prevent
basic approach
1, to prevent damp and cold. Don't sleep in a damp place at will. Add clothes at any time according to climate change. Change wet clothes or dry your body in time after sweating and raining. When it is cold, you can use an electric blanket or sleep on the kang.
2, acute lumbar sprain should be actively treated, rest at ease, to prevent chronic.
3. Be prepared for sports or strenuous activities.
4. Correct bad working posture, such as bending for too long, or the desk is too low, and so on.
5, to prevent overwork, people are like a machine, excessive operation or overload use will inevitably lead to the damage of some parts or the whole machine. As the center of human movement, the waist is overworked, which will inevitably cause injury and low back pain. Therefore, all kinds of work or labor should pay attention to rest and rest.
6. Use a bed that combines hard and soft. Sleep is an important part of people's life. Whether the bed is suitable or not directly affects people's health. Too soft mattress can't keep the normal physiological curvature of spine, so it's better to add 10 cm thick 1 mat on the board.
7, pay attention to lose weight, control weight, the body is too fat, it will inevitably bring extra burden to the waist, especially middle-aged people and postpartum women, easy to get fat, it is necessary to control diet and strengthen exercise.
8, control sexual intercourse, "the waist is the house of the kidney", frequent sexual intercourse will inevitably damage the kidney, kidney deficiency will lead to low back pain.
9, labor, labor posture is not correct, easy to cause lumbar muscle strain. Now list some correct working postures to help you prevent lumbar muscle strain. When carrying heavy objects, the chest and waist lean forward slightly, and the hips and knees bend slightly by 5. Make steady progress, but don't take big steps.
Traditional Chinese Medicine Treatment of Lumbar Muscle Strain
Dialectical analysis of lumbar muscle strain treated by traditional Chinese medicine
Lumbar muscle strain can be regarded as cold and dampness, damp and heat, qi stagnation and blood stasis, kidney deficiency and physical weakness or servant injury in traditional Chinese medicine. Its pathological changes are often characterized by kidney deficiency, exogenous pathogens and falling. First of all, it is advisable to distinguish between exterior deficiency and cold and heat. Generally speaking, exogenous pathogens are mostly true in the exterior and interior, and the onset is sudden, so the treatment should be based on eliminating evil and dredging collaterals, according to the difference of cold, dampness and dampness. Due to deficiency of kidney essence, syndromes are mostly internal deficiency, and chronic recurrent attacks are common. Treatment should be based on tonifying kidney and benefiting qi.
Syndrome Differentiation and Treatment of Lumbar Muscle Strain in Clinical Treatment
1. Cold-dampness type
The cold pain in the waist is severe, but it is not advisable to turn around, and it is not reduced to lie still, and it is aggravated in rainy days. The tongue coating is white and greasy and the pulse is heavy.
Treating cold and warming channels.
Prescription (1) of Ganjiang Lingshu Decoction (Zhang Zhongjing's synopsis of the golden chamber) is flavored. The prescription is: dried ginger 12g, roasted licorice 9g, Atractylodes macrocephala 15g, Poria 20g and Eucommia ulmoides Oliv. Radix Angelicae Pubescentis 12g, Rhizoma Cibotii 20g. Decoct with water. (2) Prescription of Ershu Yiren Decoction (Liu Guopu syndrome): Atractylodes macrocephala 30g, Coicis Semen 20g, Atractylodes lancea 15g. Decoct with water. (3) Yao Qiang powder prescription (Zhang Jianming prescription): 30g of Radix Aconiti, 30g of Cinnamomum cassia, 30g of dried ginger, 20g of Radix Angelicae Dahuricae, 20g of Arisaema cum bile, 20g of Radix Paeoniae Rubra and 30g of camphor. Grind the medicine * * * into very fine powder, 30-50g each time, mix it with boiling water into paste, spread it on gauze, and apply it to the sore spot while it is hot. 1 Change it every other day. (4) Duhuo Jisheng Decoction (Sun Simiao Qianjin Prescription): prescription: 6 grams of Duhuo Jisheng, 6 grams of Saposhnikovia divaricata, 6 grams of Chuanxiong, 6 grams of Achyranthes bidentata, 0/8 grams of Taxilli/kloc-,0/2 grams of Gentiana macrophylla/kloc-,0/2 grams of Eucommia ulmoides/kloc-and 0/2 grams of Angelica sinensis. Decoct with water, daily 1 dose, and take 7 doses continuously.
2. Damp heat type
Low back pain is accompanied by heat sensation, which is aggravated in hot days or rainy days, and can be relieved after exercise, resulting in red urine. The tongue coating is yellow and greasy and the pulse is slippery.
The treatment is to clear away heat and promote diuresis, relax muscles and collaterals.
