Lumbago Flashcards
What is Lumbago?
Lumbago is also called ‘Lower backache’ or ‘lower back pain’.
What characterizes Lumbago?
Lumbago is mainly characterized by unilateral or bilateral pain of the lumbus.
What is meant by ‘lower’ backache?
Lower backache refers to ache anywhere in the back region (including the buttocks) below the lower border of the rib-cage.
What is the approximate level of the lower border of the rib-cage?
The lower border of the rib-cage is approximately level with BL-21 (Weishu).
What is fibrositis of lumbar muscle?
A condition characterized by inflammation and pain in the lumbar muscles.
What is ankylosing spondylitis?
A type of arthritis that primarily affects the spine, leading to severe inflammation.
What is a spinal degenerative disorder?
A condition involving the degeneration of spinal structures, often leading to pain and reduced mobility.
What is lumbar disc herniation?
A condition where a disc in the lumbar spine bulges or ruptures, causing pain and nerve issues.
What is a lumbar sprain?
An injury to the ligaments in the lumbar region, often resulting from twisting or overextending.
What is a lumbar contusion?
A bruise in the lumbar area, typically caused by direct trauma.
What is Lumbago?
Lumbago refers to lower back pain.
What are the causes of Lumbago?
- External contraction of pathogenic factors
- Weak constitution or aging process
- Traumatic injury
What is meant by ‘external contraction of pathogenic factors’?
This refers to environmental or external factors: Wind, dampness, cold–> obstruct the flow of Qi + Blood = LBP
How does a weak constitution or aging process contribute to Lumbago?
A weak constitution or aging can lead to decreased resilience and increased susceptibility to back pain.
Congenital def. /aging /sexual indulgence –>
consume kidney-essence and kidney qi –> malnourishment of waist = LBP
What role does traumatic injury play in Lumbago?
Traumatic injury: loading overweight, sudden sprain or contusion, inappropriate body postures –> Obstructing the flow of qi and blood = lower back pain
What is lumbago?
Lumbago refers to lower back pain located in the lumbus, closely related to the kidney, liver, and spleen.
What are the two pathological natures of lumbago?
The pathological nature of lumbago can be classified as excess or deficiency.
What causes excessive patterns of lumbago?
Excessive patterns are caused by exogenous pathogenic factors obstructing the meridians and circulation of qi and blood.
What causes deficiency patterns of lumbago?
Deficiency patterns are caused by essential and qi deficiency of the kidney.
What is the significance of the lumbar region?
The lumbar region is considered the palace of the kidney.
The following are patterns of __________.
Cold-Damp Invasion
KI Yang Xu
KI Yin Xu
KI Qi Can’t Consolidate
KI Essence Xu
Qi + Blood Stagnation
Lumbago
The following are S/sx of Lumbago due to _________.
Low back pain usually occurs after
exposure to cold and damp and aggravated on rainy days, heavy sensation and stiffness of the muscles in the lumbar region, limitation of extension and flexion of the back, pain radiating downwards to the buttocks and lower limbs, cold feeling in the affected area
T: White w/ sticky coating
P: Deep + Weak or Deep + Slow
Cold Damp Invasion
The following are S/sx of Lumbago due to _________.
Develops gradually of dull pain and soreness, accompanied by lassitude and weakness of the loins and knees, aggravated by fatigue and alleviated by bed rest, cramp-like sensation in the
lower abdomen, pallor, normal taste in the mouth, cold limbs, frequent urination, impotence
T: Pale + puffy
P: Deep + Thready or Deep + Slow
KI Yang Xu
The following are S/sx of Lumbago due to _________.
Develops gradually dull pain and soreness, accompanied by lassitude and weakness of the loins and knees, aggravated by fatigue, irritability, insomnia, dry mouth and throat, flushed face, feverish sensation in the chest, palms, and soles
T: Red w/ scanty coating
P: Rapid + Thready
KI Yin Xu
The following are S/sx of Lumbago due to _________.
Lower back pain with dribbling of urine, premature emission
T: Pale
P: Deep + Thready
KI Qi can’t consolidate
The following are S/sx of Lumbago due to _________.
Lower back pain with tinnitus, poor memory, dizziness, vertigo
T: Pale
P: Deep + Thready
KI Essence Xu
The following are S/sx of Lumbago due to _________.
History of sprain of the lumbar region, rigidity and pain in the lower back which is generally fixed in a certain area, and is aggravated by pressure, lots of tenderness, and by turning the body
T: Pink or dark purple
P: Choppy or Wiry
Qi + Blood Stagnation
What are the main treatment points to treat Lumbago?
BL-25: Promote Qi + Blood in local area
BL-40: Commander pt of Lumbar
BL-23: Back-shu of KI
Yao Yan: Level w/ L4, 3.5 cun
Ashi points
What are the pattern supplementary points to treat Lumbago?
Cold-Damp Invasion:
SP-9 + ST-36 + DU-4 moxa
Qi + Blood Stagnation:
BL-17 + SP-10
KI Yang Xu:
DU-4 + BL-52
Ki Yin Xu:
KI-3 + KI-6
Acute Lumbar Pain:
Yao Tong Dian (2 points on hands) + DU-26
