In the winter, there are more patients with back pain in the outpatient clinic. Low back pain is called paralysis in traditional Chinese medicine, that is, because the qi and blood are not smooth, resulting in numbness, soreness, and pain in the body. After explaining this word, everyone also knows where the cause of low back pain is, that is, the qi and blood are not smooth, and in winter, the back pain attacks are more severe, and most of them are because of cold and dampness.
In winter, the weather is cold, and the cold and dampness invade our waist and abdomen, aggravating the situation of qi and blood coagulation, so what about this kind of patients, there is also an obvious manifestation of the tongue is particularly white and greasy, and there are many tooth marks, and the stool is more sticky to the toilet, which are the manifestations of cold and dampness.
Some time ago, a patient came to 56 years old, had surgery for lumbar disc herniation, but almost a year or so began to have low back pain, has been taking painkillers to live, I understand, found that in the late autumn when the weather turns cold, the attack is obvious, the waist is cold, the pain will be more severe at night, see the tongue is relatively light, usually, it is easy to feel fatigue, poor spirit, white and greasy, thin pulse, a typical cold and damp low back pain, and also kidney deficiency
The first patient is nearly 60 years old, liver and kidney qi failure, therefore, their own defense ability will be relatively poor, the bone marrow is also hollow, plus not long ago had a lumbar intervertebral disc herniation surgery, the righteous qi is not full, therefore, the lack of qi and blood, coupled with cold and damp coagulation, thus led to the recurrence of low back pain.
So in terms of treatment, I mainly use kidney soup as the main prescription, which is also known as the first prescription for cold and damp low back pain through the ages. Among them, the dried ginger warms the spleen and replenishes the yang of the spleen and kidney, melts away the internal cold, the dilution of Poria cocos and relieves dampness, and at the same time strengthens the spleen and stomach, atractylodes atractylodes strengthens the spleen and invigorates qi, nourishes muscles, and the harmony of licorice blends with traditional Chinese medicine at the same time and tonifies the spleen and invigorates qi. This recipe serves as the foundation recipe and lays a tone for dissipating the cold and the warm yang.
However, for the patient, the strength is not very enough, so a taste of cinnamon and clematis is added to replenish yang, increase the effect of walking, disperse the cold and dampness of the meridians of the whole body, and enhance the flexibility of joint muscles.
At the same time, he was instructed to apply a salt bag externally, and pay attention to keeping the waist warm, and after 15 days of medication, the patient reported that the feeling of cold was reduced, the low back pain was significantly relieved, and the sleep at night was relatively stable.