Chapter 67 LOWER BACK Chapter contents LOWER BACKACHE SCIATICA FEELING OF COLD AND HEAVINESS OF THE LOWER BACK WEAKNESS OF THE LOWER BACK AND KNEES STIFFNESS OF THE LOWER BACK COCCYX PAIN ATROPHY OF THE MUSCLES ALONG THE SPINE RIGIDITY OF THE LOWER BACK SKIN SIGNS Spots on the back Vesicles on the lower back Dryness and redness of the skin of the lower back Yellow colour of the lower back Skin marks on the lower back Boils on BL-23 Shenshu Ulcers on the buttocks Papules or pustules on the buttocks SPINAL CURVATURE Scoliosis Lordosis Spine bent forward Kyphosis Flattening of lumbar spine List of spine LOWER BACKACHE Interrogation, Chapter 37 Kidney-Yang deficiency Chronic lower backache, which may be unilateral, bilateral or on the midline and which may recur in bouts, a feeling of weakness and cold of the lower back, better with rest and worse with exercise, weak and cold knees, a feeling of cold, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse. Kidney-Yin deficiency Chronic lower backache, which may be unilateral, bilateral or on the midline and which may recur in bouts, a feeling of weakness of the lower back, contraction of the muscles of the lower back, better with rest and worse with exercise, thin body, weak knees, dizziness, tinnitus, hardness of hearing, poor memory, night sweating, dry mouth and throat at night, constipation, scanty dark urine, tiredness, slight anxiety, normal-coloured tongue without coating, Floating-Empty pulse. Sprain of the back Acute, severe backache, which may be unilateral or on the midline, rigidity of the back with inability to bend forward, pain in the leg. Cold-Dampness in the lower back Acute or chronic backache that is worse in the morning and better as the day progresses, better with light exercise and worse with rest, feeling of heaviness, a feeling of cold. Blood stasis in the back Chronic, severe unilateral lower backache that improves with light exercise and worsens with rest, worse in the morning but also at night, rigidity of the back, pain centred in a small area, Purple tongue, Wiry pulse. Invasion of Wind-Cold Sudden backache on the midline extending from the occiput to the lower back, aversion to cold, fever, cough, itchy throat, slight breathlessness, stuffed or runny nose with clear watery discharge, sneezing, occipital headache, body aches, thin white tongue coating, Floating-Tight pulse. Clinical note • In chronic lower backache there is always a Kidney deficiency and I always use BL-23 Shenshu. SCIATICA Apart from identifying the pattern, the affected channel must be identified. The channels affected are the Bladder, Gall-Bladder or Stomach; often more than one channel is involved. Cold-Dampness in the lower back and legs Dull pain in the leg that is worse in the morning, numbness/tingling of the leg, a feeling of heaviness of the leg, pain aggravated by exposure to cold and dampness and ameliorated by the application of heat. Damp-Heat in the lower back and legs Severe pain in the leg that is worse in the afternoon or evening, numbness/tingling of the leg, a feeling of heaviness and heat of the leg. Stagnation of Qi and stasis of Blood Severe stabbing pain in the leg that is slightly better with movement and worse with rest or sitting and during the night, pain slightly ameliorated by the application of heat. Kidney-Yang deficiency with Dampness Dull ache in the leg that is better with rest and worse with overexertion, lower backache, cold and weak knees, a feeling of heaviness of the legs, a feeling of cold, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue with sticky coating, Deep-Weak and slightly Slippery pulse. Clinical note • In my experience, in sciatica if the pulse is Rapid and Slippery and the tongue is Red with a sticky yellow coating, it is more difficult to treat. FEELING OF COLD AND HEAVINESS OF THE LOWER BACK Kidney-Yang deficiency A chronic feeling of cold and heaviness of the lower back, a desire to apply warmth to the lower back, worse for exposure to cold and dampness, weak and cold knees, a feeling as if sitting in cold water, cold feet, lower backache, a feeling of cold, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse. Cold-Dampness in the back A feeling of cold and heaviness of the lower back, a feeling of heaviness in general, chronic backache, cold legs, sticky white tongue coating, Slippery-Slow pulse. Invasion of Wind-Water A sudden feeling of cold and heaviness of the lower back, oedema of the ankles, aversion to cold, Floating pulse. WEAKNESS OF THE LOWER BACK AND KNEES Kidney-Yang deficiency Weak back and knees, lower backache, cold knees, better with rest and worse with exercise, a feeling of cold, cold feet, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse. Kidney-Yin deficiency Weak back and knees, lower backache, a feeling of heat, hot feet in bed at night, dizziness, tinnitus, hardness of hearing, poor memory, night sweating, dry mouth and throat at night, lower backache, constipation, scanty dark urine, tiredness, normal-coloured tongue without coating, Floating-Empty pulse. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... 