Lumbar intervertebral disc herniation is named as lumbar disc herniation because of the protrusion of the lumbar intervertebral disc in the present-day medical CT examination. According to the clinical manifestations of the disease, it can be classified as “lumbago”, “lumbar and leg pain”, “paralysis” and other categories. Modern medicine believes that lumbar disc herniation is a multi-infarct and common disease, which is mainly caused by the degeneration of intervertebral disc strain, rupture of the fibrous ring or prolapse of the nucleus pulposus, stimulating or compressing the nerves and spinal cord and a series of symptoms. The misconceptions of lumbar disc herniation Nowadays, the name of this disease is also called “lumbar disc herniation” in Western medicine. The main clinical symptom of lumbar disc herniation is lumbar pain accompanied by pain and numbness in one or both lower limbs. There may be pure lumbar pain without leg pain, and there may be pure leg pain without lumbar pain. The clinical symptoms are too diverse to be mentioned one by one. However, in clinical practice, there are cases with typical low back pain, but no disc protrusion is seen in the lumbar region on CT examination. In contrast, there are many people who have no clinical symptoms, but a significant herniation of the lumbar disc is found on physical examination. There are many patients whose clinical symptoms disappear after treatment, but the herniated discs do not change significantly on review. There are also many patients in whom the disc was surgically removed and the corresponding clinical symptoms should have been eliminated, but the fact is that most of the results were not satisfactory, and some of the symptoms did not even improve. In some patients, the symptoms are the same as those of a lumbar disc herniation, and the CT findings are that the lumbar disc is diseased, but the diseased disc is not compressing the dural sac or spinal nerve roots at all, while the symptoms of compression of the dural sac or spinal nerve roots are present. This shows that the herniation of the lumbar disc is not the key to treatment, and that addressing the patient’s main symptom of pain and discomfort is the first priority. Today I would like to talk about my understanding and views on lumbar disc herniation, my consistent claim is that the human body is centered on the spine, the left and right up and down are symmetrical and balanced, once this symmetry loses its normal balance, the body will definitely be accompanied by the corresponding clinical symptoms; whether it is a herniated disc or a bone growth, as long as it does not lead to a disorder of the physiological balance of the spine, there will be no symptoms. On the contrary, the appearance of symptoms such as pain in the back and numbness in the legs, the root cause is also the spine’s own balance mechanism is abnormal, the purpose of treatment is to restore the spine’s own mechanical balance, only the spine’s own mechanical balance is restored to achieve the right treatment of spinal disorders. First of all, I would like to talk about some patients with lumbar pain, whose self-expression is obvious pain in the lumbosacral area but their local pressure pain is not typical, and these patients have herniated lumbar discs as shown by CT, but the effect of treating the lumbosacral area in these patients is not ideal. Why is this? Before talking about this problem, I will talk about the patients with thoracolumbar compression fracture, especially the patients with thoracic twelve and lumbar one vertebral body compression fracture, whose early manifestation is the typical pain at the fracture site which is the junction of thoracolumbar vertebrae, and the pressure pain and percussion pain are very obvious. The late manifestation of such fractures is that the pain at the fracture site is not obvious, while the lumbosacral distension and pain is more typical instead, which is called by Chinese medicine as a result of the downward injection of blood vessels. I believe that patients who have been exposed to thoracolumbar fractures have encountered a similar situation. What does this situation indicate? Its lesion site is clearly in the thoracolumbar region while its manifestation is in the lumbosacral region. In my post on “Jiaosheng Miaojian Talking Plankton Root”, I mentioned that the thoracolumbar region is the hub of up and down traffic in the human body, and a problem in this region is bound to spread to the lower part. And my view is that the body’s Yang Qi is from the top, from the head down (Yun Ling press: as the “sea of Yang” of the Governor’s Vessel is running from the bottom to the top, personally I think the Yang Qi running and meridian running is the same, such as the ring endless, not simply from the top to the bottom, because Yang Qi itself is part of the meridian running. Nevertheless, Yun Ling recommends this article as a clinical enlightenment – all patients with lumbar protrusion are not necessarily treated locally). If there is a problem in the thoracic and lumbar region, Yang Qi will be stagnant here and will not be able to reach the lower parts of the body properly, and if the lower parts of the body are not warmed by Yang Qi, they will be painful. In clinical practice, a large proportion of patients with so-called lumbar disc herniation have self-expressed pain in the lumbosacral region, while their pain is more typical when touched in the thoracolumbar region or above the twelfth vertebra of the thorax. The effect of treating the so-called herniated disc site in the lumbosacral region is not obvious, but the effect of flicking the pain point above the thoracolumbar region is very typical. This experience comes from the fact that after I read “Ling Shu – Wei Qi Xing” and realized that the human body is Yang Qi reaching down from above, I associated it with my treatment of patients with compression fractures of the thoracic twelve and lumbar one vertebrae in the late stage, although the pain in the lumbosacral region is still treating the thoracolumbar fracture site. When I realized this situation, I deliberately and carefully examined the parts above the thoracolumbar region and found that a large proportion of such patients had obvious pressure pain in the sacral spinal muscles on both sides of the thoracolumbar junction, and focusing on flicking these parts, the patients The pain in the lumbosacral region was immediately relieved by focusing on these areas. The patient, Zhang, male, 46 years old, who works in an office and sits mainly at work and after work, came to the clinic on September 26, 2013, because of lumbosacral distension and pain for two months, and had been treated with acupuncture and massage in two hospitals, but the results were not satisfactory. When he came to the clinic, he felt that his lumbosacral region was sore and swollen where the belt was tied, and he could not sit for a long time, and when he sat for 