2 English References Kidney Deficiency and Lumbago [Xiangya Medical Dictionary]
Lumbago due to kidney deficiency. Terminology of traditional Chinese medicine (20 10)]
3 Summarize kidney deficiency and low back pain as the name of disease syndrome [1]. See Volume XIX of Emergency. Also known as lumbago due to kidney meridian (see Lumbago, required reading for medical practice). Namely lumbago and kidney deficiency syndrome [2].
"synopsis of the golden chamber lumbago": "those with kidney deficiency and lumbago have insufficient essence and yin. ..... Its symptoms are shortness of breath, inability to stand up and lack of rest. There is no great pain, but it is long and sad, and it is repeated. "
Lumbago due to kidney deficiency [3] is the name of the disease [1]. See Volume XIX of Emergency. Also known as lumbago due to kidney meridian (see "lumbago required by medical records") and lumbago due to kidney deficiency (see Volume XIX of "Bei Ji Fang"). Low back pain [1]. Deficiency of kidney-qi, soreness and weakness of waist and knees, which is caused by pressing and rubbing, and is even worse when you are tired, and it is relieved when you lie down. Often recurrent, yang deficiency leads to less abdominal tightness, pale face, tepid hands and feet, qi deficiency and fatigue, pale tongue and heavy and thin pulse; Yin deficiency leads to restlessness and insomnia, dry mouth and throat, flushed face, fever in hands and feet, red tongue with little coating and thready pulse, all of which are common symptoms of low back pain [2].
Kidney deficiency and lumbago can be seen in chronic nephritis, nephroptosis, lumbar muscle strain, spinal tuberculosis and other diseases in western medicine [1].
4 etiology and pathogenesis of kidney deficiency and low back pain Kidney deficiency and low back pain are caused by long-term illness, kidney deficiency or old age, or kidney injury caused by overwork, exhaustion, kidney deficiency and waist deficiency [4][5].
5 Symptoms of kidney deficiency and low back pain Patients with kidney deficiency and low back pain are mainly sore, with slow onset, dull pain and endless pain. They like to press and rub, and their legs and knees are weak. When they are tired, they will be worse. When they lie down, they will be relieved, and they often relapse. If accompanied by less abdominal distress, complexion? White, tepid hands and feet, listlessness, cold limbs, asthenia due to qi deficiency, fine and smooth, pale tongue, and thready pulse, which is kidney-yang deficiency; If accompanied by upset insomnia, dry mouth and throat, flushing, fever in hands and feet, red tongue with little coating, yellow tongue and rapid pulse, it is kidney yin deficiency. [6][5][2]
"synopsis of the golden chamber lumbago": "those with kidney deficiency and lumbago have insufficient essence and yin. ..... Its symptoms are shortness of breath, inability to stand up and lack of rest. There is no great pain, but it is long and sad, and it is repeated. "
6 Syndrome Analysis: Kidney essence deficiency and lumbar dystrophy: the waist is the kidney house, and the kidney governs the bone marrow. Kidney essence deficiency leads to lumbar dystrophy, so the epidemic is soft and weak, and its pain is constant, which is seen in the deficiency syndrome. Labor consumes gas, so you are more severe when you are working, and lying down is less. Yang deficiency can't warm the tendons, so the abdomen is not so tense and the limbs can't be warm, so the hands and feet are not warm. Face? Pale and white tongue and deep and thin pulse are all manifestations of yang deficiency and cold. Yin deficiency leads to deficiency of yin and body fluid, while fire deficiency leads to inflammation, so it causes anxiety and insomnia, dry mouth and throat, and fever in hands and feet. Red tongue with little fur and rapid pulse are all symptoms of yin deficiency and heat excess. [6][5][7]
7 Treating lumbago due to kidney deficiency 7. 1 Prescription treatment 7. 1. 1 Yang deficiency, lumbago due to kidney deficiency, Yang deficiency, warming and tonifying kidney yang [6].
People with kidney deficiency, lumbago and yang deficiency can use Bawei Pill, Erzhi Pill, Gui You Pill and Bushen Pill [1].
