pain if dishonored ", if the stasis is" unreasonable ", it can be passed, and the kidney is" not. " "Rong" can be honored. When dialectical identification, identify the specimens for urgency, internal injury and external sensation, and falsehood.
2 Syndrome classification: Take the common lumbar disc herniation as an example, and divide it into 6 types based on internal cause, external sensation and trauma.
(1) Kidney deficiency and deficiency: pain in the back, legs, weakness, weakness, pain, sorrow and joy, exacerbation of labor, recurrent episodes, or deafness with tinnitus, slow action, pale tongue and moss, and pulse count.
(2) Insufficient kidney yin: back pain is weak, lower limbs are weak, exacerbation of labor, accompanied by yin and red throat, five upset fever, night sweats, palpitations upset and other evidence of yin deficiency and fire, strong tongue, little Jin, pulse count.
(3) Insufficient kidney yang: low back pain, faintness, sometimes exacerbation, exacerbation of labor, cold and chills in the limbs, white complexion, dizziness, or impotence, pale tongue, and thin pulse.
(4) Frustrated, blood stasis, lumbar spine: sharp low back pain, pain is unbearable, pain is like a knife cut, movement is limited, support the limp limp in light, and inability to act in severe. Waist tenderness is more common in L4 ~ L5 or L5 ~ S1. During compression, there is increased abdominal pain such as radiating pain in the lower extremities, coughing and sneezing, and lumbago becomes worse when the abdominal pressure is increased, the tongue is pale, the pulse string is tight or heavy.
(5) Trauma and blood stasis meridian: obvious back pain, pain such as acupuncture, pain in place, refusal to press on the sore place, endure, or sometimes stop, when the condition of labor or flutter worsens, or accompanied by The complexion is dark, the lip is blue, the tongue is purple or dark, or there are petechiae, ecchymosis, and the pulse is heavy.
(6) Cold, dampness and stasis: low back pain gradually starts, low back pain, heavy back pain, slow movements, severe pain, severe cold and dampness, decrease in temperature and dryness, unfavorable waist rotation, gradually increase, low back pain after rest There was no obvious reduction, even worse, or with scoliosis, physiological curvature disappeared, and also paravertebral tenderness or radiation pain, exacerbated by weather changes, pale tongue and white greasy, slow or slow pulse.
3Treatment characteristics (1) Acupuncture treatment: The waist is where the kidneys live. The "Su Wen · The pulse must be subtle theory" states that "the waist is the place of kidneys, and the kidneys cannot be exhausted by shaking," and the kidneys run through the ridges to the waist. in. "Su Wen · Gu Konglun" pointed out that "Du Mai is a strong reflex of the diseased spine, and the waist cannot be shaken", and Du Mai also runs through the spine. "Lingshu · Meridian" states that "the bladder, the foot and the sun also move, but the disease ... the spinal pain, the waist seems to fold", and the vein of the bladder also pinches the spine to the waist. It can be seen that low back pain is closely related to the kidney meridian, du vein and bladder meridian. Therefore, the relevant acupoints of the aforementioned meridians are mainly selected for acupuncture treatment, and acupuncture points are treated according to the specific conditions of the patient.
Dumai is the "Sea of Yangmai" and "Governor Zhuyang". Yu Dazhui will be in the veins of the Yang Meridians. Its yang is the most abundant and has the power of strengthening the waist with Xingyang strong governor. Gate, Yaoyangguan and Yaoshu. The bladder meridian of the foot sun is "the genus of Zhuyang, its veins are connected to the wind house, so it is the meeting of Zhuyang". It is located on both sides of the du vein, and it is also the most abundant vein of yang. On the bladder meridian of the foot sun, the functions of various internal organs can be adjusted by acupuncture the internal points of the internal organs of the uterus due to the back-shu points. Lumbar and back diseases can affect the internal visceral function, and internal visceral diseases can also be reflected in the lower back. Therefore, taking back acu points can not only adjust the functions of the internal organs, but also play a role in local treatment. Zhang Ji's treatment of low back pain: L2 ~ L3 lesions are often taken with life gate and Shenshu, L3 ~ L4 lesions can be taken with Qi Haishu and Ashi acupoints on both sides, L4 ~ L5 lesions are often taken with Yaoyangguan and Dachangshu, L5 ~ S1 The following lesions can be taken from Yaoshu, epicondyle, and midcondyle. If acupuncture is in place, the effect is excellent.
