Chief complaint

Pain in low back over 2 days.

History of present illness

2 days ago, when the patient carried heavy things, she suddenly felt bad pain in low back, and movement of waist was limited. Examination showed: lumbar spine physiological curature straighten. The waist muscle is of tension and tenderness. Pick up experiment presents(+). The right leg straight-leg raising test indicates(+).

Tongue and pulse

The patient had red tongue with yellow coating, and her pulse was wiry(xuan)

Diagnosis

TCM diagnosis:Lumbago disease(Qi stagnation and blood stasis).

WM diagnosis:acute lumbar muscle sprain.

Principle of treatment

Promoting Qi to active blood.

Prescription

Main point: Yaotongdian(EX-UE7)

Manipulation: reducing by lifting and thrusting needles. The patient can retain needle who has low back pain serious. After acupuncture, the patient felt better. After 2 treatments, her symptoms completely disappeared.

Differentiation of the syndrome or disease

The 46-year-old patient presented with pain in low back for 2 days as her chief complaint. This is classified as “injury of tendons” in traditional Chinese medicine. Chinese medicine academic theories state that due to ill posture of carrying heavy things, tendons and joints are injured, the circulation of Qi and blood is stagnated in the local region and meridians and collaterals are obstructed. 

Explanation of the points

Yaotongdian(EX-UE7) is located on 2 and 3 metacarpals and 4 and 5 carpal and horizontal line of the metacarpals and the middle point of the metacearpophalangeal joints, there are 2 points on one hand. Yaotongdian(EX-UE7) is good at treating acute lumbar sprain.

Produce acid hemp feeling combined with cupping, after treatment with type G6805 cupping therapy apparatus, with the density wave, the strength will be subject to the patients tolerated.

Course and effects

Once a day until the patient completely recovered.

Experience

International acupuncture education