Traditional Chinese medicine for treating sciatica based on syndrome differentiation
1. Cold-dampness block
(1) The indoor air is fresh, warm and sunny, and the environment is quiet and comfortable, avoiding the stimulation of darkness, humidity and cold.
(2) Diet should be light. Avoid cold, greasy, fat and sweet products, and choose Prespi wine (acanthopanax bark, glutinous rice, koji fermentation or fermented wine). Coix seed, Zaocys, etc. Soak in wine, dispel wind and cold, activate collaterals and relieve pain.
(3) Eliminate the patients' bad emotions such as anger, irritability and nervousness, make them cheerful and optimistic, treat the disease correctly and actively cooperate with the treatment.
(4) Stay in bed and sleep on a hard bed for 3~4 weeks. Pay attention to local warmth at night to avoid inappropriate exercise and cold stimulation.
(5) For local pain, use 500g salt, chopped green onion, and iron the affected area after frying to prevent burns.
(6) Observe the location, nature and other accompanying symptoms of pain. Strengthen skin care to prevent bedsore.
(7) Chinese medicine can choose Juanbi decoction, which should be taken in a warm way to dispel wind, cold, dampness and collaterals. Chinese patent medicine can choose Xiao Huoluo Dan, each time 1 pill, three times a day, with yellow wine.
(8) Acupuncture therapy: acupuncture can choose 3-5 points of Huantiao, Qihaishu, Dachangshu, Chengfu, Yinmen, Weizhong, Chengshan, Yanglingquan, Weiyang, Hanging Bell, Kunlun and Yaoyao, and adopt the method of strong stimulation and strong diarrhea; Electroacupuncture points selection is the same as above, 2~4 points are selected each time, and pulse electroacupuncture stimulation is used 10~20 minutes; Ear acupuncture takes points such as sciatic nerve, buttock, lumbosacral, adrenal gland, Shenmen, knee and ankle. Leave the needle for about 30 minutes, and screw it every 5~ 10 minutes/time. Strong stimulation can also bury needles; Acupoint injection selected Ashi point, Huantiao and 3~5 lumbar spine. 2~4ml of Chinese herbal medicines such as compound angelica, salvia miltiorrhiza and clematis root were injected every other day.
(9) Cupping: jumping around in selecting acupoints and tenderness points.
(10) Single ingredient and prescription: Trachelospermum 12g, Lycopodium 12g, Fructus Lipuidambaris 12g, decocted in water.
2. Blood stasis and qi stagnation
(1) The indoor air is fresh and the ward is warm and sunny.
(2) Diet: it should be light, digestible and nutritious, and avoid cold, fat, sweet and greasy.
(3) Emotional care: refer to cold-dampness block.
(4) Stay in bed and sleep on a hard bed for 3~4 weeks.
(5) Cold-dampness block can be used as a reference for pain.
(6) Taohong Siwu Decoction should be used as a traditional Chinese medicine for warming meridians, promoting blood circulation, removing blood stasis and relieving pain, and Dahuoluo Pill can be used as a Chinese patent medicine, once per kloc-0 pill, twice a day.
(7) Acupuncture therapy: Body acupuncture can choose points such as Dachangshu, Guanyuan and Huantiao on the affected side for purging hair; Acupuncture generally takes Shenshu, Zhibian, Yinmen, Weizhong, Chengshan, Kunlun, Huantiao, Shi Feng, Yanglingquan, Xuanzhong and other points, and the stimulation is moderate and strong. Acupuncture is kept for 20~30 minutes, once a day or once every other day. 10 times is a course of treatment. For those with severe pain, electroacupuncture should add two points at a time, and the stimulation intensity should be subject to the patient's tolerance; For acupoint injection, Angelica sinensis or Ligusticum Chuanxiong, Carthamus tinctorius or Saposhnikovia divaricata, Notoginseng Injection and Yanhuning Injection (1~2ml) were used, and points such as Dachangshu, Huantiao, Kunlun, Shenshu, Weizhong, Yanglingquan, Jueyin and Bladder Meridian were selected for alternate use. Ear acupuncture takes the affected limb to the ear points of sciatic nerve, waist and foot. After routine disinfection, the ear needle is punctured vertically and pressed every 2 hours to strengthen the stimulation. 1 week later, before the second treatment, the needle was taken out and left for 2 days.
(8) Massage: Rub the meridians of foot three yin and foot three yang of lower limbs hard, so as to relax the meridians and promote qi and blood circulation.
(9) Unilateral: Radix Clematidis 15g, Fructus Chaenomelis 12g, Rhizoma Atractylodis Macrocephalae 12g, Radix Dipsaci 12g, Radix Angelicae Sinensis 12g, Rhizoma Cyperi 9g, Ramulus Cinnamomi 9g, Radix Achyranthis Bidentatae 9g, Rhizoma Zingiberis Recens 6g and Radix Notoginseng 5g (orally).
3. Deficiency of liver and kidney
(1) The air in the ward is fresh, warm and sunny. Keep a certain humidity to feel comfortable.
(2) The diet should be easy to digest and avoid greasy food. Cold food, you can choose pork, dog meat, shellfish and crabs to nourish liver and kidney.
(4) Stay in bed for 3~6 weeks, pay attention to keep the affected limb warm, avoid strenuous exercise of the affected limb, and treat cough so as not to aggravate the pain.
(5) If there is pain, stir-fry Cornus officinalis 60g with coarse salt, iron the affected area with cloth temperature, or apply hot compress with hot water bottle to prevent burns.
(6) Traditional Chinese medicine should be modified with Duhuo Jisheng Decoction, which can warm kidney and nourish yin, dispel wind and cold, eliminate dampness and dredge collaterals. The Chinese patent medicine can be Jianbu Qian Hu Pill. Mugua pills are 6g a day, twice a day.
(7) Acupuncture therapy: the body acupuncture can choose Dachangshu, Shenshu, Zhibian, Huantiao, Yinmen, Yanglingquan, Chengshan and Xuanzhong points, and the flat point method can also add moxibustion; Ear points sciatic nerve, lumbar vertebrae, buttocks, Shenmen.
(8) Unilateral prescription: Scorpion and Scolopendra are equally ground into powder, 3g per day, taken 1~3 times, and 10 day is a course of treatment.
(9) Dietotherapy: one sheep liver, 200 grams of Rehmannia glutinosa and 30 grams of Lycium barbarum are pounded into pills. 9~ 15g each time,
Take it on an empty stomach three times a day.
Health guidance for sciatica
1. Always strengthen waist and leg exercises, pay attention to the combination of work and rest, and avoid overwork.
2. Ward environment should be dry, warm, sunny and ventilated.
3. Avoid cold and damp stimulation, and pay special attention to keeping the lower limbs and waist warm.
4. Control inflammation in the body in time to prevent it from spreading to sciatic nerve.
5. Prevention and treatment of lumbar intervertebral disc lesions.
6. When intramuscular injection, it is especially necessary to choose a suitable part to prevent accidental injury to the sciatic nerve.
7. Maintain emotional stability, optimism and happiness.
8. Appropriate activities during the recovery period of the disease, such as walking, jogging, practicing Qigong, self-massage, warm bath, etc. It will help the condition get better and get well soon.