According to the meridian distribution, combined with the back pain and special clinical manifestations, the differentiation of meridian differentiation. "Su Wen · Stinging Back Pain" has been clearly recorded, and combined with the special clinical manifestations of both sides, the back pain is divided into "twelve meridian back pain" and "odd back pain". Low back pain is even inside the spine, and the pain is induced by the term, which is the Sun Meridian and Back Pain: Take the Jiaji Points of the Waist and Sun Meridian Acupoints Zhongzhong, Chengshan, Kunlun, Houxi; Take a local Ashi acupoint with Shaoyang meridian branch ditch and Yanglingquan; lumbar spine pain with abdomen, can not be left and right, for Yangming meridian back pain: take the waist Jiaji acupoint with Yangming meridian acupoint, Zusanli; waist trap Severe pain is connected to the spine, which is the lumbar pain of the Taiyin Meridian: Take a local Ashi acupoint with the Taiyin Meridian machine, Yinlingquan, Sanyinjiao; back pain is connected to the spine and abdomen, and cannot be pitched. , Mingmen with Shaoyin Meridian Taixi; back pain and tendons and vaginal organs, for Jueyin Meridian and back pain: take a local Ashi acupoint with Jueyin Meridian and Taichong.
For example, in addition to the waist, the pain site is also found in the meridian circulation site. In terms of acupoints of the lower limbs, the acupoint meridian is mainly used. For those with low back pain and pain at the bladder meridian, add points such as Chengfu, Yinmen, Weizhong, Chengshan, Kunlun, etc. For those who have pain at the meridian, you can add Yin City, Liangqiu, Zusanli, Jiexi Acupoints such as those with bile meridian circulation site pain, plus ring jump, Fengshi, Jiyangguan, Yanglingquan, etc .; those with concurrent spleen meridian site pain, add Yinlingquan, Sanyinjiao, Gongsun etc .; For those who have pain in the renal meridians, add Yingu, Taixi, Zhaohai and so on. In addition, Zhang Ji also often adds and subtracts syndromes and points based on symptoms, such as the wind victors, plus the wind pond, Fengfu, etc .; the wet ones, add Yingu, Sanyinjiao, Yinlingquan, etc .; the cold victors, Jiaguanyuan. , Qihai (moxibustion); those with obvious blood stasis, add Yushu, Xuehai and so on.
(2) Chinese medicine treatment: clinical treatment should be based on specific dialectical treatment. Taking common lumbar disc herniation as an example, trauma and wind and cold are external causes of lumbar disc herniation, and kidney deficiency is the internal cause of lumbar disc herniation. For example, those with low back and leg pain are those with kidney deficiency and essence deficiency, with Angelica Dihuang Decoction plus kidney detoxification and kidney filling, and bone marrow and bone marrow; those with low back pain and kidney yin deficiency, with Zuogui Decoction plus kidney detoxification and kidney filling and marrow nutrition ; For those with low back pain and kidney yang deficiency, take Yougui Pills to reduce kidney yang and fill the waist with strength. For example, if the servant falls down and the card belongs to the blood stasis and lumbar spine, the blood fu Zhuyu decoction can be used to reduce blood circulation and remove blood stasis. Such as trauma, low back pain is obviously painful like acupuncture, the card belongs to falling servant trauma, blood stasis meridians, with body pain Zhuyu Decoction, plus blood circulation and collaterals, Quyu analgesia. Those with cold and dampness and stasis are treated with Duhuo Parasitic Decoction, strengthen the kidneys, and disperse cold and dampness. Traditional Chinese medicine commonly used solitary living, mulberry parasitism, Qin Ling, Eucommia nourishing liver and kidney, strengthening bones and bones, promoting blood circulation and collaterals; Angelica sinensis, Bai Zhi nourishing blood and promoting blood circulation.
Selected for inspection Zhang, male, 28 years old. First visit on December 3, 2006.
Complaint: Waist and leg pain for more than 3 years.
Current medical history: The patient developed lumbar pain due to frequent overtime 3 years ago, and then gradually worsened. He then went to the local hospital for treatment. CT scan showed that L5 to S1 discs protruded to the right. He has been treated with anti-inflammatory and analgesic drugs (the specific drugs and dosages are unknown), and the pain has not been significantly reduced after taking the drugs.