The prescription (1) of Simiao Powder (for Zhang Bingcheng's convenience) was revised. The prescription is: Rhizoma Atractylodis, Cortex Phellodendri each 12g, Coicis Semen 30g, Caulis Lonicerae, Rhizoma Dioscoreae Septemlobae 20g, Fructus Chaenomelis, Radix Stephaniae Tetrandrae, Cortex Erythrinae and Radix Achyranthis Bidentatae 65438+ each. Decoct with water. (2) Prescription of Bushen Huoxue Decoction (Lai et al.' Clinical New Wonderful Prescription'): Radix Angelicae Sinensis, Radix Paeoniae Rubra, Fructus Chaenomelis, Rhizoma Alismatis each 65438±00g, Radix Rehmanniae 65438±05g, Semen Persicae, Flos Carthami, Rhizoma Chuanxiong, Ramulus Cinnamomi, Honeycomb each 6g, Radix Salviae Miltiorrhizae 9g and Poria 65438±02g. Decoct with water.
3. Kidney deficiency type
Symptoms include low back pain and soreness, such as squeezing and rubbing, weakness of feet and knees, and even worse under fatigue. Lying down will relieve, pale face, upset and dry mouth, cold and hot, tepid hands and feet, frequent recurrent attacks. Heavy or thin pulse.
Treatment of tonifying kidney and replenishing essence and qi.
The prescription (1) is modified by Zuogui Pill (Zhang Jiebin's Complete Works of Jingyue). The prescription is: 20g of Radix Rehmanniae Preparata, 65438 05g of Rhizoma Dioscoreae and Fructus Lycii, 65438 02g of Cornus officinalis, 65438 02g of Semen Cuscutae, 65438 02g of Cortex Moutan, 30g of Taxilli, 30g of Carapax et Plastrum Testudinis (fried first) and 66 roots of Gentiana macrophylla. Decoct with water. For patients with kidney-yang deficiency, remove Cortex Moutan, Rhizoma Alismatis and Carapax et Plastrum Testudinis, and add Radix Aconiti Lateralis Preparata 12g, Cortex Eucommiae 15g, Cortex Cinnamomi 5g and Herba Epimedii 12g. (2) Prescription of Wenshen Zhitong Dan (Lai et al.' New Prescription for Clinical Miraculous Effects'): Radix Aconiti Lateralis 65438±02g, Herba Epimedii 65438±05g, Radix Morindae Officinalis, Eucommiae Cortex, Herba Taxilli, Radix Astragali, Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Radix Paeoniae Rubra, Radix Paeoniae Alba, Radix Achyranthis Bidentatae, Rhizoma Chuanxiong 9g and Caulis Spatholobi 30g. Decoct with water. (3) Prescription of Wenshen Tongluo Decoction (Lai et al.' Clinical Miraculous New Prescription'): cooked aconite 18g, cassia twig 9g, epimedium 18g, Morinda officinalis 15g, Paeonia lactiflora 15g, Salvia miltiorrhiza Bge. Decoct in water twice and take it twice, daily 1 dose. (4) Prescription of Bushen Zhuangyao Decoction (syndrome of Li Zhenchao): Radix Rehmanniae Preparata 20g, Fructus Corni 15g, Rhizoma Dioscoreae 15g, Cortex Eucommiae 12g, Herba Epimedii 15g, Rhizoma Cibotii 12g and Radix Paeoniae Rubra/kloc-0. Decoct in water twice and take it twice, daily 1 dose.
4. Congestion type
The pain in the syndrome is limited, such as sharp cone, which is not suitable for pitching, accompanied by hematuria, and the day is light and the night is heavy.
Treatment: promoting qi and blood circulation, relaxing muscles and activating collaterals, removing blood stasis and dredging collaterals and relieving pain. Tonifying liver and kidney.
