”Low back pain” is a type of disease with pain on one or both sides or in the middle of the waist as the main symptom, and is a relatively common clinical condition that can be seen in young or old patients, and is caused by damage to the waist, imbalance of qi and blood flow, dysfunction of the veins and ligaments, or kidney deficiency and loss of nourishment in the waist.
Regarding the causes of lumbago, Su Wen. The pulse to the essence of the seventeenth chapter said: “waist, the kidney of the House, turn shaking can not, the kidney will be exhausted carry on …….. Su Wen. Bone empty theory of the sixtieth” said: “Governor’s vein for the disease, the spine strong anti-fracture”. It means that the pathology of low back pain is in the kidney, the pathology is mainly deficiency, and is related to the Governor’s Vessel, Su Wen. Stabbing lumbago chapter 41″ said: “the foot sun vein people lumbar pain, leading to the back of the collar and spine, such as heavy, stab its Qie! The “Suwen.
Zhang Zhongjing of the Han Dynasty, in his “Treatise on Miscellaneous Diseases of Typhoid Fever”, enriched the understanding of the symptoms of lumbago on the basis of his predecessors and created the following treatment prescriptions.
1.Ephedra soup
Article 35 of the Treatise on Typhoid Fever: “When the Sun is ill with headache, fever, body pain, lumbago, pain in the bones and joints, evil wind, no sweat and asthma, Ephedra Tang is the main remedy.
The Sun is the master of the human body’s surface, cold invades the surface of the muscles, the Wei outside the office, the Wei Yang is closed, the Ying Yin is stagnant, the Sun meridian Qi runs unfavorably, so there are painful manifestations such as lumbago, the foot Sun bladder meridian starts from the inner canthus of the eyes, the upper forehead, the top, the lower neck, holding the spine against the waist to the foot, traveling in the back of the human body, so the cold invades the surface, the Sun meridian Qi runs unfavorably, the Wei is suppressed and the Ying is depressed, so there is headache, body pain, lumbago, pain in the bones, cold is a Yin evil, easy to hurt Yang Qi, the body feels cold, in the table of the Wei Yang is damaged, warming function decreases, so the evil wind and cold, the positive and the evil fight.
Therefore, the fever # cold binds the muscle surface, the couples are closed, Ying Yin is stagnant, although the Ying and Wei are out of balance, but Ying Yin is difficult to drain, so there is no sweating, the lungs are combined with the skin and hair, the evil offends the body surface, the lungs lose the propagation and lowering, so cough and asthma, treatment should be spicy warm sweating, propagating the lungs to calm asthma, treated with Ephedra Tang.
In the formula of Ephedra Tang, ephedra is used in combination with cinnamon branch to relieve the surface; ephedra is used in combination with almonds to expel and lower the lung and calm asthma; roasted licorice is used to harmonize all the medicines to fund the source of sweat, so that the surface cold is removed and lumbago is cured.
2.Zuo Gui Wan
The Golden Killing Essentials. The first pulse evidence of sequential diseases of internal organs and meridians, Article 9: “The patient’s pulse is floating in the front, the disease is in the surface; floating in the back, the disease is in the inside, waist pain and back strength can not walk, must be short of breath and extreme”.
This article discusses that the main disease of the pulse varies according to the location. The so-called “floating pulse in the front” refers to the floating pulse seen in the front inch; “floating in the back”, said the floating pulse seen in the back ulnar part of the Guan. The inch pulse is Yang main table, inch pulse floating more main disease in the table, is the sign of positive energy to resist evil in the table, ruler pulse is Yin main lane, ruler pulse floating more disease in the lane, is the kidney yin deficiency, Yang can not hide, false Yang outside the floating image, the pulse more floating and weak.
Because the kidney is the main bone, the veins of the foot Shao Yin kidney meridian through the spine, deficiency of kidney essence, bone marrow is not full, the waist and spine loss of nourishment, so the back pain and back strength can not walk; kidney is the main nourishing qi, kidney deficiency and qi does not return to the yuan, so there is short breath performance.
Although the treatment formula is not explicitly stated in the Treatise on Miscellaneous Diseases of Typhoid Fever, according to the performance of the article, Zhang Jingyue’s Zuo Gui Wan can be used for treatment. In this formula, rehmannia, yam, cuscuta and deer gum nourish the kidney and fill the essence; cornelian, wolfberry and tortoise gum nourish the liver and kidney; Chuan Niu Knee expels blood stasis and clears the meridian, and clears the joints. The whole formula works together to nourish Yin and tonify the kidney and fill up the marrow. In this way, the kidney essence can be filled, the bone marrow can be nourished, and the back pain will be cured.
3.Ba Wei Kidney Qi Pill
Article 15 of “The Sixth Article on the Blood Paralysis and Void Labor Diseases”: “For those who suffer from lumbar pain due to deficiency labor, constriction in the abdomen, and inconvenient urination, the Eight Flavors Kidney Qi Pill is the mainstay.
Kidney Yang is the Yang of the human body and is the root of Yang energy in the human body, which plays a role in promoting and warming the tissues of all the internal organs of the body. The waist is the outer house of the kidneys, kidney yang deficiency, waist loss of warmth, so lumbago; kidney qi deficiency, can not help bladder qi transformation, so the abdomen is constricted, urine is unfavorable.
