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Int.Med-LowBackPain

QuestionAnswer
What are 4 causes of lower back pain? 1. Invasion of Ext. Wind-Damp-Cold or Damp-Heat, 2. Traumatic Injury, 3. Kidney def., 4. Other ( no exercise, obesity, mattress, high heels)
How does EPF cause lower back pain? Evil Qi penetrates channels in low back, impedes Qi & blood circulation, blocks, channels, causes pain
What are some factors involved in EPF invasion-back pain? 1. living in damp envt, 2. exposure to wind while sweating, exposure to cold & dampness during exercise or after childbirth, 4. wearing insufficient clothes
How does traumatic injury cause low back pain? injury leads to localized stagnation of qi & blood in the channels of the lower back, cause pain
Which organs/channels are most commonly affected when there is lower back pain? Kd organ, Bl channel, sometimes GB channel
What are the 2 crucial points in making a diagnosis with regard to lower back pain? 1. Identify the causes, in order to tx the root, 2. Identify the nature of the pain, in order to determine whether there is Qi stagnation, Blood stagnation, Kd def, combo
What are the tx principles for low back pain? Deficiency: tonify Kd & strengthen the back; Excess: Tx according to the causes & patterns: a. invig blood, promote mvmt of Qi, b. scatter cold, elim damp, c. clear heat, transform damp
What are some examples of combo patterns for lower back pain? 1. Kd def w/ Damp-Cold, 2. Kd def w/ Qi & Blood stagnation, 3. Damp-Cold with Qi & Blood stagnation
What are the common ingredients that tonify Kidney and strengthen the bones, sinews & back? Du Zhong, Xu Duan, Gu Sui Bu, Gou Ji, Sang Ji Sheng
When treating Damp-Cold invading the back channels, what are the tx principles? Dispel Cold, eliminate dampness, warm & unblock the channels
Name 2 formulas appropriate for treating Damp-Cold invasion of the back channels. Gan Cao Jiang Ling Zhu Tang AND Shen Shi Tang (stronger)
When treating lower back Damp-Cold invasion , which herb(s) may be added to treatsever cold pain, cold extremities? Fu Zi, Gui Zhi, Xi XIn
When treating lower back Damp-Cold invasion, which herb(s) may be added to treat severe dampness, heavy sensation in back or legs? Yi Yi Ren (15-20 g)
When treating lower back Damp-Cold invasion, which herb(s) may be added to treat mobile pain? Fang Feng, Qiang Huo, Du Huo
When treating lower back Damp-Cold invasion, which herb(s) may be added to treat lower back stiffness? Dang Gui to invig blood; also, Chuan Xiong, Mu Xiang, Mo Yao, Niu Xi
When treating lower back Damp-Cold invasion, which herb(s) may be added to treat Kd Yang def w/ back weakness & cold? Bu Gu Zi, Ba Ji Tian, Tu Si Zi, Du Zhong
Which formula treats back pain caused by wind-cold-damp Bi w/ Kd deficiency? Du Huo Ji Sheng Tang
Which formula is best for treating Damp-Heat invading the back channels? Jia Wei Er Miao San
When treating Damp-Heat in the lower back channels, what herb(s) may be added to enhance eliminate dampness & ease tendons? Mu Gua, Tu Fu Ling
When treating Damp-Heat in the lower back channels, what herb(s) may be added to address severe heat with thirst & dk, scanty urine? Zhi Zi, Shi Gao, Zhi Mu
Which formula would be appropriate for the tx of prolonged Damp-Heat accum in the interior & injuring Yin? Er Zhi Wan
When treating lower back Damp-Cold invasion , which herb(s) may be added to treat tightness, stiffness in lower back? Qing Pi, Di Long
When treating Qi & Blood stagnation in the back, what are the treatment princliples? Invig. Blood, dispel Blood stasis, regulate Qi, stop pain
Which 2 formulas are best for treating Qi & Blood stagnation in the back? Shen Tong Zhu Yu Tang OR Huo Luo Xiao Ling Dan
When tx Qi & Blood stagnation in the back, what herb(s) may be added to unblock the channels? Di Bie Chong, Zhe Chong, Di Long
When tx Qi & Blood stagnation in the back, what herb(s) may be added to invig blood & stop pain? Yan Hu Suo, Ji Xue Teng
When tx Qi & Blood stagnation in the back, what herb(s) may be added to address Kd def w/ sore & weak low back & knees? Du Zhong. Xu Duan, Sang Ji Sheng
When tx acute Qi & Blood stagnation in the back, what herb(s) may be added to reg qi & stop pain? Qing Pi
What are 2 formulas appropriate for treating back pain due to Kd Qi and Kd Yang deficiency? You Gui Wan OR Yao Tong Pian (patent)
When tx Kd Qi or Yang def back pain, add what herb to tonify the Kidney and strengthen the lower back? Qing E Wan
Which formula is best for treating back pain due to Kidney Yin and Essence deficiency? Zuo Gui Wan
When treating Kd Yin & Essence def back pain, which formula may be added to clear severe yin def heat? Da Bu Yin Wan
When treating Kd Yin & Essence def back pain with concurrent Sp def, which herbs may be added? Huang Qi, Dang Shen, Bai Zhu; sinking Qi --add Chai Hu, Sheng Ma
Which formula may be used to treat Kd Yin and Yang def. back pain? Ba Ji Yin Yang Wan
Created by: sralph
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