1. strain and accumulation, qi and blood stasis type
Main symptoms: stabbing pain or swelling pain in the waist, localized pain, or stiff and uncomfortable grasping board, inconvenient pitching and turning to the side, light day and heavy night, refusal to press the pain, dark purple tongue or ecchymosis, and unsmooth pulse.
Treatment: relax muscles and promote blood circulation, promote qi circulation and relieve pain.
Prescription: angelica15g, radix paeoniae rubra12g, peach kernel 9g, safflower 9g, rhubarb 6g, radix Angelicae pubescentis 9g, radix gentianae macrophyllae 9g, radix cyathulae15g, cassia twig 6g, fructus aurantii10g, and green tangerine peel. Daily 1 dose, decocted in water. Addition and subtraction: This recipe has the functions of promoting blood circulation, relaxing muscles and tendons, dredging collaterals and relieving pain, warming meridians and dispelling cold, expelling wind and removing dampness. For patients with severe blood stasis, frankincense10g and myrrh10g are added to increase the effect of removing blood stasis and dredging collaterals; When the tendons and veins are tense and stiff and uncomfortable, Acanthopanax Cortex15g and Lycopodium japonicum15g can be added and decocted in water, and Xiao Huoluo Dan can be taken to relax the tendons and activate the collaterals and warm up the cold and dampness.
2. Wind-cold-dampness pathogen, obstruction of meridian type
Main symptoms: severe cold pain in the waist, uncomfortable restraint, unfavorable turning to the side, severe pain in rainy days and lying at night, and less pain when getting hot or rubbing; The tongue coating is white and greasy, and the pulse is slow or slow.
Treatment: Warming meridians to dispel cold, expelling wind and removing dampness, dredging collaterals and relieving pain.
Prescription: 6 g of Radix Angelicae Pubescentis, 6 g of Radix Saposhnikoviae, 6 g of Rhizoma Chuanxiong, 6 g of Achyranthis Radix, 0/8 g of Taxilli, 0/2 g of Gentiana macrophylla, 0/2 g of Eucommia ulmoides, 0/2 g of Angelica sinensis, 0/2 g of Poria/0/2 g of Kloc. Daily 1 dose, decocted in water.
Addition and subtraction: This prescription has the functions of dispelling wind and removing dampness, warming channels and dispelling cold, dredging collaterals and relieving pain, and tonifying liver and kidney. For those with severe cold pain, add prepared Radix Aconiti10g and Herba Ephedrae 6g, so as to warm channels and dispel cold; For those with wet weight, Rhizoma Atractylodis10g, Coicis Semen 30g and Radix Stephaniae Tetrandrae10g are added for dehumidification; If the cold and dampness stagnate for a long time and turn into heat, Rhizoma Atractylodis10g and Cortex Phellodendri10g are added to eliminate dampness and clear heat; For those who fail to recover after long-term treatment, scorpion10g, earthworm12g, centipede10g, pangolin scales10g, etc. should be added to dispel wind and dredge collaterals.
The above is the treatment of chronic lumbar muscle strain by traditional Chinese medicine. I hope that through this method, more patients with lumbar muscle strain can get better recovery.