The Experts Say - Traditional Chinese Medicine Approach

 

Back Pain
Article contributed by:

Physician Huang Li Xia

Ma Kuang Healthcare Group

 

The lumbar spine supports the weight of everything above the waist.  It’s an important axis in many physical activities.  The lumbar spine can flex, extend, lateral flex and rotate.  It is one of the most mobile body parts during activities of daily living.  And because of that, it also sustains many chronic and acute injuries that result in back pain.

 


 

TCM Treatment for Back Pain

Culinary Medicine Recipes


 

Four Triggers for Back Pain

1

Wet cold: Chronic exposure to a wet cold environment, exposure to wind after excessive sweating from physical activity, exposure to the rain and wearing wet clothes are all triggers to back pain.

2

Moist heat: Chronic exposure to a humid and hot environment increases the risk of contracting exogenous pathogens with heat and damp properties.  These factors can cause meridian blockage and back pain.

3

Poor Qi and blood circulation: Trauma, chronic illnesses, bad posture and poor biomechanics can all disrupt Qi and blood circulation.  Persistent poor circulation can cause back pain.

4

Weak body constitution: Genetic factors, stress, aging, chronic illnesses, and sexual indulgence can deplete kidney essence and nourishment to muscles and connective tissues, and eventually result in back pain.

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Acute and Chronic Back Pain

Acute back pain typically occurs when you bend over with improper biomechanics.  It is due to direct or indirect trauma to the connective tissues, spinal joints and intervertebral discs in the lower back.  Once your doctor rules out an emergency, such as spinal fracture, dislocation, or disc herniation, you may consider TCM treatment for your back pain.

 
Chronic back pain is common among the middle-aged and the elderly.  TCM treatment for chronic low back pain focuses on replenishing blood and the kidney system, and ridding the body of cold and dampness. Those who suffer chronic back pain should increase intake of foods with warming properties, such as shrimp, mussel, beef, lamb, and eel.

 

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TCM Treatment for Back Pain

Acupuncture and Herbal Formula

Case study:  Mr. Lin, 44, started to experience back pain when he lifted heavy with improper form 8 months ago.  His medical doctor found a disc herniation between L4/5, and operated on it.  However, he continued to have back pain post-surgery.  His pain was worsened after a slip and fall.  He was advised to increase his painkiller’s dosage to relieve the pain.  Due to severe back pain, he had to stop working and sought help from TCM. 

 

I rendered acupuncture treatment on JiaJi points, FengShi, WeiZhong, DaChang Shu, ShuGu, ZhongDu, KunLun, RenZhong, HouXi, and Ashi points.  He reported immediate pain relief after treatment.  He was also prescribed an herbal formula to use twice a day that includes malaytea scurfpea fruit (bu gu zhi), largehead atractylodes rhizome (bai zhu), suberect spatholobus stem (ji xie teng), Himalayan teasel root (xu duan), red paeony root (chi shao), Chinese angelica (dang gui), cinnamon bark (rou gui), and common clubmoss herb (shen jin cao).  2 weeks later, he was essentially pain-free, and was able to go back to work.
 

Prevention and Safety

1

Proper sitting posture: When seated, your back should be straight and against the back of the chair.

2

Standing and walking: When standing, straighten your back, retract your shoulders, slightly pull your belly button to your spine, and maintain a neutral spine.

3

Rest and sleep: Choose a moderately firm mattress.  Side sleeping is preferred.

4

Lifting: When lifting a heavy object, keep it close to midline, so you can use the power from your legs and shoulders to lift.

5

Exercise: Adequate physical activities, such as strolling, swimming and jogging.

 

Foods to Avoid

1

Lightly flavored food is preferred.  Avoid fatty, greasy, cold-natured, spicy and stimulating foods.

2

Fresh fruit and vegetables, and high-fiber foods are encouraged, such as mulberry, walnut, cashew, and goji berry.

3

Calcium-rich food is encouraged, such as milk, sesame, enoki mushroom, clam, and seaweed.

4

Avoid bamboo shoot, Chinese sauerkraut, mango, and banana.

5

Avoid tobacco, alcohol, caffeine, and strong tea.

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Culinary Medicine Recipes

Here are a few culinary medicine recipes to share.  It is worth noting that culinary medicine is great for ongoing wellness care, but is not equivalent to prescribed herbal medicine.

 

1. Pig’s kidney soup with eucommia bark (du zhong)

Ingredients: Eucommia bark 50g, one pig’s kidney

Directions:

a. Add both ingredients in a slow cooker with adequate water. 

b. Simmer till everything is cooked. 

c. Salt to taste. 

d. Serve warm.

Benefits: This soup can strengthen the back and nourish the kidneys.  It improves circulation and unblocks meridians.  It’s best for middle-aged males who have back and leg pain.  Use 1-2 times a week.

 

2. Pig tail and sacrum soup with Himalayan teasel root (xu duan) and goji berry

Ingredients: Pig tail and sacrum, Himalayan teasel root (xu duan) 25g, goji berry 25g

Directions:

a. Add all ingredients in a slow cooker with adequate water. 

b. Simmer till everything is cooked. 

c. Salt to taste. 

d. Serve warm.

Benefits: Himalayan teasel root nourishes the liver, strengthens the skeletal system.  Similar to eucommia bark, it treats lumbar muscle strains, osteoporosis, osteophytes, osteonecrosis, and complications after trauma.

 

3. Fleece flower root (he shou wu) silkie chicken soup

Ingredients: Fleece flower root 8g, silkie chicken 300g, ginger 2 slices, goji berry 10g

Directions:

a. Boil the chicken to get rid of any blood, and then rinse it under cold water. 

b. Add chicken, fleece flower root, and ginger in a pot and cover all ingredients with water. 

c. Bring to a boil then simmer for 30 minutes. 

d. Add goji berry and salt, and simmer for another 10 minutes.

Benefits: This soup nourishes both the liver and kidney systems.  It is best for those with kidney and liver deficiency, back pain, lightheadedness, anemic, and premature graying.

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Article contributed by:

Physician Huang Li Xia

Ma Kuang Healthcare Group

Dated: November 2016

 

Ma Kuang Healthcare Group is one of the leading healthcare groups in holistic Traditional Chinese Medicine (TCM) products and services in Singapore.  Founded in 1999, Ma Kuang has expanded rapidly from its first TCM clinic in Middle Road to today’s largest chain of TCM clinics in Singapore.

 

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