Chinese medicine treatment for lumbar disc herniation

The diagnosis of lumbar disc herniation in Chinese medicine is “lumbago”. Lumbar disc herniation, that is, “lumbago” in Chinese medicine, is divided into four types: 1, blood stasis evidence: lumbar and leg pain like thorns, pain has a fixed place, pain refuses to press, light day and night. Stiffness of the lumbar plate and limited rotation in tilting. The tongue is dark purple or with petechiae, and the pulse is tight or astringent. 2.Dampness: cold pain in the lower back and legs, unfavorable rotation, pain does not decrease when lying down, aggravated by cold and rainy weather, cold limbs. The tongue is pale, with white or greasy coating, and the pulse is sunken and tight or moistened. In the case of heavy dampness, the waist is heavy and painful, unable to turn around when lying down, heavy and painful when walking; in the case of heavy coldness, the waist is cold and painful, relieved by heat, with cold feet and strong back. 3.Heat evidence: hot pain in the lumbar region, weakness of the legs, increasing pain in heat or rain, decreasing pain after activity, vicious heat and thirst, hot and astringent urine, yellow and greasy moss, moist pulse or stringiness. 4.Kidney deficiency evidence: slow onset, lumbar pain, weakness of legs and knees, worse with exertion, relieved by lying down. In Yang deficiency, the face is white, the hands and feet are not warm, less breath and lazy speech, the waist and legs are cold, or impotence, premature ejaculation, women’s belt is thin, the tongue is light and the pulse is sunken; in Yin deficiency, the throat is dry and thirsty, the face is flushed, tiredness and fatigue, distraction and insomnia, dreaming or seminal emission, women’s belt is yellow and smelly. The tongue is red with little coating, and the pulse is thin and stringy. Chinese medicine treatment: Chinese medicine treatment emphasizes the application of methods to activate blood circulation and eliminate blood stasis, move Qi and relieve pain, disperse cold and remove dampness, and warm the meridians and open the channels according to different pathological mechanisms. Treatment: Promote blood circulation, resolve blood stasis, promote Qi flow and relieve pain. Formula: Peach-Hong Siwu Tang. Composition: Peach kernel 10g Safflower 10g Radix Rehmanniae 10g Rhizoma Ligustici Chuanxiong, Radix Angelicae Sinensis 10g Radix Paeoniae 2, Dampness Cure: dispersing cold and removing dampness, warming the meridians and clearing the channels. Formulation: Douwuxiaosheng Tang with addition and subtraction. Composition: Douwu 15g Hosanna 3g Gentiana 10g Cinnamomum officinale 10g Fenfeng 10g Mulberry 15g Eucommia 15g Radix Angelicae Sinensis 15g Chuanxiong 10g Dried Rhizoma 10g Paeoniae Ginseng 10g Poria 15g Glycyrrhiza 3. Formulation: Si Miao San plus or minus. Composition: Atractylodes Macrocephala 15g, Phellodendron Bidentata 10g, Semen Coicis 10g. 4. Kidney deficiency (1) Yang deficiency. Treatment: warming and tonifying kidney yang. Formulation: Jin Kui Kidney Qi Pill with addition and subtraction. Composition: Radix Rehmanniae 10g Radix Polygoni 6g Dampi 10g Yam, Cornu Cervi Pantotrichum 10g Zedoary 6g Cinnamon 6g Poria (2) Yin deficiency Treatment: Nourish Kidney Yin. Formulation: Liu Wei Di Huang Wan plus or minus. Composition: Shu Di Huang 15g Cornus officinalis 10g Yam 15g Dan Pi Zexia 9g Poria Tuina method 1, tendon through the law: the use of kneading, rolling method from the back of the waist along the bladder meridian, kidney meridian and down to the back of the calf, in turn, each apply the law three times to relax the spastic muscles. Then use heavy techniques to follow the meridian points, it is best to have a string feeling or numbness when pointing, in order to open the meridians and activate the channels. 2.Tendon pain relief method: using tendon method, tendon method, tendon method, in turn, in the lumbar pain point (next to the protruding vertebrae), hip pain point (pear-shaped muscle and sciatic nerve outlet, gluteus medius), posterior femoral and calf pain point, with tendon knots or cords as the point of force, in order to apply 5-10 times, interval to knead method about 20 times. 3.Citing pressure method: The patient lies prone. After the assistant makes confrontation traction or mechanical traction in the axilla and heel respectively for about 10 minutes, the operator stands on the patient’s side and presses the paravertebral pressure point with the thumb or palm of the hand with the force from light to heavy, forcing the nerve root and nucleus pulposus to change position and reducing the compression. 4.Wrenching method: The patient lies on his side. The lower limb of the healthy side is straightened under, and the lower limb of the affected side is flexed. The operator stands on the ventral side, holds the posterior edge of the iliac part with one hand, holds the anterior part of the shoulder with the other hand, rotates the pelvis and shoulder to the target posterior lumbar joint lock, then wrenches it with both hands relative to each other quickly and obliquely, often with a loud sound. Then apply the same method to the opposite side. 5.Tendon activation knot method: the patient lies on his back, firstly take the initiative to elevate the straight leg to the limit, then the operator assists him to elevate 10° and fix in this moment to extend the nerve root, release the adhesions and change the position of the nerve root and protrusion. 6.Realize the tendons and bones method: the patient lies prone, and repeat the operation with kneading and patting techniques for 3-5 times to calm and relax the soft tissues.