For sedentary occupations, low back pain is a big problem. For friends who are engaged in office white-collar workers, drivers, and programmers, waist problems can be said to be a type of occupational disease. Low back pain is not only unbearable, but also affects work and life. Muscle strain is one of the common lower back problems in these populations.
Lumbar muscle strain mainly refers to the chronic injury of the lumbosacral back muscles and fascia. Due to the heavy burden on the waist and insufficient psoas muscle strength, it is in a state of tension for a long time, resulting in damage to muscles, ligaments, and fascia, local exudation or bleeding, fibrosis, adhesion, and contracture, and the nerve endings in the tissue are stimulated and compressed by pathological changes. Or damage, causing long-term recurrent lumbosacral pain. Some cord-like or nearly round indurations can be palpated upon local palpation. The illness is often lingering and difficult to heal repeatedly.
Traditional Chinese medicine believes that lumbar muscle strain is mostly due to stagnation of qi and blood, disharmony of blood vessels, resulting in pain due to obstruction of the waist. "On the Origin of Diseases Lumbago and Back Diseases" records that low back pain is due to "deficiency of the kidney meridian, which is caused by wind and cold", "strain damages the kidneys, damages the meridians, and is invaded by wind and cold, and the blood and qi beat, so the low back pain also ". Although there are many causes, they are all related to kidney deficiency. Deficiency of essence and energy in the kidney is the root cause of lumbar muscle strain.
We can perform moxibustion treatment on the following points:
Guan Yuanyu
When the spinous process of the 5th lumbar vertebra is below, open 1.5 cun laterally. Indications for low back pain, abdominal distension, diarrhea, enuresis, etc., and in the waist, it can regulate the local blood circulation.
Shenshu
Below the spinous process of the second lumbar vertebra, 1.5 cun lateral to the posterior midline. One is to select nearby acupoints, and the other is to have a good kidney-tonifying effect.
Yaoyangguan
On the posterior midline, in the depression under the spinous process of the fourth lumbar vertebra. It is the governor channel point, because the sun meridian and the governor channel run on the back, and the governor channel also supervises the yang qi of the whole body, so it has the effects of regulating viscera, warming yang qi, stimulating meridian qi, and evacuating evil qi.
Ashi point
It refers to the tender point (sensitive point) on the part of the pain or related to the pain as acupoints. In the local area of lumbago, the most obvious tenderness is selected as the Ashi point, which means "taking pain as an acupoint".
*Acupoint pictures are from "Illustrated Yellow Emperor's Canon of Internal Medicine" produced by Zitu Books
Operation method:
Use moxa sticks for gentle moxibustion or rotary moxibustion, that is, the patient is in the prone position, light the moxa sticks, apply the moxa sticks about 3 cm away from the moxibustion site on the acupuncture points and the most obvious skin pain (or where there are cords or nodules), and then evenly Move the moxa sticks to the left, right, up and down, so that the patient's heat sensation penetrates into the inside. When the patient cannot tolerate the heat, temporarily remove the moxa sticks, and moxibustion for 20 minutes each time. Once a day, 10 times as a course of treatment.
"Husband moxibustion is taken from fire, with fire and heat to achieve speed, the body is soft and rigid, and can eliminate shadows... It can pass the twelve meridians, enter the three yin, regulate qi and blood, and cure all diseases. It is as effective as turning the palm of your hand" . Moxibustion is one of the oldest therapies in traditional Chinese medicine. Modern scientific research has also found that moxibustion can increase local temperature, relieve local symptoms, improve the body's immune function, endocrine function and autonomic nervous function, and restore the unbalanced body. As we said earlier, lumbar muscle strain is caused by stagnation of qi and blood and disharmony of blood vessels, and the use of moxa stick moxibustion is based on the fact that mugwort leaves contain various medicinal ingredients and strong volatile substances. It has the effects of warming the meridians and dredging collaterals, promoting qi and blood circulation, and dispelling dampness and cold.
To treat lumbar muscle strain, scraping and cupping can also be used. Let me share with you an experience:
With the patient in the prone position, select the Du Vessel, the Bladder Meridian, and the outer meridian of the Bladder Meridian, and evenly apply the scraping solution from the shoulder back to the lumbosacral area. Scrape along the meridians. Scrape the governor vessel area on the midline of the back first, from Dazhui to Mingmen. When scraping, the force should be uniform, and the scraping area should be as long as possible. It can be scraped several times at the places where Sha points are densely packed, and cupping can be done locally for 10-20 minutes, 1-2 times a week, and 3-5 times is a course of treatment. The curative effect was observed after 2 courses of treatment.
Low back pain refers to acute and chronic injuries of the muscles, fascia, ligaments, and intervertebral facet joints of the lower back. After the injury, local tissue fluid exudation, congestion, edema, etc. stimulate and compress nerve endings, causing muscle spasm and pain, which affects daily life. Scraping and cupping methods, whichever is warmer, can unblock yang and disperse cold, and can directly reach the sick place. Dredge the meridians, promote blood circulation and remove blood stasis, thereby improving local blood circulation. Scraping the acupoints on the back can promote blood circulation and remove blood stasis on the human body, adjust yin and yang, relax tendons and unblock collaterals, and make Qi flow unobstructed. Those with a short course of disease and timely treatment often have immediate results.
*From "Shaanxi Traditional Chinese Medicine" Issue 06, 2008, by Wei Xuelan.
*"Shaanxi Traditional Chinese Medicine" magazine is in charge of the Shaanxi Provincial Administration of Traditional Chinese Medicine, and Shaanxi Traditional Chinese Medicine is a high-level Chinese medical science and technology journal sponsored by the Shaanxi Provincial Society of Traditional Chinese Medicine. Based on the principles of inheritance and development, development and innovation, and combination of practice and theory, highlight the academic advantages of the region, introduce new theories, new technologies and new achievements of traditional Chinese medicine, traditional Chinese medicine, and integration of traditional Chinese and Western medicine, and timely reflect the province and even the whole country. , The development level of Chinese and Western medicine.
In fact, for diseases such as lumbar muscle strain, I still hope that everyone can pay attention to prevention in daily life. While busy at work, we should also remember to exercise regularly to relieve waist fatigue and minimize other diseases caused by sitting for a long time. harm.