Yougui Pill (Jing Yue Quan Shu) is used for patients with kidney deficiency, lumbago and yang deficiency: Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Corni Fructus, Fructus Lycii, Eucommiae Cortex, Semen Cuscutae, Radix Aconiti Lateralis Preparata, Cortex Cinnamomi, Radix Angelicae Sinensis, and Colla cornus Cervi are the main drugs to warm the fire of Mingmen. In the prescription, Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Fructus Corni and Fructus Lycii are used to nourish kidney essence, and yin is used to seek yang. Du's waist is good for essence; Dodder nourishes liver and kidney; Angelica sinensis nourishes blood and promotes blood circulation. All the medicines are used together to warm the kidney and strengthen the waist. [6]
7. 1.2 People with yin deficiency, kidney deficiency, low back pain and partial yin should tonify kidney yin [6].
Zuogui Pill, Danggui Dihuang Drink and Dabuyin Pill can be used for patients with kidney deficiency, lumbago and yin deficiency [1].
Zuogui Pill is used to treat kidney deficiency, lumbago and yin deficiency [Remarks] Zuogui Pill (Jingyue Quanshu): Radix Rehmanniae Preparata, Rhizoma Dioscoreae, Cornus officinalis, Semen Cuscutae, Fructus Lycii, Radix Cyathulae, Colla cornus Cervi and Colla Plastrum Testudinis are used as the main ingredients, and Huang, Fructus Lycii, Cornus officinalis and Colla Plastrum Testudinis are used to fill kidney yin; Using Semen Cuscutae, Colla cornus Cervi and Achyranthes bidentata to warm kidney and strengthen waist can eliminate fatigue by nourishing kidney. If the deficiency fire is serious, you can add Dabuyin Pill [Remarks] Dabuyin Pill ("Danxi Heart Method"): Anemarrhena rhizome, phellodendron bark, prepared rhizome of rehmannia, tortoise plastron and pig spinal cord. If the lumbago lasts for a long time, and there is no obvious deficiency of both yin and yang, you can take Qing 'e Pill [Remarks] Qing 'e Pill (Taiping Huimin and Fang Ju): Psoralea corylifolia, Eucommia ulmoides, walnut kernel and garlic head for tonifying kidney to treat lumbago. [6]
7. 1.3 Spleen deficiency kidney is congenital, spleen is acquired, and the two viscera are combined into one, warming the whole body. If kidney deficiency lasts for a long time, you can't warm the spleen and soil, or you can't stand for a long time, and your waist muscles are strained, which often leads to spleen deficiency and even subsidence. Besides kidney deficiency, shortness of breath, weak voice, loss of appetite, loose stool, nephroptosis, etc. Treatment should be based on tonifying kidney, supplemented by methods of invigorating spleen, invigorating qi and invigorating yang, plus drugs such as Radix Codonopsis, Radix Astragali, Cimicifugae Rhizoma, Bupleuri Radix, Atractylodis Rhizoma, etc. [6]
7. 1.4 External treatment can be combined with ironing to treat lumbago due to kidney deficiency on the basis of oral administration. Mash cinnamon, Evodia rutaecarpa, onion and pepper evenly, then heat, wrap the hot spot with silk handkerchief, cool and then fry. Ferula ferulae ointment (Jing Yue Quan Shu) for external use: Notopterygium Rhizoma, Radix Angelicae Pubescentis, Radix Angelicae Pubescentis. [6]
7.2 Dietotherapy for People with Yang Deficiency 7.2. 1 People with kidney deficiency, low back pain and Yang Deficiency should be treated with warming and tonifying kidney yang [7].
7.2.2 Recommended ingredients Patients with kidney deficiency, lumbago and yang deficiency should eat Cornus officinalis, cinnamon, yam, Eucommia ulmoides, tortoise plastron, antler glue, turmeric, mutton, dog meat and beef [7].
7.2.3 Recommended dietotherapy prescription [7]
1. Jison dog broth: dried ginger10g, yam 50 ~100g, cinnamon10g, fennel15 ~ 30g, dog meat100g. Fry food other than mutton in the pot for more than 30 minutes.
2. Guishan wolfberry porridge: cinnamon 10g, dogwood 15 ~ 30g, medlar 15 ~ 30g, and sword bean 50g. Boil the above food in a pot for more than 30 minutes, and cook it into porridge with the cooked juice.
