Lumbago:backache,an introduction of its classification,syndrome differentiation and common syndromes.

Syndromes of Traditional Chinese Medicine. ✵Traditional Chinese medicine has been used for thousands of years. Through thousands of years of practice, it has been proved that Chinese medicine is effective and feasible in treating diseases, preventing diseases and maintaining health. The treatment of diseases with traditional Chinese medicine has saved countless lives. The treatment of diseases in traditional Chinese medicine is macro and comprehensive.

 The theoretical system of traditional Chinese medicine is derived from and guided by long-term clinical practice. Through the analysis of the phenomenon, the internal mechanism is explored. Therefore, this unique theoretical system of traditional Chinese medicine has two basic characteristics, one is the overall-concept, the other is the dialectical treatment.

Lumbago(backache).
 
 ✵Lumbago(backache): Lumbago is also known as Yao Tong, or Low back pain, which is the name of the symptom. It is mainly due to exogenous pathogen, trauma, overwork, kidney deficient, and lead to blocking of the meridian and collateral Qi at waist region and collaterals lost nutritional support. The main symptoms of lumbago or low back pain are including pain in one or both sides of the lower back region, what descrived in ancient works Nei Jing, "could not turn around", "cannot bend or lift".

 ✵The lumbago or low back pain, are known could be classified into five major types in ancient time: the 1st is Shao Yin, the kidney meridian, the Yang Qi declines in October for every living thing, thus lumbago; the 2nd is wind numbness, the wind and cold pathogen attack the low back, and lead to low back pain; the 3rd is kidney deficiency, kidney hurt from consumption or taxation, and lead to low back pain; the 6th is waist hurt from fall injury, and lead to low back pain; the 5th is sleeping on cold ground, affected by cold and dampness pathogen from the earth, result in low back pain.

Common Syndromes of Lumbago or Low Back Pain.
Lumbago or Low Back Pain 
 ✦The common syndromes of lumbago or low back pain are introduced as:

 ✧(1).Lumbago of wind-damp type: it is also known as wind-dampness low back pain, mainly due to affection from exogenous wind and dampness pathogen.

 Etiology and pathogenesis: mainly due to exogenous pathogen wind and dampness attack, retention and stagnant in the meridian and collaterals.

 Symptoms: severe pain in the low back and back, difficulty in rotation or turn around; Or fever and aversion to cold, spontaneous sweating and heavy body, or edema and puffiness, pulse floating and uneven.

 ✧(2).Lumbago of wind-cold type: it is also known as wind-cold low back pain, mainly due to affection from exogenous wind and cold pathogen.

 Etiology and symptom: mainly due to the wind cold affect the waist and low back, main symptoms low back pain, or even spasm, or radiating to back and backbone, or fever and cold, feel cold in waist region, pain relieve when getting warm, pulse floating and tight.

 ✧(3).Lumbago of wind-heat type: it is also known as wind-head low back pain, mainly due to affection from exogenous wind and heat pathogen.

 Etiology and pathogenesis: mainly due to the exogenous pathogen wind and heat attack the kidney meridian.

 Symptoms: low back pain, radiating to the feet and knees, thirst and constipation, hot and red urine, body heat and slight sweat, dry mouth and thirst, throat red and swelling, the edge of the tongue has red thorns, tongue coating thin, pulse floating and rapid;

 ✧(4).Lumbago of damp-phlegm type: it is also known as damp-phlegm low back pain, mainly due to affection from phlegm and dampness pathogen.

 Etiology and pathogenesis: the spleen dampness could not be transformed, water and retained fluid condensation, phlegm injection and pain in the low back.

 Symptoms: heavy and stagnation in the waist, dragging pain with the back, a piece of cold pain, turn severe in rainy days or cold days, slightly reduced relieved when get warm, or diarrhea, or see swelling in the waist and soft but not pain when press, skin color not change, tongue coating white greasy, pulse slippery or sinking.

 ✧(5).Lumbago of cold-damp type: it is also known as cold-damp low back pain, mainly due to affection from cold and dampness pathogen.

 Etiology and pathogenesis:because exogenous cold and dampness attack low back and hurt the kidney.

 Symptoms: waist heavy as stone, cold as water, difficulty in turn around, gradually severe, increased in rainy days or cold days, relieved when get warm, fatigue and lack in strength, poor appetite and distension in abdomen, tasteless tongue and tongue body big, tongue-coating white greasy and moistening, pulse sinking and tight.

 ✧(6).Lumbago of dampness-heat accumulation and binding type: it is also known as dampness-heat low back pain, mainly due to affection from dampness and heat pathogen.

 Etiology and pathogenesis: due to the seasonal heat and humidity or dampness pathogen, or due to fat and sweet diet and drink, endogenous dampness and heat accumulation and stagnant.

