Sciatica in Traditional Chinese Medicine

Understanding different sciatica patterns according to TCM theory

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Overview
What causes it 5 TCM patterns documented
How to recognize Symptoms specific to each sciatica pattern
Classical remedies 13 herbal formulas documented

Traditional Chinese Medicine (TCM) perceives sciatica through the lens of Qi and Blood flow within the body. Unlike Western medicine, which often attributes sciatica to physical nerve compression, TCM focuses on identifying and rectifying imbalances or obstructions in the body's energy, such as Qi or Blood.

TCM practitioners consider factors like Wind, Cold, and Dampness, which can invade the body and contribute to sciatic pain, emphasizing the necessity of restoring harmonious Qi flow for relief and healing.

TCM Patterns for Sciatica

Painful Obstruction with Wind-Cold-Damp

Causes: Swollen and painful joints that are warm to the touch and worsen at night, Reduced range of motion in the affected joints, Chills without sweating, Weight loss, Headaches, Dizziness, Shortness of breath, Nausea

1 variation documented
Painful Obstruction with Wind-Cold-Damp
How it presents with sciatica

Swollen and painful joints that are warm to the touch and worsen at night, Reduced range of motion in the affected joints, Chills without sweating, Weight loss, Headaches, Dizziness, Shortness of breath, Nausea

Traditional Herbal Formulas

Yang Deficiency

Causes: Abdominal pain that worsens with cold, Urinary difficulty, Deep aching and heaviness in the extremities, Dizziness, Heavy sensation in the head, Edema, Loose stools, Palpitations, Coughing, Vomiting, Heavy and painful sensations in the lower back and lower extremities, Weakness and stiffness, Aversion to cold, Attraction to warmth, Shortness of breath, Slight abdominal distension after eating, Lassitude, Desire to lie down curled up, Pale complexion, Cold limbs, Chills, Undigested food in the stools, Gas, Bloating, Abdominal pain and distension relieved by pressure and warmth, Sallow complexion

3 variations documented
Spleen or Kidney Yang Deficiency
How it presents with sciatica

Abdominal pain that worsens with cold, Urinary difficulty, Deep aching and heaviness in the extremities, Dizziness, Heavy sensation in the head, Edema, Loose stools, Palpitations, Coughing, Vomiting

Traditional Herbal Formulas
Painful Obstruction with Liver and Kidney Deficiency
How it presents with sciatica

Heavy and painful sensations in the lower back and lower extremities, Weakness and stiffness, Aversion to cold, Attraction to warmth, Palpitations, Shortness of breath

Traditional Herbal Formulas
Spleen Yang Deficiency
How it presents with sciatica

Slight abdominal distension after eating, Lassitude, Desire to lie down curled up, Pale complexion, Cold limbs, Chills, Undigested food in the stools, Gas, Bloating, Abdominal pain and distension relieved by pressure and warmth, Sallow complexion

Exterior Cold invading the Interior

Causes: Abdominal pain, Constipation, Hypochondriac pain, Chills, Low-grade fever, Cold hands and feet, Sweating that doesn't reduce fever, Palpitations in the epigastrium, Dizziness, Generalized twitching, Unsteadiness

1 variation documented
Exterior Cold invading the Interior
How it presents with sciatica

Abdominal pain, Constipation, Hypochondriac pain, Chills, Low-grade fever, Cold hands and feet, Sweating that doesn't reduce fever, Palpitations in the epigastrium, Dizziness, Generalized twitching, Unsteadiness

Traditional Herbal Formulas

Full Cold in the Directing and Penetraing Vessels

Causes: Painful period, Cold in the lower abdomen, Infertility, Late period, Dark clots in menstrual blood, Abdominal pain after childbirth

1 variation documented
Full Cold in the Directing and Penetraing Vessels
How it presents with sciatica

Painful period, Cold in the lower abdomen, Infertility, Late period, Dark clots in menstrual blood, Abdominal pain after childbirth

Traditional Herbal Formulas

Dampness and Phlegm in the Uterus

Causes: Late period, Painful period, Dark clots in menstrual blood, Brown vaginal discharge, Irregular menstruation, Abdominal pain after childbirth, Lochia retention, White vaginal discharge, Cold in the lower abdomen, Cold feeling in vagina, Infertility, Feeling of cold, Cold limbs, Purple lips

1 variation documented
Dampness and Phlegm in the Uterus
How it presents with sciatica

Late period, Painful period, Dark clots in menstrual blood, Brown vaginal discharge, Irregular menstruation, Abdominal pain after childbirth, Lochia retention, White vaginal discharge, Cold in the lower abdomen, Cold feeling in vagina, Infertility, Feeling of cold, Cold limbs, Purple lips

Traditional Herbal Formulas

Herbal Formulas for Sciatica

Traditional Chinese Medicine formulas used to address sciatica

Da Huang Fu Zi Tang

Traditional formula for sciatica

Dang Gui Shao Yao San

Traditional formula for sciatica

Du Huo Ji Sheng Tang

Traditional formula for sciatica

Gui Zhi Shao Yao Zhi Mu Tang

Traditional formula for sciatica

Huang Qi Gui Zhi Wu Wu Tang

Traditional formula for sciatica

Ma Huang Tang

Traditional formula for sciatica

Ma Huang Xi Xin Fu Zi Tang

Traditional formula for sciatica

Shao Yao Gan Cao Tang

Traditional formula for sciatica

Shen Tong Zhu Yu Tang

Traditional formula for sciatica