Auntie Guo is 65 years old, is a retired teacher, the early years when the troops to participate in labor lumbar had an old injury, and later years of standing podium, often feel lumbar soreness, to 50 years old after the lumbar pain constantly, lying and standing will appear, bending for a long time will be more aggravated, powerful when the pain down to both sides of the hip and thighs, has gone to several hospitals rheumatology department, after the doctor’s physical examination, and did bone density, lumbar spine The doctor said to Auntie Guo that any one of these four conditions would cause back pain, not to mention appearing on her at the same time. Not only Guo aunt, many middle-aged and elderly friends have more or less some lumbar pain, but there are light and heavy, there are urgent and slow. Except for a few cases caused by tuberculosis, tumor, spinal deformity, occult spina bifida, sacroiliac arthritis, dense osteitis and some other visceral, vascular and neurological lesions, most of the low back pain is related to ageing and chronic strain, such as lumbar degenerative osteoarthropathy, lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, lumbar muscle strain, lumbar osteoporosis, lumbar compression fracture, pear-shaped muscle syndrome, etc. Pear-shaped muscle syndrome, etc., and the older the age, the higher the incidence. In fact, lumbago is not a disease name, but a group of symptoms, referring to pain from the waist to the buttocks and unilateral or bilateral lower limbs, which are closely related to each other in terms of anatomical structure and clinical manifestations, so they are generally called “lumbago and leg pain”, and belong to “lumbago” and “paralysis” in ancient Chinese medical literature. In ancient Chinese medical literature, they belonged to the categories of “back pain” and “paralysis”. Since these diseases are chronic in nature and sometimes aggravated suddenly due to some triggers, many elderly people suffer a lot from them. Therefore, it is especially important to understand the causes of back and leg pain in the elderly, pay attention to daily care and actively cooperate with treatment in the process of disease prevention and relief. Chinese medicine believes that there are three main causes of back and leg pain in the elderly. First, the internal cause is the decline of liver and kidney function as the body enters old age. The ancient concept of “tendons” is probably equivalent to the current medical concept of tendons, fascia, ligaments and joint capsules, which are the tissue structures that link joints and muscles and maintain the normal movement of the limbs. According to Chinese medicine, the liver blood is abundant, the tendons can be nourished, so they are smooth, stretchable and relaxed; once the liver blood is insufficient, the tendons and veins lack moistening, either stiff and contracted, or loose and acidic, not only limb movement is not convenient, but also the symptoms of limb pain. Chinese medicine also has the saying “kidney is the master of bone”, “bone” refers to the bones around the body, Chinese medicine believes that the kidney is full of energy, the bones will be hard and strong, capable of supporting the weight of the whole body; once the kidney is not enough, the bones lose their full nourishment, then there will be impotence and weakness can not be heavy, bending back, standing, walking backbone Once the Kidney Qi is insufficient, the bones will lose their strength, bending, standing, walking, lumbar laziness, heavy limbs, and even fractures, all accompanied by painful symptoms. The liver and kidneys belong to the “lower jiao” of the human body, and “the waist is the house of the kidneys, and the knees are the house of the tendons”, so it is not difficult to understand that the liver and kidneys are deficient in lumbar and leg pain, which belongs to “deficiency evidence”, and also belongs to Chinese medicine This belongs to the category of “pain if it is not honored” as Chinese medicine says. Secondly, the external cause is the invasion of wind, cold, dampness, heat and other evil spirits. The Yellow Emperor’s Classic of Internal Medicine says: “Wind, cold, and dampness come together and become paralysis.” It also says: “Wind and rain, cold and heat must not be deficient, evil cannot hurt people alone.” When the elderly liver and kidneys are already insufficient, and when the human body is deficient in qi and blood, the couples are loose, the defense force is weak, the natural world is too strong wind, cold, moisture, heat and other evil qi will take advantage of the deficiency and enter, flow or stay in the waist and lower limbs of the meridians, blood vessels, muscles, can cause qi and blood paralysis, blood stagnation, poor circulation, and then cause back and leg pain, which belongs to the “real evidence This belongs to the category of “real evidence” and also belongs to the category of “pain if it does not pass” in Chinese medicine. It should be noted that the symptoms of back and leg pain caused by wind, cold, damp and heat are different. If wind is the main evil, the pain is often wandering, with pain in the east and the west, which is called “walking paralysis” in Chinese medicine; if cold is the main evil, the pain is often more intense, aggravated by cold and alleviated by warmth, which is called “pain paralysis” in