The eight flavors of kidney qi pill formula in the raw earth, yam, cornelian nourishes yin and tonifies the kidneys; zedoary, peony peel, white poria strengthens the spleen, activates blood circulation and relieves dampness; gui Zhi, gunner’s sapodilla warms the kidney yang # is the method of seeking yang in yin, yang gets yin help and biochemical endless. The whole formula yin and yang double tonic, cinnamon branch, gunner’s sophora dosage is less than 1/8 of the whole formula, meaning less fire angry meaning, also indicates that this formula is intended to Xu Sheng kidney qi, not to quickly strengthen the kidney yang, so that the kidney yang to warm, kidney yin to tonic, back pain and other symptoms since removed.
4. Gan Jiang Ling Shu Tang
Golden Killing Essentials. The five organs wind-cold accumulation disease pulse evidence and treatment of the eleventh article 16: “kidney disease, his body weight, waist in the cold, as sitting in water, the shape of water, but not thirsty, urination, eating as before, the disease belongs to the lower jiao, body labor sweating, cold and wet clothes, for a long time, the waist below the cold pain, the abdomen is heavy as with 5,000 money, Gan Jiang Ling Art Tang is the main”.
This article discusses the pathogenesis and treatment of kidney disease, cold is a yin evil, easy to hurt Yang Qi; dampness is also a yin evil, easy to block the qi flow. The waist is the outer house of the kidney, and the evil of cold and dampness, which injures the waist, sticks around and does not go away, so it is called “kidney-possession”, and “posed” is also called “kidney-possession”. “kidney”. “Kidney disease” because of excessive exertion, sweating too much, so that the clothes cold and wet, coupled with a long period of time without treatment, so the cold and damp evil Qi stay in the kidney outside the House, so there are heavy body, waist in the cold pain, such as sitting in water, the shape of water, the abdomen heavy as with 5,000 money and other performance.
There is no heat in the upper jiao, so there is no thirst; there is no disease in the stomach, so the food is as usual, and the urine is clear and long, which means that there is cold in the lower jiao, so the text points out that the disease belongs to the lower jiao. The text says that the cold pain is the cold win; say the abdomen heavy, wet win also, so said: “like with 5,000 money”, especially said the heavy with the very. Because the disease is not in the kidney’s internal organs, but in the kidney’s external organs, so the treatment is not in warming the kidney to dissipate cold, but in the to the underworld earth to cure water, so do not use the agent of warming the kidney, but Gan Jiang Ling Jiao Tang treatment.
In the formula, licorice, poria, atractylodes strengthen the spleen, dry dampness and promote water; dry ginger to warm the middle and disperse cold, in order to transport the spleen Yang spleen dampness to cold relief, the symptoms will be cured.
5.Xiao Qing Long Tang
Golden Killing Essentials. Article 11 of the Twelfth Book on the Pulse and Treatment of Phlegm and Cough Diseases: “Phlegm in the diaphragm, full of panting, coughing and vomiting, with fever and cold, back pain and lumbar pain, weeping from the eyes, and the person’s body vibrating and p dramatically, must have volatile drinks.
This article discusses the pathogenesis of the disease, which is caused by internal volatile drinks and external wind and cold, resulting in full panting and lumbar pain. The sun is the main table, leading the Ying and Wei, the vein of the solar bladder meridian of the foot holds the ridge against the waist, the evil offends the sun, it is fever and cold, back pain and lumbar pain, cold bundle outside, drink hair inside, phlegm blocking gas congestion, coughing and wheezing, so the eyes cry from the drink evil deep ambush, Yang Yu can not warm through, so the whole body trembling and shaking can not be autonomous, so the words “must have volatile drink”. This article does not say the treatment, according to the performance of Zhongjing said, available outside the wind and cold, warm water drink treatment, the formula used, when the first to Zhongjing’s creation of the small green dragon soup.
In Xiao Qing Long Tang, ephedra is the main medicine, with sweating, asthma, water, is one thing and three positions; and with cinnamon for the combination, is to enhance the effect of the Yang to promote; cinnamon and peony with each other, and harmonize the Ying and Wei; dry ginger $pungent, dispersing cold to promote the lung, resolve phlegm and cleanse drinks; Wu Wei Zi acid collection, astringent lung to stop cough, not to make the hemp, cinnamon, ginger, pungent, etc. too much; half ansia to lower the reverse to drink; roasted licorice and the middle, and can harmonize the drugs. The whole formula works together to remove the surface of the pungent warmth and warm water and drink # so that the external cold goes, the internal drink, then the symptoms, including back pain, will heal.
6.Peach and Red Four Things Soup
The Treatise on Typhoid Miscellaneous Diseases identifies low back pain from internal and external causes such as cold, dampness, drink and Yang deficiency and Yin deficiency, and some of the formulas created by it can effectively guide clinical practice. However, there is a more common type of lumbago that Zhong Jing did not explain, namely traumatic blood stasis lumbago. The pain is more intense, depending on the site of the flash, or lumbago, or lumbar and leg pain, which affects the movement of the lumbar region, and prevents the movement of the lumbar region, and the pain is severe when moving. The treatment is to invigorate blood circulation, resolve blood stasis and relieve pain, can be used peach and red four things soup combined with the active ligament effect Ling Dan plus reduction, in the formula rehmannia, white peony, Chuanxiong, angelica nourishes blood circulation and activates blood circulation; peach kernel, safflower, Dan Shen invigorates blood circulation and resolves blood stasis; frankincense, myrrh invigorates blood circulation and moves qi, reduces swelling and relieves pain # the whole formula together to nourish blood circulation and activates blood circulation, moves qi and relieves pain, so that blood stasis is removed, lumbago heals itself.