Lumbar disc herniation belongs to the category of "lumbago" and "lumbocrural pain" in traditional Chinese medicine. As early as "Su Wen", it was mentioned: "The smooth pulse makes people feel sore and backache, unable to pitch, raising their backs and fearing servants, and their backs are seriously injured." Analysis of the causes of lumbar disc herniation, mostly trauma, internal deficiency or cold and dampness, so the clinical symptoms can be divided into qi stagnation and blood stasis, wind-cold blocking collaterals, damp-heat blocking collaterals, liver and kidney deficiency and so on.
Syndrome of qi stagnation and blood stasis
The patient's back and leg pain is like a thorn, the day is light and the night is heavy, the pain is limited, the pain refuses to press, the waist is hard, and it is difficult to lie sideways. Most of them have a recent history of waist injury, dark red tongue, or ecchymosis, tight or astringent pulse. The main treatment is promoting blood circulation to remove blood stasis, relaxing muscles and tendons, activating qi and relieving pain. Prescription: the decoction of relieving pain and removing blood stasis is mainly modified, and the drugs of promoting blood circulation and removing blood stasis such as peach kernel, safflower, Guiwei and Chuanxiong are reused, supplemented by painkillers for promoting blood circulation and regulating qi or dredging collaterals, and qi-regulating drugs are added as appropriate. You can also take it at the end of Tianqi.
Syndrome of wind-cold obstruction
The patient's waist and legs are cold and painful, which is aggravated in cold and rainy days. The limbs are cold, and the tongue is pale, the coating is white and slippery or greasy, and the pulse is tight or slow. The main treatments are expelling wind and removing dampness, stopping arthralgia, tonifying liver and kidney, and invigorating qi and blood. Prescription: Duhuo Jisheng decoction is mainly modified, and the medicine of expelling wind, dispelling cold and relieving pain is used. Zingiberis Rhizoma and Radix Aconiti Lateralis Preparata can be added for common cold, and Gentiana Macrophylla and Notopterygii Rhizoma can be added for wind and heat. It can also be taken orally with Wentong Capsule.
Damp-heat stasis syndrome
Symptoms include lumbago and leg pain, physical irritation, aggravated pain in hot or rainy days, aversion to heat, dry mouth, short and red urine, poor stool, red tongue with yellow and greasy fur, and thready pulse. The treatment is mainly to clear away heat and promote diuresis. Prescription: Simiao Powder is used as the main flavoring agent, with wet weight such as Plantago asiatica and Herba Artemisiae Scopariae and hot weight such as Astragalus and Anemarrhena asphodeloides. It can also be taken orally with Pantuo Zhitong Capsule.
Syndrome of deficiency of liver and kidney
The symptoms are persistent low back pain, fatigue, numbness of limbs, cold feeling, severe fatigue and muscle atrophy. People with yang deficiency have pale face, lukewarm hands and feet, cold waist and legs, or impotence and premature ejaculation, with thin leucorrhea, pale tongue and white and slippery fur; People with yin deficiency have flushed face, dry throat and thirst, vexation and insomnia, dreaminess or nocturnal emission, red tongue with little coating and rapid pulse.
The treatment of yang deficiency syndrome is mainly to warm kidney and strengthen yang. Gui You Pill is the main prescription, and Longbie Capsule can also be taken orally.
The treatment of yin deficiency syndrome is mainly nourishing yin and dredging collaterals. Medicinal Zuogui Pill is mainly flavored, and can also be taken orally with Liuwei Dihuang Pill.
In short, there are many prescriptions for the treatment of lumbar disc herniation with a long history, and each prescription has its own characteristics. However, we realize that for the treatment of lumbar disc herniation with traditional Chinese medicine, we should not only carefully examine the clinical manifestations, but also pay attention to the systemic changes, actively find the cause and treat it according to syndrome differentiation. Although "low back pain" is mostly caused by "blood stasis" and "kidney deficiency", our hospital is located in Lingnan, where the land is often wet and the disease is hot. Therefore, most patients can be classified as "damp heat", most of them are "blood stasis" in their prime and "kidney deficiency" in the elderly. Different prescriptions and prescriptions were used respectively and proved by clinical application.
It should not be ignored that TCM treatment based on syndrome differentiation should also be tailored to the time, place and person. For example, the south is humid, and if you use something spicy and dry, such as angelica, your body will not be affected; The weather is hot, even if the syndrome differentiation is physical weakness, we should use nourishing cream with caution to avoid disturbing the stomach.
External use of traditional Chinese medicine also has unique curative effects, such as external use of traditional Chinese medicine and fumigation. Clinically, we also summarized some external prescriptions, such as Radix Aconiti, Radix Aconiti Kusnezoffii, Ramulus Cinnamomi 15g, Radix Angelicae Sinensis 15g, Caulis Spatholobi 30g, Caulis Spatholobi 30g, Caulis Speransiae tuberculatae 30g, and Radix et Rhizoma Rhei 15g. Soak the upper part in water, add water to 3 ~ 4 liters, fry it to 2 liters, put it under the bed and steam the waist. The drug can be used repeatedly for 2 ~ 3 times, daily 1 time, and it also has good effect.
Remind you: this remedy for lumbar disc herniation comes from the internet. Please follow the doctor's advice before use.