Chronic lumbar muscle strain is caused when the lumbar muscles
are intensely strained in a continuous or repeated way within a
short period of time, which exceeds the physiological endurance
and, therefore, results in a chronic aseptic inflammation in the
lumbar muscular fibers. The occurrence of the illness is closely
related with the damp room one lives in or damp ground one lies
or sits on. It manifests itself in a long-time pain in the
lumbus of one side, which will e aggravated when the patient is
tired, but relieved when he has some gentle activity.
Main
Points of Diagnosis
1. The patient has a history of acute lumbar muscle strain which
has not been well treated, lingered for a long time and become
chronic, or has a history of chronic labour strain which is
often seen in doctors or other workers whose backs bent for a
long time and sportsmen whose lumbuses have over fatigued.
2. The patient has aching pain, stabbing pain or dull pain in
the lumbus which can radiate to the buttocks and the posterior
sides of his lower limbs. The pain is obvious after the patient
has got up in the morning and relieved after he has done some
activity and aggravated when he is fatigued. The pain becomes
severe in cold condition and alleviated in warm condition.
3.There is a deep tenderness in one side or both sides along the
lumbar region. The pain is aggravated when the patient bends his
back. There is a limit t the lumbar movement of flexion,
extension or bending sideward.
4. X-ray film helps the differential diagnosis of the illness.
Differentiation and Treatment of Common Syndromes
1. Herbal Therapy according to Syndromes.
1) The Type of the Stasis of Blood and Qi and the Obstruction in
the Channels and Network-Channels.
Main Symptoms and Signs: The illness has a long duration. The
patient has stabbing pain in the lumbus which occurs at a fixed
location. Part of the lumbar muscles feels hard and the lumbus
becomes rigid and contracted. It will become better after some
gentle activity and aggravated when in fatigue. The tongue
looked dark with petechiae or ecchymoses on it. The pulse is
taut and uneven.
Therapeutic Principle: Relaxing muscles and tendons, activating
collaterals and promoting the flow of qi and blood.
Recipe: Decoction for Regulating and Activating the Channels
tail part of Chinese angelica root
red peony root
peach kernel
safflower
pubescent angelica root
achyranthes root
rhubarb
cinnamon twig
All the above herbs are to be decocted in water for oral
administration.
2) The Type of Chronic Strain Complicated with the Affection due
to Wind, Cold and Dampness
Main Symptoms and Signs: There is chronic lumbago which is
sometimes mild and sometimes sever and which is characterized by
distending pain, sensation of heaviness and discomfort due to
muscular contracture. This illness is relieved in warm weather
and aggravated in cold weather.
Therapeutic Principle: Relaxing muscles and tendons, removing
obstruction in the collaterals, expelling wind and cold and
removing dampness.
Recipe: Pubescent Angelica and Loranthus Decoction.
3)The Type of Chronic Strain Complicated with Deficiency of the
Liver and Kidneys.
Main Symptoms and Signs: The lumbago is lingering. The patient
feels soreness and weakness of lumbus and can't stand on his
feet for long. The illness becomes severe when the patient is
fatigued. The patient looks pale. He is in low spirit and has
spermatorrhea and prospermia. The female patient may have scanty
menstruation. The tongue of the patient is pale with white fur.
The pulse is deep and feeble.
Therapeutic Principle: Relaxing muscles and tendons, activating
collaterals and tonifying and replenishing the liver and
kidneys.
Recipe: Decoction for Tonifying the Kidney and Strengthening the
Muscles and Tendons
prepared rehmannia root
dogwood fruit
eucommia bark
Chinese angelica root
poria
white peony root
achyranthes root
carbonized Sichuan dipsacus root
acanthopanax bark
green tangerine orange peel
All the above herbs are to be decocted in water for oral
administration
2. Other Treatments
Acupuncture, massage, etc. can be employed as auxiliary
treatments.
Thank you
so much for visiting our website!
1. Since the clinical cases are always more complex than
theories, so for an accurate syndrome identification and
effective treatment to you, please let us evaluate your
personnel conditions by filling out
Patient Form.
2.Check
Our Online Shop
for hundreds of the best
herbal products manufactured in China for various chronic
diseases. Find herbal product for the internal treatment of
lumbar strain at
this page
and the
external use plaster at this
page.