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Chapter 67 LOWER BACK Chapter contents LOWER BACKACHE SCIATICA FEELING OF COLD AND HEAVINESS OF THE LOWER BACK WEAKNESS OF THE LOWER BACK AND KNEES STIFFNESS OF THE LOWER BACK COCCYX PAIN ATROPHY OF THE MUSCLES ALONG THE SPINE RIGIDITY OF THE LOWER BACK SKIN SIGNS Spots on the back Vesicles on the lower back Dryness and redness of the skin of the lower back Yellow colour of the lower back Skin marks on the lower back Boils on BL-23 Shenshu Ulcers on the buttocks Papules or pustules on the buttocks SPINAL CURVATURE Scoliosis Lordosis Spine bent forward Kyphosis Flattening of lumbar spine List of spine LOWER BACKACHE Interrogation, Chapter 37 Kidney-Yang deficiency Chronic lower backache, which may be unilateral, bilateral or on the midline and which may recur in bouts, a feeling of weakness and cold of the lower back, better with rest and worse with exercise, weak and cold knees, a feeling of cold, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse. Kidney-Yin deficiency Chronic lower backache, which may be unilateral, bilateral or on the midline and which may recur in bouts, a feeling of weakness of the lower back, contraction of the muscles of the lower back, better with rest and worse with exercise, thin body, weak knees, dizziness, tinnitus, hardness of hearing, poor memory, night sweating, dry mouth and throat at night, constipation, scanty dark urine, tiredness, slight anxiety, normal-coloured tongue without coating, Floating-Empty pulse. Sprain of the back Acute, severe backache, which may be unilateral or on the midline, rigidity of the back with inability to bend forward, pain in the leg. Cold-Dampness in the lower back Acute or chronic backache that is worse in the morning and better as the day progresses, better with light exercise and worse with rest, feeling of heaviness, a feeling of cold. Blood stasis in the back Chronic, severe unilateral lower backache that improves with light exercise and worsens with rest, worse in the morning but also at night, rigidity of the back, pain centred in a small area, Purple tongue, Wiry pulse. Invasion of Wind-Cold Sudden backache on the midline extending from the occiput to the lower back, aversion to cold, fever, cough, itchy throat, slight breathlessness, stuffed or runny nose with clear watery discharge, sneezing, occipital headache, body aches, thin white tongue coating, Floating-Tight pulse. Clinical note • In chronic lower backache there is always a Kidney deficiency and I always use BL-23 Shenshu. SCIATICA Apart from identifying the pattern, the affected channel must be identified. The channels affected are the Bladder, Gall-Bladder or Stomach; often more than one channel is involved. Cold-Dampness in the lower back and legs Dull pain in the leg that is worse in the morning, numbness/tingling of the leg, a feeling of heaviness of the leg, pain aggravated by exposure to cold and dampness and ameliorated by the application of heat. Damp-Heat in the lower back and legs Severe pain in the leg that is worse in the afternoon or evening, numbness/tingling of the leg, a feeling of heaviness and heat of the leg. Stagnation of Qi and stasis of Blood Severe stabbing pain in the leg that is slightly better with movement and worse with rest or sitting and during the night, pain slightly ameliorated by the application of heat. Kidney-Yang deficiency with Dampness Dull ache in the leg that is better with rest and worse with overexertion, lower backache, cold and weak knees, a feeling of heaviness of the legs, a feeling of cold, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue with sticky coating, Deep-Weak and slightly Slippery pulse. Clinical note • In my experience, in sciatica if the pulse is Rapid and Slippery and the tongue is Red with a sticky yellow coating, it is more difficult to treat. FEELING OF COLD AND HEAVINESS OF THE LOWER BACK Kidney-Yang deficiency A chronic feeling of cold and heaviness of the lower back, a desire to apply warmth to the lower back, worse for exposure to cold and dampness, weak and cold knees, a feeling as if sitting in cold water, cold feet, lower backache, a feeling of cold, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse. Cold-Dampness in the back A feeling of cold and heaviness of the lower back, a feeling of heaviness in general, chronic backache, cold legs, sticky white tongue coating, Slippery-Slow pulse. Invasion of Wind-Water A sudden feeling of cold and heaviness of the lower back, oedema of the ankles, aversion to cold, Floating pulse. WEAKNESS OF THE LOWER BACK AND KNEES Kidney-Yang deficiency Weak back and knees, lower backache, cold knees, better with rest and worse with exercise, a feeling of cold, cold feet, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse. Kidney-Yin deficiency Weak back and knees, lower backache, a feeling of heat, hot feet in bed at night, dizziness, tinnitus, hardness of hearing, poor memory, night sweating, dry mouth and throat at night, lower backache, constipation, scanty dark urine, tiredness, normal-coloured tongue without coating, Floating-Empty pulse. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: OBSERVATION OF THE GENITALIA MENSTRUAL SYMPTOMS DIAGNOSIS BY HEARING MENTAL AND EMOTIONAL SYMPTOMS Stay updated, free articles. Join our Telegram channel Join Tags: Diagnosis in Chinese Medicine A Comprehensive Guide Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on LOWER BACK Full access? Get Clinical Tree
LOWER BACK
