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NESA Int Med LOWER BACK PAIN

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Question
Answer
What are four causes of lower back pain?   (1)Invasion of External Wind-Damp-Cold or Damp-Heat (2)Traumatic Injury (3)Kidney Xu (4)Other, including inadequate exercise, obesity, improper mattress, high heels  
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How does evil qi cause lower back pain?   Evil qi penetrates the channels of the lower back, impeding qi and blood circulation, blocking the channels and causing pain.  
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Factors involved in lower back pain caused by invasion of an external pathogen include   (1)Living in a damp environment(2)Exposure to wind while sweating (3)Exposure to cold and dampness during exercise or after childbirth (4)Wearing insufficient clothes  
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How does traumatic injury cause lower back pain?   Injury leads to qi and blood stagnation in the channels of the lower back causing pain.  
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Which organs/channels are most commonly affected in cases of lower back pain?   Kidney organ, Bladder channel, and sometimes Gall Bladder channel  
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What are two crucial points in diagnosing lower back pain?   (1)Identify the causes in order to treat the root (2)Identify the nature of the pain in order to determine whether there is qi stagnation, blood stagnation, Kidney xu or some combination  
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What are the patterns for low back pain caused by deficiency?   (1)Kidney qi and yang xu (2)Kidney yin and essence xu  
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What are the treatment principles for low back pain caused by deficiency?   Tonify the Kidney, strengthen the back  
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What are the patterns for low back pain caused by excess?   (1)Damp-cold invading the back channels (2)Damp-heat invading the back channels (3)Stagnation of qi and blood in the back  
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What are the treatment principles for low back pain caused by excess?   Treat according to the specific causes and patterns, i.e. (1)Invigorate the blood, promote the movement of qi (2)Scatter cold and eliminate dampness (3)Clear heat and transform dampness  
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What are some examples of combination patterns for lower back pain?   (1)Kidney xu with damp-cold (2)Kidney xu with qi and blood stagnation (3)Damp-cold with qi and blood stagnation  
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What are the 5 common ingredients that tonify the Kidney and strengthen the bones, sinews and back?   Du Zhong, Xu Duan, Gu Sui Bu, Gou Ji, Sang Ji Sheng  
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What are the treatment principles for treating damp-cold invading the back channels?   Dispel cold, eliminate dampness, warm and unblock the channels  
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What are two formulas for treating damp-cold invading the back channels?   Gan Cao Jiang Ling Zhu Tang or Shen Shi Tang (stronger)  
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Which formula can be used with the major formulas for damp-cold invading the back channels if there is also chronic Kidney yang xu?   Du Huo Ji Sheng Tang  
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Which formula is best for treating damp-heat invading the back channels?   Jia Wei Er Miao San  
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Which formula is used for lower back pain caused by prolonged damp-heat accumulation in the interior which has injured the yin?   Er Zhi Wan  
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What are the treatment principles for treating stagnation of qi and blood in the back?   Invigorate the blood, dispel blood stasis, regulate qi, stop pain  
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Which two formulas treat stagnation of qi and blood in the back?   Shen Tong Zhu Yu Tang or Huo Luo Xiao Ling Dan  
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Which two formulas treat back pain due to Kidney qi and yang xu?   You Gui Wan or Yao Tong Pian (patent)  
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When treating Kidney qi and yang xu lower back pain, which formula can be added to tonify the Kidney and strengthen the lower back?   Qing E Wan  
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Which formula is best for treating lower back pain due to Kidney yin and essence xu?   Zuo Gui Wan  
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When treating Kidney yin and essence xu lower back pain, which formula can be added to clear severe heat from yin xu?   Da Bu Yin Wan  
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