Prescription (1) Bushen Zhuangjin Decoction (Qian Xiuchang's Tonics for Traumatology): Prescription: Radix Rehmanniae Preparata 12g, Radix Angelicae Sinensis 12g, Radix Achyranthis Bidentatae 10g, Fructus Corni 12g, Poria1. Decoct with water, daily 1 dose. For patients with kidney yin deficiency, Fructus Ligustri Lucidi 10g and Plastrum Testudinis 10g are added (decocted first). For patients with kidney-yang deficiency, Radix Morindae Officinalis 65438±02g, Fructus Psoraleae 65438 00g, Rhizoma Curculiginis 65438 00g and Herba Epimedii 65438 00g are added. For patients with acute attack and severe pain, 5 grams of frankincense, 0/0 gram of Uncaria rhynchophylla/KLOC-and 6 grams of Luffa sponge are added. For patients with deficiency of both qi and blood, Radix Astragali 15g and Radix Polygoni Multiflori 30g are added. (2) Prescription for lumbago (Bao Xiangyu's new version): Prescription: 9 grams of Eucommia ulmoides. Salted water decoction, papaya 2.5g, shredded paper 9g, shredded paper 3g, dipsacus root 4g, angelica root 3g, cibotium rhizome 4g, roasted licorice root 3g, walnut meat 30g, salt 1 spoon. Half of walnut kernel, salt and wine are fried in a pot, and the other half is swallowed with the same medicine when taking medicine. (3) Zhang Xichun's Enthusiasm of Western Medicine, composed of Angelica sinensis; Salvia miltiorrhiza; Raw frankincense; Ming Sheng myrrh; 15g each (five yuan). All the medicines are ground into fine powder for later use, and can also be decocted in water to make pills. Usage and dosage: Take four kinds of medicinal materials as soup. If it is a powder, one dose is divided into four times and served with warm wine.
For lumbar strain caused by various factors, priority should be given to treatment.
Meridian massage
When the patient is prone, the operator rubs the sacrospinous muscles on both sides with the palm of his hand, then finds out the tender points or painful nodules, and then pulls, pulls and holds them one by one from top to bottom, and then applies them to the rolling method, paying attention not to be too heavy. You can also use the lateral position flexion and extension method, so that the patient lies on his side, the affected side is on the top, the operator stands behind the patient, presses the sore part of his waist with one hand, and pulls back with the other hand, so that the hip joint is overstretched, then bends his hip and knees, so that the thigh touches the abdomen, and then straightens and pulls the lower limbs for three times.
Drug treatment of lumbar muscle strain
Treatment methods: relaxing tendons and activating collaterals, nourishing liver and kidney, promoting qi circulation and promoting blood circulation.
Herbs on the prescription
1. Main prescription ① Bushen Zhuangjin Decoction (Qian Xiuchang's Shangkebu): Prescription: Radix Rehmanniae Preparata 12g, Radix Angelicae Sinensis 12g, Achyranthes bidentata 10g, Cornus officinalis 12g, Poria 12g, Radix Dipsaci. Decoct with water, daily 1 dose. For patients with kidney yin deficiency, Fructus Ligustri Lucidi 10g and Plastrum Testudinis 10g are added (decocted first). For patients with kidney-yang deficiency, Radix Morindae Officinalis 65438±02g, Fructus Psoraleae 65438 00g, Rhizoma Curculiginis 65438 00g and Herba Epimedii 65438 00g are added. For patients with acute attack and severe pain, 5 grams of frankincense, 0/0 gram of Uncaria rhynchophylla/KLOC-and 6 grams of Luffa sponge are added. For patients with deficiency of both qi and blood, Radix Astragali 15g and Radix Polygoni Multiflori 30g are added. ② Cold and dampness prevail, and the treatment should be to dispel wind and overcome dampness, and to warm meridians and dredge collaterals. Radix Angelicae Pubescentis and Radix Saposhnikoviae can be used as decoction: prescription: Radix Angelicae Pubescentis 6g, Radix Saposhnikoviae 6g, Rhizoma Chuanxiong 6g, Achyranthis Radix 6g, Herba Taxilli 18g, Radix Gentianae Macrophyllae 12g, Eucommiae Cortex 12g. Decoct with water every day 1.
2. Chinese patent medicine ① Zhuangyao Shen Jian Pill, taken orally, 3.5g each time, 2-3 times a day, with boiled water. ② Guxian tablets, 4-6 tablets each time, 3 times a day, taken orally with boiling water. ③ Jinkui Shenqi Pill, taken orally, L Pill each time, twice a day, and taken with light salt water. ④ Xiao Huoluo Dan, taken orally, each time 1 pill, twice a day, with boiled water.
3. External application prescription ① Dog skin cream, which is externally applied to the affected area after baking. (2) Musk rheumatism ointment is applied externally to the affected area. ③ Kanlisha, when used, add vinegar about 15g, put it in a cloth bag, and naturally give off heat, and apply it to the affected area. If it is too hot, it can move back and forth.
