TCM classification of low back pain

Many people suffer from back pain, but they don’t know the specific reason. Low back pain is generally caused by kidney deficiency, and we need targeted treatment. Currently, from the perspective of traditional Chinese medicine, low back pain can be treated through acupuncture, but we need to make a diagnosis before treatment, and then we can perform moxibustion on the acupoints in a targeted manner to achieve the treatment effect. So, what are the TCM classifications of low back pain?

1. Expel wind and dampness, activate collaterals and relieve pain

When wind evil invades from outside, the Taiyang meridian is affected, resulting in blockage of meridian Qi and causing low back pain. Low back pain and cramps, pulling the legs and feet, and even the back, or there may be cold or heat, headache, white greasy tongue coating, and a floating and slippery pulse. It should be used to dispel wind and dampness, activate blood circulation and relieve pain. Duhuo Jishe Decoction can be used with modifications.

2. Warming up cold and dampness to relieve low back pain

Cold and dampness invade the solar meridian, causing soreness all over the body, heaviness and fatigue, difficulty turning around, and severe lower back pain when it rains. The tongue is coated with a thin white coating and the pulse is deep and moist. This is consistent with what is written in the Golden Chamber: "In patients with kidney disease, the body feels heavy, the waist is cold, as if sitting in water, and the body shape is like water, but the patient is not thirsty, urinates naturally, and eats and drinks normally..." It is advisable to use the method of warming and transforming cold and dampness.

3. Clear away heat and dampness, dispel wind and relieve pain

Dampness and heat accumulate and block the collaterals, causing imbalance of Qi and resulting in low back pain, loose stools, burning sensation in the anus, yellow or red urine, restlessness, frequent dreams, bitter taste in the mouth, poor appetite, and a red tongue with a greasy yellow coating.

4. Warming up the kidney yang to relieve low back pain

Insufficient kidney yang, cold waist and lower limbs, soreness and weakness in waist and knees, aggravated by exertion, clear and long urination, sometimes dry and hard stools, fat tongue with white coating, and weak pulse. You can use the method of warming and tonifying the kidney yang, and you can add or subtract ingredients to Qing'e Pills.

5. Replenish the lower abdomen, nourish yin and reduce fire

Deficiency of kidney yin, persistent low back pain, ascending virtual fire, restlessness and insomnia, burning palms, nocturnal emission, yellow urine and hard stools, red tongue and dry mouth, small, fine and rapid pulse, deep, stringy and slippery pulse. It is necessary to use the method of replenishing the lower abdomen, nourishing yin and reducing fire.

6. Promote blood circulation and regulate qi, dredge meridians and relieve pain

Due to careless movement, the waist may be sprained, or due to external injuries, blood stasis may block the meridians, causing stabbing pain in the waist, which is lighter during the day and heavier at night. The pain is worse when moving, and the patient cannot bend forward, turn forward or sideways. Even breathing may cause pain, and the stool may be dark or constipated. When using the method of promoting blood circulation and regulating qi.