3. Ginger tea: dried ginger 10g, medlar 15 ~ 30g, soaked in water instead of tea.
7.3 Acupuncture treatment 7.3. 1 prescription 1 [5]
Treatment: tonify kidney and strengthen waist.
Acupoint selection: the acupoints of the kidney meridian of foot shaoyin and bladder meridian of foot taiyang are mainly selected. Take Shenshu point, Zhishi point, Taixi point and Weizhong point. Kidney deficiency and low back pain should be treated with both symptoms and root causes, so the qi of foot-sun meridian should be adjusted to treat its standard. Take Shenshu, Fructus Aurantii Immaturus and Taixi to tonify kidney and replenish essence, so as to treat its root.
Acupoint selection with syndrome: for those with kidney-yang deficiency, add Qi Hai and Guanyuan. Deficiency of kidney yin, plus exposure to the sea.
Acupuncture and Moxibustion: Acupuncture supplemented by moxibustion.
7.3.2 Prescription 2 focuses on Shenshu, Dachangshu, Weizhong, Jiaji and Ashi [4]. Kidney deficiency and lumbago plus Shi Zhi, Mingmen and Taixi [4].
7.3.3 Sanwei Prescriptions: Shenshu, Yao Yan and Stomach. The waist is the house of the kidney, and Shenshu is the place where the kidney meridian regulates qi. Taking it can invigorate kidney and qi, and moxibustion can dispel dampness and dispel cold; The waist and eyes dredge local tendons, dredge meridians and relieve pain; The Committee regulates the qi of the sun meridians, dredges the meridians, and promotes blood circulation to relieve pain.
Matching points and syndromes: kidney deficiency-Mingmen, Sanyinjiao.
Operation: filiform needling, reinforcing and reducing or adding moxibustion or cupping as appropriate according to the actual situation, 1 time a day, and keeping the needle for 30 minutes each time,1time is a course of treatment.
7.4 Moxibustion Therapy [8]
Acupoints: Shenshu, Mingmen, Guanyuan, Taixi and Gu Ran.
Moxibustion method: Moxibustion with moxa cone does not leave scars, with soybean moxa cone, each point 10 is strong, after each moxibustion 1 strong, press moxibustion point 1 time, 1 time every day, 10 times is/kloc.
8 Lumbago Lumbago (lumbago [3][9]) is the name of the disease. Huangdi Neijing Lingshu Meridian. Also known as back pain (published in Huangdi Neijing Su Wenzhuan Specimen Disease). It refers to a disease with low back pain as its main clinical manifestation [3][9]. The pain site is either in the spine, on one side or on both sides [5]. The waist is the house of the kidney, so low back pain is most closely related to the kidney [6]. Low back pain is mostly caused by external factors, trauma, fatigue and kidney deficiency. It can be seen at any age and is one of the common symptoms of many diseases [5].
Low back pain can be caused by both exogenous and internal injuries, and its pathological changes are often characterized by kidney deficiency, exogenous pathogens and falling. Therefore, in addition to eliminating cold and dampness, clearing damp and heat, promoting blood circulation and removing blood stasis, relaxing tendons and activating collaterals, drugs for tonifying kidney and strengthening waist are also used to achieve the purpose of strengthening the body resistance and eliminating pathogens [6]. According to clinical findings, the above types are rare and common, with long-term low back pain and mixed deficiency and excess, so the medication needs to be cross-referenced [6]. In addition to oral administration, acupuncture, physiotherapy, cupping, plaster, drug fumigation and other methods can be combined to treat this disease, and the effect is good [6]. Acupuncture has a good effect on this disease. Low back pain caused by spinal tuberculosis and tumor. It is not within the scope of acupuncture treatment.
Various spondylitis, lumbar disc herniation, spinal tumor, proliferative spondylitis, lumbar soft tissue injury, lumbar muscle strain, lumbar degenerative diseases, rheumatoid arthritis, nephroptosis, pyelonephritis, perinephritis, hydronephrosis, renal tuberculosis, kidney calculi, pelvic diseases, etc. , all belong to the category of low back pain in traditional Chinese medicine [4] [10].
See lumbago for details.
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