4. Unilateral ① Low back pain prescription (including the new version): prescription: 9 grams of Eucommia ulmoides Oliv. Fried in salt water, papaya 2.5g, shredded paper 9g, Rhizoma Dioscoreae Septemlobae 3g, Radix Dipsaci 4g, Radix Angelicae Sinensis 3g, Rhizoma Cibotii 4g, Radix Glycyrrhizae preparata 3g, walnut meat 30g, and salt. Half of walnut kernel, salt and wine are fried in a pot, and the other half is swallowed with the same medicine when taking medicine. ② Zhuangbendan (Bao Xiangdun's new version of Prescription): Prescription: Cistanche deserticola (washed and baked with wine) 15g, Eucommia ulmoides Oliv. (washed with wine) 15g, Morinda officinalis (peeled with wine) 15g, green salt 15g, and 3 walnuts. * * * as the end, use 1 to cut the pig kidney, remove the white membrane, take the medicine, tie it up, then tie it up with bread, cook it over high fire, remove the medicine and noodles. Every time 1 tablet, send wine.
needle therapy
1. Acupoints Ashi: Shenshu, Fructus Aurantii Immaturus, Qihaishu, Mingmen, Yaoyangguan, Ciliao and Weizhong. After acupuncture, cupping can be added to waist points to disperse blood stasis and warm meridians to relieve pain. Every other day 1 time, 1 time is1course. Acupuncture is not suitable for patients with tuberculosis and tumor.
Acupuncture therapy. Ear acupuncture is in lumbosacral area, Shenmen area and kidney area. , can be slightly twisted, pricking both ears at the same time, holding the needle 10 minute, every other day 1 time, and can be used continuously for 2-3 times.
The exercise of lumbar muscle strain should strengthen the back muscle exercise of lumbar muscle strain to promote the circulation of blood and enhance the strength of lumbar muscles. It can be used to bend back and forth, bend left and right, throw lotus leaves in the wind, lie on your back and lift your legs, swallow water, and can be combined with radio exercises and Tai Ji Chuan.
Incomplete treatment after acute lumbar sprain, or fatigue accumulation caused by gradual strain, sweating and catching cold, excessive exercise, exceeding local ability or repeated single action. Symptoms are soreness, pain from light to heavy, self-discomfort, increased pain at night, slightly reduced exercise pain, almost no pain in competitive state, and increased pain after exercise.
psoatic strain
Syndrome differentiation: stagnation of qi and blood, obstruction of meridians, deficiency of liver and kidney.
Treatment of lumbar muscle strain: promoting blood circulation, dredging collaterals and regulating liver and kidney.
Fang Ming Tommy Tam Sang has been revised.
It consists of 9 grams of earthworm, 9 grams of sappan wood, 9 grams of peach kernel, 9 grams of Eupolyphaga Seu Steleophaga, 3 grams of ephedra, 3 grams of phellodendron amurense, 0/0g of corydalis yanhusuo/kloc-0, 0/0g of polygala tenuifolia, 0/2g of angelica sinensis/kloc-0, 2g of radix dipsaci/kloc-0, and 0 of linderae.
Usage: decoct in water, daily 1 dose, before meals.
The source is Yang Dingming.
Treatment of lumbar muscle strain by western medicine
1. Avoid overwork and correct bad posture.
2. Proper functional exercise, such as back muscle exercise, can prevent muscle dystonia.
3. Physical therapy, massage and other therapies to relax muscles and promote blood circulation.
4. Drug therapy: mainly anti-inflammatory painkillers and traditional Chinese medicines for relaxing muscles and activating blood circulation.
5. Blocking therapy: If there is a fixed tenderness point, 0.5- 1% procaine 5- 10ml plus prednisolone acetate or hydrocortisone acetate 0.5- 1ml can be used as the pain point for blocking, and the effect is good.
6. Surgical treatment, for all kinds of cases that are ineffective in non-surgical treatment, surgery can be performed.
The key to the treatment of lumbar muscle strain is to exercise the back muscles, and the most recommended method to exercise the back muscles is "Goose Style". Take a prone position, remove the pillow, then hold your head high, and put your hands and feet into the air like a wild goose flying. During exercise, a single lift lasts for 5 seconds, then the muscles relax and rest for 3-5 seconds, and so on. Exercise once every morning and evening, 30 cycles at a time, and persist for a long time, which can play a good role in relieving.
In addition, lying on your back, removing the pillow, pushing your head back against the bed and lifting your shoulders can also exercise the muscles of your back. This method is also good for people who feel neck muscle discomfort. In addition, massage is also an effective method.
In addition to exercise, under the guidance of doctors, choosing appropriate physical therapy can also enhance the therapeutic effect. At present, there are many physical therapy methods, including electromagnetic, ultrasonic, infrared, laser and so on. They act on the human body through sound, light, electricity and heat. , play the role of relaxing muscles and activating collaterals. Every day 1 time, 10- 14 days is a course of treatment. Chronic lumbar muscle strain is a chronic disease, which often recovers slowly, so there is no need to hurry. Professor Lou stressed that for low back pain, the most important thing is the usual sitting posture, and you must change your posture after sitting for an hour. At the same time, you can use a pad with a protrusion at the waist to reduce the pressure on the waist and help avoid lumbar muscle strain.