Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 Hi, I received so many great responses re: the back pain client, I thought I'd share details of the case with you to see what you think. By the way, unfortunately I have not yet been trained in Tui Na, but the longer I stay on here the more I regret that! Here's the case: She is a 43 year old woman with several back problems. She has both low back pain eveningly across the lower lumbar/sacral area and midback pain around T4 to T7 or 8 (evenly distributed too). The low back pain bothers her most. It is very tight and stiff, and she says it feels like a board, " like its someone elses back " . Her back pain started when she was 15 years old---she has scoliosis. She had a job where she had to lean over a lot. Later she had a herniated disc at about L4 or L5, she's not sure--the pain goes down lower to the sacral area and is up above L4 to about L1 too. Sitting or standing too long are very painful for her, as well as immobility---so she moves around a lot---also has restless leg syndrome. The midback pain started when she had bronchitis, but its not her main complaint. Anytime she has a virus like a herpes outbreak her low back gets worse. She used to be a dancer, and now does martial arts (but is limited from the pain). She tends to be cold, catches EPI's a lot, can get dizzy when she stands quickly, and the low back pain can be dull and achey in a Kid. def. way---so I think there is clearly deficiency (liver and kidney deficient and wei qi)---so perhaps I should be thinking herbs. But with her back being so stiff and tight I think that she would benefit from acupuncture. Its been bad enough that she has gotten shots for the pain, and has started taking anti-inflammatories. She also has liver Qi stagnation/liver blood and yin deficient symptoms--in personality and with stools that are dry, round pellets; floaters; restless leg syndrome that gives her only 5 1/2 hours of sleep a night (trouble falling and staying asleep). Tends to worry a lot, and be pretty emotional. Has been " overwhelmed with compassion for the pain in the world " ever since she had children. Also more irritable. She says she has high energy---so that must be coming from yin deficient heat or stagnation. Periods are heavy, and she often spots from day 7 to day 15 of her cycle. Any ideas about points and/or herbs would be greatly appreciated. Thanks! Laura Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 How did you treat her? heylaurag <heylaurag wrote:Hi, I received so many great responses re: the back pain client, I thought I'd share details of the case with you to see what you think. By the way, unfortunately I have not yet been trained in Tui Na, but the longer I stay on here the more I regret that! Here's the case: She is a 43 year old woman with several back problems. She has both low back pain eveningly across the lower lumbar/sacral area and midback pain around T4 to T7 or 8 (evenly distributed too). The low back pain bothers her most. It is very tight and stiff, and she says it feels like a board, " like its someone elses back " . Her back pain started when she was 15 years old---she has scoliosis. She had a job where she had to lean over a lot. Later she had a herniated disc at about L4 or L5, she's not sure--the pain goes down lower to the sacral area and is up above L4 to about L1 too. Sitting or standing too long are very painful for her, as well as immobility---so she moves around a lot---also has restless leg syndrome. The midback pain started when she had bronchitis, but its not her main complaint. Anytime she has a virus like a herpes outbreak her low back gets worse. She used to be a dancer, and now does martial arts (but is limited from the pain). She tends to be cold, catches EPI's a lot, can get dizzy when she stands quickly, and the low back pain can be dull and achey in a Kid. def. way---so I think there is clearly deficiency (liver and kidney deficient and wei qi)---so perhaps I should be thinking herbs. But with her back being so stiff and tight I think that she would benefit from acupuncture. Its been bad enough that she has gotten shots for the pain, and has started taking anti-inflammatories. She also has liver Qi stagnation/liver blood and yin deficient symptoms--in personality and with stools that are dry, round pellets; floaters; restless leg syndrome that gives her only 5 1/2 hours of sleep a night (trouble falling and staying asleep). Tends to worry a lot, and be pretty emotional. Has been " overwhelmed with compassion for the pain in the world " ever since she had children. Also more irritable. She says she has high energy---so that must be coming from yin deficient heat or stagnation. Periods are heavy, and she often spots from day 7 to day 15 of her cycle. Any ideas about points and/or herbs would be greatly appreciated. Thanks! Laura http://babel.altavista.com/ and adjust accordingly. If you , it takes a few days for the messages to stop being delivered. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 > heylaurag <heylaurag wrote:Hi, > Any ideas about points and/or herbs would be greatly > appreciated. > Thanks! Hi Laura - I would mainly treat her for sleep. Sleeping well she would begin to accumulate qi and regenerate yin. Gui Pi and Zhi Bai would be the two main formulas I would prescribe. Hope that helps. Hugo _________ALL-NEW Messenger - all new features - even more fun! http://uk.messenger. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 The case invites an elemental approach, and if one accepts, the herring takes on a redder hue. Scoliotic has been the basis of her problems from the time she drew first breath. Treating its consequences of that will take care of almost all problems. Almost certainly she has one or more of these diagnostic indicators: 1. One of the shoulders is raised. [This would need correction with a scapular release] 2. One of the GB 21 is stagnated. [This, with adjusting the qi at SP 9 etc] 3. The waist from the rear shows one more creased, bulged, lacking tone. [This, Dai points and LI points at the deltoid] 4. One of the ASIS and inguinal lig is fearfully tender. [This with a combination of K 9 and last point on K channel] 5. One TMJ is tender, or one SCM tighter. [Fix things with opposite GB 41-SJ 5 etc] Several other tests are possible. If spine curves outwards at T 4 to 8, to the L, all organs at that level to the R will be crunched up, which could lead to a stagnated LV, and undraning GB, problems up and down the channels of these organs, a congested portal circulation, which in itself invites the hell to pay situation. The LV situation, figuring so prominently, is not a LV situation, and treating it as such, could in the short term allay symptoms, in the longer stretch aggravate matters. Feedback? Regards Dr. Holmes Keikobad MB BS DPH Ret. DIP AC NCCAOM LIC AC CO & AZ www.acu-free.com - 15 CEUS by video. NCCAOM reviewed. Approved in CA & most states. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 Chinese Medicine , " homi kaikobad " <aryaone@e...> wrote: > Scoliotic has been the basis of her problems from the time she > drew first breath. Treating its consequences of that will take care of > almost all problems. > I like the poetry and the imagery. :-) I couldn't agree more. With bodywork I would work the whole body and energetic channels to clear the " congestion " oput through the extremities thereby releasing the " inherited cold qi " , and in a very natural way allow the body to bring itself back into free flowing qi harmony. :-) I am not sure whether I am a plumber or an artiste. :-) Regards, Rich Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.