Chinese Herbal Medicine for LBP

Chines Herbal MedicineChinese Herbal Medicine (a branch of Traditional Chinese Medicine, or TCM), looks at the low back differently than does the West. Chinese Medicine developed over thousands of years of trial and error: trying various interventions and recording the results. This information was taught in the medical schools of its day. The process resembles modern empiric trials and studies, except these trials were performed on human subjects over millennia.

Because these medical teachings are so ancient, the language used to describe regular body processes (physiology) and disease processes (pathophysiology) sounds old-fashioned, as it relies on words from an agrarian culture, borrowing terms that describe the natural world. For example, ancient texts refer to a viral infection as a “Wind” invasion. However archaic this language, the illness patterns described (so called “pattern diagnosis”) remain valid and robust in the face of evolving scientific knowledge.

In TCM, various patterns lead to low back pain. The original cause of imbalance in the body varies from person to person, but almost all LBP has a common (final) diagnostic pattern in TCM called “Kidney System deficiency.” This does not mean that your actual kidneys are in trouble—your kidneys are likely perfect. In TCM, the “Kidney System” refers to an expanded sphere of influence that includes the structures and muscles of the low back.

Chinese herbs address the “Kidney System” excellently. The “Kidney System” is the very root of our structure/energy in TCM, and a number of herbs help improve it. According to TCM, the “Kidney System” wanes (becomes “low” or “deficient”) during and after middle age, as all of our systems weaken with age. With this decline, we observe more tendency for low back pain. “Kidney System” supportive herbs attempt to ameliorate LBP recurrence.[10]

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1 Anderssen GBJ. Frymoyer JW (ed.). The epidemiology of spinal disorders, in The Adult Spine: Principles and Practice. New York: Raven Press; 1997:93-141.

2 Cunningham LS, Kelsey JL. Epidemiology of musculoskeletal impairments and associated disability. Am J Public Health. Jun 1984;74(6):574-9. [Medline].

3 National Center for Health Statistics (1977):. Limitations of activity due to chronic conditions, United States. Series 10, No.111. 1974..

4 National Center for Health Statistics (1975):. Physician visits, volume and interval since last visit, United States. 1971. Series 10, No.97.

5 Nachemson Al, Waddell G, Norland AL. Nachemson AL, Jonsson E (eds.). Epidemiology of Neck and Low Back Pain, in. Neck and Back Pain: The scientific evidence of causes, diagnoses, and treatment. Philadelphia: Lippincott Williams & Wilkins; 2000:165-187.

6 Mayer TG, Gatchel RJ. Functional restoration for spinal disorders: The sports medicine approach. Philadelphia: Lea & Febiger; 1988.

7 Biering-Sorenson F. Low back trouble and a general population of 30-, 40-, 50-, and 60–year-old men and women. Dan Med Bull. 1982;29:289-99.

8 Damkot DK, Pope MH, Lord J, Frymoyer JW. The relationship between work history, work environment and low-back pain in men. Spine (Phila Pa 1976). May-Jun 1984;9(4):395-9. [Medline].

9 “Acupuncture Energetics: A Clinical Approach for Physicians”. Joseph M. Helms. Medical Acupuncture Publishers; 1st Edition. (1995)

10 “Foundations of Chinese Medicine: A Comprehensive Text for Acupuncturists and Herbalists”. Giovanni Maciocia. Churchill Livingstone; 2 Edition (July, 2005).

11 “Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual”. David G. Simons, Janet G. Travell, Lois S. Simons, Barbara D. Cummings. Lippincott Williams & Wilkins; 2 edition (1998)

12 “Traditional Chinese Medicine Cupping Therapy”. Ilkay Chirali. Churchill & Livinstone; 2 editioin (2007)

13 Argoff CE, Wheeler AH. Backonja MM, ed. Spinal and radicular pain syndromes. Philadelphia, WB Saunders: Neurologic Clinics; 1998:833-45.

14 Wheeler AH. Diagnosis and management of low back pain and sciatica. Am Fam Physician. Oct 1995;52(5):1333-41, 1347-8.

15 Wheeler AH, Murrey DB. Spinal pain: pathogenesis, evolutionary mechanisms, and management, in Pappagallo M (ed). The neurological basis of pain. New York: McGraw-Hill; 2005:421-52.

16 “Essentials of Musk Care”

17 Mooney V. Presidential address. International Society for the Study of the Lumbar Spine. Dallas, 1986. Where is the pain coming from?. Spine (Phila Pa 1976). Oct 1987;12(8):754-9. .

18 Waddell G. 1987 Volvo award in clinical sciences. A new clinical model for the treatment of low-back pain. Spine (Phila Pa 1976). Sep 1987;12(7):632-44.

19 Frymoyer JW. Back pain and sciatica. N Engl J Med. Feb 4 1988;318(5):291-300.

20 Argoff CE, Wheeler AH. Backonja MM, ed. Spinal and radicular pain syndromes. Philadelphia, WB Saunders: Neurologic Clinics; 1998:833-45.

21 Mooney V. Presidential address. International Society for the Study of the Lumbar Spine. Dallas, 1986. Where is the pain coming from?. Spine (Phila Pa 1976). Oct 1987;12(8):754-9.

22 Wheeler AH, Hanley EN Jr. Nonoperative treatment for low back pain. Rest to restoration. Spine (Phila Pa 1976). Feb 1 1995;20(3):375-8. [Medline].

23 Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. Jul 14 1994;331(2):69-73