 Symptoms: internal heat and irritated heat(dysphoria with smothery sensation), spontaneous sweat and thirst, or fever afternoon, slight perspiration, red urine and difficulty in defecation or urination, ache pain and heavy, heat in waist, or red swelling of joints, thirst but not want to drink, tongue body red, tongue coating yellow greasy, pulse soft rapid or string-like rapid.

 ✧(7).Lumbago of spleen dampness type:it is also known as spleen dampness low back pain, mainly due to dampness pathogen affect the spleen.

 Etiology and pathogenesis: mainly due to dampness pathogen affect the spleen.

 Symptoms:low back pain, heavy and stagnant, pale white complexion, poor appetite, loose and thin stools, tongue coating white and greasy, pulse slippery or soft;

 ✧(8).Lumbago of liver Qi depression type: it is also known as liver Qi depression low back pain, mainly due to liver Qi depression.

 Etiology and pathogenesis: mainly due to liver Qi depression.

 Symptoms: low back pain, distension in abdomen, as Qi inject and flow inside, accumulated or dissipated irregularly here and there, could not stand up for long or walk far distance, tongue body red, tongue coating thin, pulse string-like fine or sinking and string-like.

 ✧(9).Lumbago of blood stasis type: it is also known as blood stasis low back pain, mainly due to blood stasis and stagnant.

 Etiology and pathogenesis:the condition normally delayed, often due to trauma, strain history,

 Symptoms: fixed pain, or swelling pain discomfort, or pain as conic thorn, mild in day time and severe at night, or lasting and could not be relieved, difficulty in physical movement, or even could not turn around, could not press the pain region, dark stool, urine red-yellow or dark red, dull complexion and dark lips, tongue dark blue or ecchyma, pulse string-like fine or fine rapid.

 ✧(10).Lumbago of kidney deficiency type: it is also known as kidney deficiency low back pain, mainly due to kidney insufficiency and deficiency.

 Etiologu and pathogenesis: mainly due to kidney insufficiency and deficiency, sexual strain(exhaustion due to sexual indulgence), over strain and hurt the essence and Qi of the kidney.

 Symptoms: ache and soft pain in waist, prefer to press and massage, lack in strength of knees and waist, turn worse when overwork, mild if lie down, attach repeatedly regularly, in the condition of Yang deficiency then spasm in lower abdomen, pale white complexion, not warm in hands and feet, lack in strength and short of breath, tongue tastelessness, pulse sinking and fine; in the condition of Yin deficiency then vexation and insomnia, dry mouth and dry throat, flush face, warm in the palm of hands and feet, tongue red and tongue coating less, pulse string-like and rapid.

Other Syndromes of Lumbago or Low Back Pain.
Other Syndromes of Lumbago or Low Back Pain. 
 ✦Other syndromes of lumbago or low back pain are introduced as:

 ✧Kidney pulse(Shao Yin) small at cunkou, deficiency cold of urinary bladder, low back pain, movement in chest;

 ✧Shen Zhuo, body heavy, cold in waist as wash by water, not thirst, uninhibited urination, appetite as normal, is the syndrome of Shen Zhuo(ancient syndrome name, cold and dampness adhering to the kidney), mainly due to perspiring from work, cold and dampness in cloth, get it after a long period, cold pain below the waist, heavy in abdomen;

 ✧Low back pain, could not stand for long;

 ✧Low back pain, cold and numbness;

 ✧Low back pain and pain in the back, due to kidney Qi deficiency and weak, sleep at cold dampness bed and blow by wind, not treat timely, transfer into knees and feet, or attack as cold numbness, slow weak and pain heavy, spasm in feet or numbness;

 ✧Low back pain and weakness, coldness in waist and feet, could not walk;

References:
  • 1.Lumbago:backache,an introduction of its classification,syndrome differentiation and common syndromes.
  • 2.Su Wen:the Plain Questions of Huangdi's Internal Classic.By 黄帝(the Yellow Emperor).
  • 3.Ling Shu:the Spiritual Pivot of Huangdi's Internal Classic.By 黄帝(the Yellow Emperor).
  • 4.Jin Kui Yao Lue Fang Lun:the Synopsis of Prescriptions of the Golden Chamber.By 张仲景(Zhāng Zhòngjǐng),王叔和(Wáng Shūhé),林亿(Lín Yì),高宝衡(Gāo Bǎohéng).
  • 5.Zhu Bing Yuan Hou Lun:the General Treatise on the Cause and Symptoms of Diseases.By 巢元方(Cháo Yuánfāng).
  • 6.Danxi Xinfa:the Mastery of Medicine.By 朱丹溪(Zhū Dānxī).
  • 7.Zheng Zhi Hui Bu:the Compensation for Syndrome.By 李用粹(Lǐ Yòngcuì).

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