Chinese medicine; if damp is the main evil, the pain is often more intense, aggravated by cold and alleviated by warmth. If dampness is the main cause, the pain is accompanied by heavy limbs, soreness or numbness, which is known as “paralysis with”; if heat is the main cause, the pain is often aggravated by heat, accompanied by local redness and swelling, and warm skin, which is known as “heat paralysis”. If the pain is often aggravated by heat, accompanied by local redness and swelling and warmth of the skin, it is called “heat paralysis”. In addition, there is another cause of the disease belongs to what Chinese medicine calls “not internal and external causes”. For example, long-term strain on the waist and legs, or the waist and legs stumbling and flashing, will also cause local muscle damage, qi and blood paralysis, pain symptoms, usually manifested as “deficiency mixed with real” symptoms. It should be said that the above three causes determine the emergence and onset of lumbar and leg pain in the elderly, such as the modern medical term lumbar spine or knee degenerative osteoarthropathy, lumbar intervertebral disc protrusion, lumbar spine osteoporosis are closely related to the “internal causes” of liver and kidney deficiency; lumbar muscle strain, pear-shaped muscle syndrome, lumbar compression fracture, etc., often associated with long-term strain The “internal and external factors” related to long-term strain, fall and flash; and the “external factors” of wind, cold, damp and heat invasion, often become the cause of the sudden aggravation of chronic low back pain in the elderly. Therefore, in order to prevent back and leg pain from finding itself, elderly people should pay attention to care in their lives and stay away from the causes of the disease. Although the “Yellow Emperor’s Classic of Internal Medicine” says that when a woman reaches “seventy seven” and a man reaches “seventy eight”, that is, between fifty and sixty years of age, there will be “liver failure, tendons can not move, the sky is exhausted, less essence, kidney failure, the shape of the body are extremely “The situation, liver and kidney deficiency is the natural law of the aging process, but older people can nourish the liver and kidneys through appropriate dietary supplements, such as wolfberry, mulberry, black sesame, walnuts, black beans and animal liver, kidney, etc., to delay the onset of this state. At the same time, attention should be paid to proper exercise, outdoor activities, exposure to sunlight, and consume some dairy products, beans, shrimp, bone broth, etc., to replenish calcium and strengthen the muscles and bones. In addition, you should avoid prolonged bending, standing, lifting heavy objects, or excessive climbing, climbing stairs and other activities, pay attention to safety, prevent falls and trauma, so as to avoid excessive strain on the lumbar muscles, lumbar spine and knee joints, maintain the normal physiological position of the intervertebral disc, as well as prevent lumbar fractures. More importantly, most elderly people do not have the same defense ability as young people, so do not dress thinly in winter, do not sweat when the wind in summer, and do not live in a humid, cold or hot environment, especially when the weather changes to pay more attention, so as to avoid being invaded by wind, cold, moisture, heat and other external evil. Like Auntie Guo, already suffering from back and leg pain in the elderly friends should do? First of all, we should not take it lightly and should go to the rheumatology department of a regular hospital for a clear diagnosis. Although back and leg pain in the elderly is very common, the initial condition is often not heavy, but some special lesions can only be clearly diagnosed through the doctor’s formal physical examination and targeted auxiliary tests, if not found in time, often delay the disease, until the disease is serious, it is too late to regret. Secondly, attention should be paid to rest, strengthen the regulation of care, taking into account the functional exercise. For example, patients with lumbar disc herniation should rest in bed and sleep on a hard bed; patients with lumbar compression fractures should pay attention to maintaining their position, not to twist the spine, and pay attention to exercising the muscles of the lumbar back; patients with lumbar muscle strain should avoid exerting force on the lumbar region, and bring lumbar support to reduce the weight if necessary. Finally, medical advice should be followed to cooperate with treatment to relieve pain. Doctors will take different treatment measures depending on the patient’s lesion and condition. For mild cases, rest, topical ointment, acupuncture, massage, herbal fumigation, fumigation and ironing may be required; for slightly more severe cases, oral medication, intravenous infusion, local closure, or mechanical traction may be required; for severe cases, surgery may be required. As old age back pain is a chronic disease, no matter which treatment is adopted, it requires the cooperation of doctors and patients, perseverance and sufficient treatment course to completely relieve the condition and avoid recurrence of symptoms. We hope that every healthy elderly person can stay away from low back pain, and we also hope that elderly people with low back pain will recover soon!