(1) Herbal Therapy
1) Internal Medicine
a. Syndrome of qi and blood stagnation
Therapeutic methods: Promoting blood flow to remove the stasis, removing swelling to stop pain.
Recipe and herbs: Modified Taohong Siwu Decoction.
b. Syndrome of collateral disharmony
Therapeutic methods: Relaxing tendons and activating collaterals.
Recipe and herbs: Modified Huoxue Shujin Decoction.
c. Syndrome of blockage of pathogenic wind, cold and dampness
Therapeutic method: Expelling wind, cold and dampness to remove the blockage.
Recipe and herbs: Modified Qianghuo Shengshi Decoction.
d. Syndrome of kidney insufficiency
Therapeutic methods: Tonifying the kidney and strengthening tendons.
Recipe and herbs: Modified Bushen Zhuangjin Decoction.
2) External Application
a. Shangke Xiaoyan Paste or Tianhe Gutong Plaster is topically applied, or Zhenghonghua Oil or Zhengu Liquor is externally applied.
b. Fixation: For the case of severe attack of pain, a waistband may be used for fixation for 3 to 5 days. A long term of bending over work should be ordinarily avoided.
c. Infrared, ultrashort wave and herbal ion-introduction therapies may be chosen as the auxiliary ones.
(2) Acupoints Massage
1) The patient take prone position with the practitioner standing by his side. The practitioner should relax the patient's muscles by applying sprinkling method on two sides of the bladder channel of the patient's waist, and then push the skin from shoulder and back to the waist with the method of Chinese character of "八". The strength should be gentle and continue the manipulation for 5 minutes from the top to the bottom.
2) Press the pain spots on the waist and buttock within which degree that the patient can stand, and then press downward from bladder channel and Jiaji point to Chengshan for 5 minutes until the sense of sour and distending is felt.
3) Poking method: Poke the points of pressing pain and soft tissues around the waist for 5 minutes. Continue to learn Chinese medicine Treatment for Lumbago.
4) Rub two sides of bladder channel on the back and waist for about 3 minutes with emphasis on lumbosacral portion until hot sensation is felt.
5) At last, pat two sides of spinalis on the back and waist for about 20 minutes until the skin turns red slightly.
Take the manipulation above for 20 minutes every time, manipulate once every other day and take 10 times of manipulation as one course of treatment.
(3) Guasha Therapy
Use scraping sheet to scrape the Du channel on the back and the two sides of bladder channel with key points on Pishu (BL20), Mingmen, Shenshu (BL23), Yaoyangguan, Dachangshu (BL25), Bage on the waist and Yaoshu by reducing method until reddish rashes appear on the skin. Then, manipulate strengthening method to scrape the points of pressing pain on the waist, and then use the reducing method to strengthen the stimulation until reddish rashes appear. At last, scrape the rear side of the lower limbs with key points on Yinmen,Weizhong and Chengshan, following the route of channel until reddish rashes appear. The patient should expose the skin to be scraped, and the angle between scraping sheet and skin should be 45°. Guasha oil should be applied on the skin at first. The scraping direction should follow the running direction of channel, and the scraping strength should be gentle, the points of pressing pain, acupoints and key points should be scraped until reddish rashes appear on the skin. Manipulate the scraping once every three days and take 5 times of manipulation as one course of treatment. The patient should drink 2000ml of light salt water after the manipulation.
(4) Cupping Therapy
Acupoints selected: Shenshu (BL23), Qihaishu (BL24), Yaoyangguan, Guanyuanshu (BL 26), Baihuaishu, Yanglingquan, Weizhong (BL 40), Chengshan (BL57), Qiyang.
Methods:
1) Cupping cup: you should adopt cupping to suck cups on Shenshu (BL23), Guanyuanshu (BL 26), Yaoyangguan, Weizhong (BL 40), Chengshan (BL57) and the pressure pain of waist (Ashi Points)after flash of fire; you could use cupping method of air pump.
2) Acucupping: after the disinfection of Shenshu (BL23), Qihaishu (BL24), Baihuaishu, Yanglingquan, Feiyang (BL 58), you should use acupuncture needles to prick them. As soon as you remove the needles, you should get them cupped after flash of fire.
3) Cupping of venesection: after disinfection of the acupoints of Shenshu (BL23), Ashi Points, Weizhong (BL 40), you should use dermals to strike them or use three-edged needles to prick until bleeding and then get the acupoints cupped.
4) Medicinal cupping method: you should boil the Mahuang, Aiye, Mugua, Chuanjiao, Tuogu per 10 gram for the liquor and you should daub these decocted medicine on the painful site and then cup the acupoints.