10 minutes, he felt that there was a stick in his lumbosacral region, which was very uncomfortable, and the longer he sat, the more obvious the swelling and pain became. He had a CT examination, which showed that the lumbar 5 and sacral 1 intervertebral discs were herniated. Checking the lumbosacral stiffness, while the pressure pain on both sides of lumbar 5 and sacral 1 spinous process was not obvious, by touching upward from the lumbosacral part, a hard tendon node of about 1.5cm could be touched on both sides of the sacral spine muscle of the thoracic 12 vertebrae, and the pressure pain was very obvious. It was immediately clear that the so-called lumbar disc herniation was an illusion, and that the thoracolumbar region bore the brunt of the long-term sedentary situation, and that the cause of the pain was due to the spasm of the sacral spinal muscles in the thoracolumbar region caused by the perennial sedentary situation, and that the spasm of the muscles in the thoracolumbar region led to the inability of Yang Qi to reach down and manifest the lumbosacral pain. The treatment only needs to solve the tendon knots on both sides of the thoracic 12 vertebrae. The patient felt relief of lumbosacral distension and pain immediately after treatment, and then the tendon knots on both sides of the thoracic 12 and Guan Yuan Yu in the lumbosacral region were needled and left for 30 minutes. The patient was asked to move the lumbar area more often and strengthen the muscle strength of the lumbar area to consolidate the treatment effect. After the lumbar disc herniation how to protect, very practical 1, hanging: the use of door frame or bar and other things to dangle forging. When hanging to relax the waist and lower limbs, so that the weight naturally drops, in order to achieve the purpose of pulling. The movement of draping must be slow and light, to avoid operating the lumbar spine by jumping up and down. Hanging exercise should gradually increase the amount of exercise and be consistent. Note: The movement should be gentle, slow up and slow down, and try to have family members on the side to help protect. 2, propping: that is, propping exercise, not suitable for draping exercise can do propping exercise. Feet crossed and shoulder-width apart, the whole body relaxed. As the arms are slowly lifted up while slowly inhaling through the nose. Raise your arms above your head, look at the sky, and hold your waist straight up to the maximum, then stop for a moment. Then, slowly exhale with your mouth while slowly lowering your arms. Do this method repeatedly 36 times, once a day in the morning and evening, it is best to choose a fresh air place to do. Note: to be able to withstand the strength to do, do not rush to, after adaptation can gradually use the strength. 3, arch: that is, arch waist exercise. Hands on the wall or other things, the body and the object to be held at an appropriate distance. Feet crossed and shoulder width, first slightly force to medium speed forward arch waist backward arch waist, do before and after the direction of the arch waist for a time, do twice a day, each time do 36. Note: gentle movements, moderate strength. 4, backwards: that is, backwards walking exercise. Backward walking to choose a flat and safe site for backward walking. Walk with chest and abdomen, look straight ahead, hands naturally waving back and forth, as little as possible, backwards walking speed according to their own specific circumstances, to be gradual, each general backwards walking 15 minutes, twice a day. Caution: pay attention to control the speed, careful of falls. 5, more: that is, multi-angle different directions of the waist movement. Such as left and right side bending, front and back bending, left and right turning waist, shaking waist, etc., each of which is done 36 times a day. Note: gentle and soothing movements, the amplitude should not be too large. 6, squat: that is, squatting exercise. Both feet crossed and shoulder width, hands flat, slowly squat, toes on the ground, heels up. Squat to be in place, the first practice squat can hold the wall and other things half squat, gradually increase the number of squats, gradually do deep squat. Do twice a day, each squat 36 times. Note: gentle movements, squatting to slow, to prevent falls. If you don’t understand, please search the public number pulse answer attention, doctor online consultation. 7, after: that is, the lumbar back extension exercise. There are statistical data, the lumbar spine daily forward flexion up to 3,000 to 5,000 times, but the rear extension of the action is very little, at the same time, modern people are often in a forward-flexed sitting position at work, the body position so that the lumbar spine in flexion position for a long time, in the long run, will cause the lumbar disc stress imbalance, lumbar ligament overstretching, thus causing lumbago. The arms are placed at the waist, the feet are crossed shoulder-width apart, the whole body is relaxed, and the waist is stretched straight upward while the back is stretched backward 36 times, twice a day. In addition, supine method can also be done backward stretching exercises, arms will try to support the upper body, the lower body against the bed, so that the waist as far back as possible, repeatedly do this action 36 times. Note: gentle movements, to prevent falls. 8, Mo: first massage the kidney point (waist eye), with two hands to press and knead the kidney point more than 100 times, and then use both hands to alternately tap this point 100 times, and finally, slightly cat waist with both hands clenched fist while tapping the buttocks 100 times, followed by two fists tapping the crotch 100 times. Do the above twice a day. Point: 1.5 inches next to the lower edge of the spinous process of the second lumbar vertebra, i.e., 1.5 inches from the umbilicus backward to the vertebral side, and then 1 inch downward. Massage method: there are many points on both sides of the spine, can be along both sides of the spine from top to bottom, gently button back. 9, warm: that is, the waist to keep warm. Suffering from “lumbar synostosis” or lumbar pain, in the change of seasons, the weather becomes colder than normal to add clothes in advance, cold season to wear wool, cotton back heart, summer to do a good job to prevent the waist moisture cold work, because these are the cause of lumbar disease. 10, protection: that is, the protection of the waist. Such as not standing, not sitting for a long time, not heavy, not bending (preferably squatting instead of bending), not holding a child, not sitting on a low bench, not straining, not to do damage to the waist action, not to sleep on a spring soft bed, not sleeping too hard bed, etc., bad posture to correct. Practice shows that the “10 words” are not only an effective non-pharmacological treatment for the rehabilitation of lumbar dystrophy, but also a preventive work to prevent the recurrence of lumbar dystrophy.