Insomnia: cold back and legs, unfavorable turning to the side, slow action, hi temperature and aversion to cold and cold, radiating pain in the right lower extremity, sometimes numbness, heavy day and night, and even unable to fall asleep due to severe pain at night, dream more , Can be small, dry stool, white fur, slippery pulse.
Examination: no obvious deformity of the spine, bilateral lumbar muscle tension, right lateral tenderness of spinous process from L5 to S1, no radiation pain, right straight leg elevation test (+) (40 °).
TCM diagnosis: low back pain, syndrome is cold dampness stasis type.
Western medicine diagnosis: L5 ~ S1 lumbar disc herniation.
Governing method: warming cold and dampness, Tongluo analgesic.
① Recipes: 12g alone, 12g mulberry, 12g green vine, 12g sea breeze, 12g yarrow, 12g Qin zhi, 12g weilingxian, 12g pangolin, 10g windproof, 15g acacia knee, 10g angelica, 15g white peony 15g, coix seed 15g, stretched grass 15g, licorice 5g, 7 doses. Decoction, 1 dose daily, warm twice a day.
② Acupuncture: Dazhui, Mingmen, Shenshu, Yaoyangguan, Guan Yuanyu, Dachangshu, Weizhong. After the acupuncture is breathed, the method of lifting, inserting, twisting and replenishing and reducing diarrhea is performed, and acupuncture at the waist is used. Once a day, 10 times is a course of treatment.
The second diagnosis: After 1 course of treatment, the curative effect is significant, the pain has been greatly reduced, especially the number of pains at night is reduced, and the degree of pain is also reduced. Occasionally the radiation to the right lower extremity, the sleep is better, the moss is thin and white, and the pulse strings are thin. She continued to receive acupuncture treatment for more than 1 month, and her waist and leg pains were significantly reduced. There was almost no radiation pain in her right lower extremity, and her quality of life was improved. During a follow-up of 3 months, the patient had no significant discomfort or recurrence.
Reason: Lumbar disc herniation belongs to the category of "back pain" in traditional Chinese medicine. "Su Wen · Stinging Back Pain" cloud: "Hengluo's veins cause low back pain, you can't tilt, Yang is afraid of servants, and you have to lift weights to hurt your waist ... Urgent. "For the cause of low back pain," Symptoms and Criteria for Low Back Pain "said:" Wind, cold, heat, bruises, blood stasis, stagnation, and sputum accumulation. "So it is based on kidney deficiency, with falling down and cold and damp invasion as the benchmark. However, the clinical manifestations of this disease are often in the presence of specimens, both false and true, mixed cold and heat, and mutual cause and effect. Therefore, the clinical evidence should be divided into the priority, priority, and priority.
Meridian: Since the circulation of the kidney meridian, du meridian, and bladder meridian are closely related to the waist, Zhang Ji acupuncture and moxibustion is used to treat low back pain. The main points of meridian such as meridian meridian, du meridian and bladder meridian are selected for treatment, and the etiology and disease are combined. Machine and meridian circulation site for differentiation and selection of points.
Medicines / Acupoints: Chinese Herbal Medicine, Mulberry Parasitica, Qinhuang, Eucommia, Achyranthes bidentata, Extender grass tonic liver and kidney, Strong bones and bones, Huoxuetongluo; Angelica sinensis, Baiji to nourish blood and promote blood circulation; Coix seedlings, spleen and dampness; Licorice to reconcile various medicine. Shenshu and Mingmen are the basis of kidney tonic. Acupuncture is used to remove cold and dehumidify. Yaoyangguan is a local acupuncture point to dredge local menstrual energy to relieve qi and analgesia. With Guan Yuanyu and Dachang Yu to relieve wind and cold, Tongluo analgesic. ; Select the center through the acupoint selection, take the meaning of "back in the back", and clear the bladder meridian. Acupuncture is used in combination with internal and external access to warm the cold and dampness, Tongluo analgesic, and thus achieve good clinical effects. Zhang Ji emphasized that when choosing a treatment method, it is necessary to use traditional Chinese medicine, acupuncture or moxibustion, or add cupping and cupping on the basis of identifying the cause of the trial, and it can often achieve satisfactory results with internal and external access.

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