Theory

Chinese Herbal and Acupuncture Treatment Protocols for Back Pain - Formulas, Protocols, TCM Diagnoses


Back Pain - Basics

Back pain is an aching feeling in the back, and can occur suddenly (like when lifting an object) or slowly progress with age. The intensity of back pain ranges from a sudden, acute pain to a chronic, mild pain. Back pain can be the symptom of several different conditions, including a physical injury, herniated disk, kidney stones, pregnancy, scoliosis, arthritis and more.

Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for Back Pain.



Back Pain - Acupuncture Protocols

The treatment of conditions with acupuncture can be a complicated endeavor that should only be undertaken by individuals with a deep understanding of the underlying Chinese Medicine theory (and/or whatever system being used for treatment). There are many approaches, but generally speaking few viable approaches are involved on a point to condition basis. Rather using proper diagnostic procedures the patients diagnostic pattern is ascertained and that is what is treated. The protocols listed here exemplify some of these clinical approaches.

The following Acupuncture Treatment Protocols May Be Used With Back Pain



Back Pain - Questions

Need treatment options for back pain and not finding the information you need?

Using our forums our staff and our community may offer guidance with regards to the treatment of back pain.



Back Pain - Related Acupuncture Points

The following (25) acupuncture points may be useful for back pain. A subset of these could potentially be useful with acupressure stimulation and/or tongren therapy methods as well.

Generally treatment would be based on the TCM patterns listed above instead of selecting points by function alone, (see general points selection rules.)



Back Pain - Related Chinese Herbs

The following (11) chinese herbs may be useful for back pain. In most cases, however, treatment with Chinese Herbal Medicine is done with herbal formulas based on the TCM patterns listed above instead of selecting herbs by function alone. When available, relevant formulas will appear below and/or in the store listings above.



The following (7) Formulas TCM Herbal Formulas May Be Useful For Back Pain

Die Da Wan

  • Trauma Healing Pill
  • Useful for many types of traumatic injuries, broken bones, sprains, fractures, etc. anywhere in the body.  Also useful for fixed abdominal masses, ulcerations, sciatica, arthritis, pelvic inflammatory disease and angina among others.

    In the case of traumatic injury the tongue and pulse may hold less clinical significance, for other conditions the Pulse may be wiry and the Tongue may be darker or show darkness in specific areas.

  • Invigorate the Blood
  • Invigorate the Blood from Traumatic Injury

Du Huo Ji Sheng Wan

  • Solitary Hermit Teapills
    • For chronic pain due to obstruction (bi zheng) with liver and kidney deficiency.
    • For lower back pain often with weakness and/or pain in the knees.
    • For arthritis, especially the type affected by cold/damp weather.
  • Expel Dampness
  • Dispel Wind-Dampness
  • Cautions
    • Use with caution during pregnancy.
    • Do not use with patients that present with damp heat or excess heat.

Jin Gui Shen Qi Wan

  • Kidney Qi Pill from the Golden Cabinet
    • Lethargy, low libedo, frequent urination with possible incontinence resulting from kidney yang deficiency.
    • Sensation of cold, especially in the lower half.
  • Tonify
  • Warm and Tonify the Yang
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Avoid during a cold or flu, use nothing, or yin qiao / gan mao ling instead.
    • Avoid with patients that present with yin deficiency.

Shao Yao Gan Cao Wan

  • Peony and Licorice Decoction
    • Cramping and/or muscle spasms that are due to fluid deficiency.
    • Frozen shoulder, trigger finger.
    • General tightness or cramps especially along the tendons or ligaments.
    • Restless leg syndrome for patients who present with yin and blood deficiency as the primary cause.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Shen Tong Zhu Yu Wan

  • Remove Stagnant Blood from a Painful Body Pills
    • Qi and Blood stagnation blocking the channels and collaterals - pain in the extremities, shoulder pain, elbow pain, leg pain.
    • With the right underlying patterns - possibly useful for fibromyalgia, complex regional pain syndrome, etc.
    • Arthritic conditions - rheumatoid, neuralgia.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.

Shu Jing Huo Xue Wan

  • Relax The Channels and Invigorate The Blood Decoction
    • Primarily used for blood stasis with wind-damp in the channels and collaterals characterized by internal deficiency with external excesses - joint pain, muscle aches, numbness and/or pain in the lower extremities (may be severe).
    • Wind-cold damp bi-syndrome (i.e. arthritis) - particularly in the lower part of the body, hips, knees, lower back.
    • Sciatic pain with the correct underlying pattern.
    • Neck pain with the correct underling pattern.
    • Fractures that are reluctant to heal, particularly in the lower body.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Generally not for long term use and use with caution if at all in deficient patients.

Xiao Huo Luo Wan




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