First, the treatment of sciatica mainly includes:
1. Bed rest: Bed rest for patients with severe pain can reduce the tension and reactive edema of nerves and pathological tissues and help relieve symptoms. When the pain symptoms are slightly relieved, you can practice activities properly, do what you can regularly every day, and gradually increase the active exercise, which is helpful for functional recovery.
2. Conservative treatment: Patients with severe pain need to be treated according to the cause. Conservative therapy is generally used to treat the ischia of Jiyutang outside Liaoning, which is safe and has no side effects. Sticking to use can get rid of symptoms.
3. Analgesics and sedatives: Analgesics should be taken when the pain is severe, and limited daily. In the acute phase, you can take sedatives orally for a short time, and take them before going to bed after the illness is relieved, so as to facilitate full rest and promote the recovery of the illness.
4. Hormone: it has anti-inflammatory, detumescence, desensitization and analgesic effects, especially in acute phase or when there is extensive adhesion, it can be taken orally for a short time to avoid side effects caused by long medication time.
5. Physiotherapy, acupuncture and massage: help to relieve symptoms and accelerate recovery.
Secondly, introduce the treatment of sciatica.
Sciatica refers to the pain of sciatica and its distribution area. Pain in the buttocks, posterior thigh, posterolateral calf and lateral foot caused by any reason is called sciatica. Patients can choose the following traditional Chinese medicine prescriptions for treatment according to their illness.
1. Duhuo Jisheng Decoction
Comprises Radix Angelicae Pubescentis, Herba Taxilli, Eucommiae Cortex, Achyranthis Radix, Asari, Radix Gentianae Macrophyllae, Poria, Cortex Cinnamomi, Radix Saposhnikoviae, Rhizoma Chuanxiong, Ginseng Radix, Radix Glycyrrhizae, Radix Angelicae Sinensis, Radix Paeoniae and Radix Rehmanniae.
Addition and subtraction: for those with kidney deficiency, epimedium is added; For patients with severe pain, Ligusticum chuanxiong and Radix Paeoniae Alba should be reused, and Radix Aconiti and Scorpio should be added. If it is not sensitive, add Spatholobus suberectus; Those who are hot, go to the heart of asarum and cinnamon; For those with excessive cold, aconite root is added; For people with strong physique, reduce rehmannia glutinosa and ginseng.
2. Jiawei Siwu Decoction
Comprises Radix Paeoniae Rubra, Radix Rehmanniae Preparata, Squama Manis, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Scolopendra and Zaocys.
Addition and subtraction: for patients with joint pain, add aconite and cinnamon; Arthralgia plus Radix Angelicae Pubescentis, Radix Gentianae Macrophyllae and Radix Saposhnikoviae.
3. Zhuangjin Shugu Pill
Ingredients: Angelica sinensis and fried Eucommia ulmoides Oliv. , Radix Dipsaci, Caulis Spatholobi, Radix Salviae Miltiorrhizae, Lumbricus, etc.
Usage: Take orally in the morning and evening, 5g each time, and take it with warm yellow wine. Take 12 days continuously as a course of treatment, stop taking drugs for 3 days and continue the next course of treatment.
4. Bi Chu Ding Tong Tang
Comprises Radix Angelicae Pubescentis, Radix Angelicae Sinensis, Herba Taxilli, Radix Salviae Miltiorrhizae, Semen Vaccariae, Caulis Spatholobi, Radix Cyathulae, Cortex Eucommiae, Radix Clematidis, Radix Stephaniae Tetrandrae, Radix Saposhnikoviae, Eupolyphaga Seu Steleophaga, Asari, Radix Aconiti Lateralis Preparata and Radix Glycyrrhizae.
Efficacy: tonify kidney, nourish blood and promote blood circulation, warm channels and dispel cold, dispel wind and promote diuresis, remove blood stasis and relieve pain.