LOWER BACK

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LOWER BACK

Chapter contents

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.

• 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.

• 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

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