Moxibustion for Health” monograph – Section 8: Myofasciitis of the low back

1. Overview: low back myofasciitis is a series of clinical symptoms caused by edema, exudation and fibrous changes in the myofascia and muscle tissue of the low back due to cold, humidity and chronic strain. Clinical manifestations: mainly manifested as diffuse dull pain in the low back, especially more pronounced over the lumbar muscles and iliac crest on both sides. Local pain, chilliness, skin numbness, muscle spasm and movement disorders. The pain is characterized by morning pain, light during the day and heavy in the evening, and can be triggered by prolonged inactivity or excessive activity. On examination, there are obvious limited pressure points on the affected area, and touching this point can cause pain and radiation. Sometimes nodules can be palpated within the myofascial membrane.3. Moxibustion therapy: 3.1 Acupuncture points: A-Yi point, Da Loom, Kidney Yu, Tian Zong, etc. 3.2 Moxibustion therapy: Moxibustion with mild moxa strips, ironing moxibustion, compressing moxibustion on the Governor’s vein, moxibustion with moxibustion boxes, etc. 4. Typical cases 4.1 Cupping combined with suspension moxibustion for myofasciitis of the lumbar back: 4.1.1 Treatment: 4.1.1 Wandering jar therapy: The patient takes a prone position, exposes the affected skin, and the practitioner uses a tongue depressor to apply Vaseline evenly coated on the affected area and the No. 4 glass jar (depending on the patient’s fat and thin can be adjusted appropriately for size, the mouth of the jar must be smooth) jar mouth, with long tweezers to hold the 95 degree alcohol cotton ball and ignite, according to the flash fire method will be cupped in the affected area, and then hold the glass jar with both hands along the back of the two scapulae medial side, the foot sun bladder through the waist and back of the first and second lateral line, from above and below, then from below and above, pulling back and forth, and then from the inside to the outside of the sequence Continue to wander (with appropriate stops at Da Loom, Feng Men, Qu Yuan, Bing Feng, Kidney Yu, Guan Yuan, and Ah Yes points) with even and moderate force. Stretch as long as possible when strolling, taking into account the points, lines and surfaces: the points are the stimulation points, the lines are the meridian circulation lines and the surfaces are the affected skin areas. The affected area may appear purplish red or dark red spots, or patches in heavy cases, with a slight obstruction or bulging sensation when touched. The first time there may be more appearances, which may subside on their own after 2 to 3 days, and this phenomenon gradually decreases with the reduction of the disease. The first time is not too long, and the patient should feel a warm feeling on the back of the waist. 5 times is a course of treatment, and if treated with suspension, the canister should be wandered first and then treated with suspension. 4.1.2 Suspension therapy: the patient takes a prone position, and the operator uses a homemade harpoon like fork (can be made of bicycle wire), and the fork head (can have 2, 3, 5, etc. ) filled with about 3cm length of moxa, and lit, and then hold the fork handle to let the moxa in the affected area above the slow burning, to the patient feel comfortable. The patient should move slowly to enjoy the warmth of moxibustion on the one hand and to prevent the ash from falling off the affected area on the other. Focus on the points on the first and second lateral lines of the foot solar bladder meridian, such as Da Loom, Fengmen, Bingfeng, Qu Yuan, Kidney Yu, Guan Yuan, A-Yi points, and at the striated nodes. Treatment is given every 1 to 2 days, with 5 sessions as 1 course of treatment, rest for 5 to 6 days, and the next course of treatment for those who still have symptoms. 4.1.3 Press: Lumbar dorsal myofasciitis is a non-specific inflammatory lesion of the lumbar shoulder and back tissues, fascia, myofascia, and ligaments caused by trauma, strain, or external wind and cold. The clinical manifestations are mainly soreness, pressure pain, muscle stiffness and heaviness in the low back. This disease belongs to the category of paralysis in Chinese medicine, with a lingering history and a mixture of deficiency and reality. The wandering jar is a combination of two therapies in Chinese medicine, fire jar and gua sha, and is a traditional non-drug health care method. It is a traditional non-drug health care method that improves the circulation of qi and blood by stimulating the body surface veins, opening up the couples and unblocking the meridians. Suspension moxibustion is a method of health care by using the gentle heat of moxibustion fire through the conduction of meridians to warm the meridians and disperse cold, move the qi and blood, and support the positive and dispel evil. (Jin Jianfeng. 49 cases of myofasciitis of the lumbar back treated with jars combined with suspension moxibustion [J]. (Zhejiang Journal of Traditional Chinese Medicine, 2010, 45(7): 522.) 5. Clinical experience: lumbar dorsal myofasciitis is a common clinical disease, seriously affecting the quality of life of patients, moxibustion therapy for the treatment of this disease has certain efficacy, the disease is mostly due to cold, so patients are required to avoid naked lumbar back, avoid direct blowing air conditioning, etc.