Lower back pain according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
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Lower back pain can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like lower back pain here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here lower back pain is often associated with dizziness, tinnitus and depression in the pattern “Kidney Yang Deficiency”. As you will see below, we have in record four patterns that can cause lower back pain.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of lower back pain we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat lower back pain.
The four "patterns of disharmony" that can cause lower back pain
In Chinese Medicine lower back pain is a symptom for 4 patterns that we have on record. Below is a small explanation for each of them with links for more details.
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yang Deficiency
Pulse type(s): Deep (Chen), Slow (Chi)
Tongue coating: Thin white coating
Tongue color: Pale
Tongue shape: Swollen
Kidney Yang Deficiency causes Internal Cold and weakness.
In addition to lower back pain, other symptoms associated with Kidney Yang Deficiency include dizziness, tinnitus and depression.
From a Western Medicine standpoint Kidney Yang Deficiency is associated with health issues such as Late Menstruation, Menopausal Syndrome or Irregular Menstruation.
Kidney Yang Deficiency is often treated with Ba Wei Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Yang".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Tongue shape: Cracked
Kidney Yin Deficiency causes false Heat symptoms, such as night sweats, thirst and five palm heat. These signs are from a depletion of Body Fluids and Essence. It can be caused by prolonged overwork, excessive sexual activity, chronic long term illnesses, consumption of Body Fluids by Heat, prolonged blood loss, overdosage of Kidney Yang tonics herbs, smoking and Kidney depleting foods such as coffee, alcohol, sugar, and fruit juices.
In addition to lower back pain, other symptoms associated with Kidney Yin Deficiency include dizziness, tinnitus and depression.
From a Western Medicine standpoint Kidney Yin Deficiency is associated with health issues such as Menopausal Syndrome, Prolonged Periods or Irregular Menstruation.
Kidney Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Essence Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Pale
Kidney Essence (Jing 精) Deficiency usually involves Deficiency of Kidney Yin and, to some extent, Kidney Yang. Its symptoms are typically in relation to growth, development, reproduction, sexuality, bones, marrow, the brain, teeth, memory and hair.
In addition to lower back pain, other symptoms associated with Kidney Essence Deficiency include dizziness, tinnitus and infertility.
Kidney Essence Deficiency is often treated with Zuo Gui Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Zuo Gui Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes the Yin".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney and Liver Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
In addition to lower back pain, other symptoms associated with Kidney and Liver Yin Deficiency include dizziness, tinnitus and night sweats.
From a Western Medicine standpoint Kidney and Liver Yin Deficiency is associated with health issues such as Absence Of Menstruation, Menopausal Syndrome or Vaginal Itching.
Kidney and Liver Yin Deficiency is often treated with Zuo Gui Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Zuo Gui Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes the Yin".
Five herbal formulas that might help with lower back pain
Wu Zi Yan Zong Wan
Source date: 1550 AD
Number of ingredients: 5 herbs
Key actions: Tonifies Kidney Yang. Strengthens the Essence.
Why might Wu Zi Yan Zong Wan help with lower back pain?
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which lower back pain is a symptom.
Zuo Gui Wan
Source date: 1624 AD
Number of ingredients: 8 herbs
Key actions: Nourishes the Yin. Strengthens the Kidneys. Fills the Essence. Augments the marrow.
Why might Zuo Gui Wan help with lower back pain?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which lower back pain is a symptom.
Tu Si Zi Wan
Source date: 1253 AD
Number of ingredients: 11 herbs
Key actions: Warms the Kidneys. Prevents abnormal leakage such as urinary incontinence or seminal emissions.
Why might Tu Si Zi Wan help with lower back pain?
Because it is a formula often recommended to treat the pattern 'Kidney Essence Deficiency' of which lower back pain is a symptom.
Liu Wei Di Huang Wan
Source date: 1119 AD
Number of ingredients: 6 herbs
Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).
Why might Liu Wei Di Huang Wan help with lower back pain?
Because it is a formula often recommended to treat the pattern 'Kidney and Liver Yin Deficiency' of which lower back pain is a symptom.
You Gui Wan
Source date: 1624 AD
Number of ingredients: 10 herbs
Key actions: Warms and tonifies Kidney Yang. Replenishes the Essence. Tonifies the Blood.
Why might You Gui Wan help with lower back pain?
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which lower back pain is a symptom.
Acupuncture points used for lower back pain
The five Chinese Medicinal herbs most likely to help treat lower back pain
Why might Desert-Living Cistanche (Rou Cong Rong) help with lower back pain?
Because it is both specifically indicated to treat lower back pain and also because it is an ingredient in herbal formulas known to treat lower back pain as a symptom (such as Tu Si Zi Wan for instance).
Desert-Living Cistanches is a Warm herb that tastes Salty and Sweet. It targets the Kidney and the Large intestine.
Its main actions are: Tonifies Kidney Yang, Restores Essence and Blood. Induces laxation.
Why might Prepared Rehmannia (Shu Di Huang) help with lower back pain?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat lower back pain as a symptom, like Zuo Gui Wan or Liu Wei Di Huang Wan for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Why might Yam (Shan Yao) help with lower back pain?
Because Yam is an ingredient in several formulas indicated to treat lower back pain as a symptom, like Gui Shao Di Huang Tang or Liu Wei Di Huang Wan for instance.
Yam is a Neutral herb that tastes Sweet. It targets the Kidney, the Lung and the Spleen.
Its main actions are: Tonifies the Spleen and Stomach. Tonifies the Lung Qi and nourishes the Lung Yin. Nourishes the Kidneys and consolidates Jing.
Why might Poria-Cocos Mushroom (Fu Ling) help with lower back pain?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat lower back pain as a symptom, like Ren Shen Ge Jie San or He Che Da Zao Wan for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Why might Dong Quai (Dang Gui) help with lower back pain?
Because Dong Quai is an ingredient in several formulas indicated to treat lower back pain as a symptom, like Tiao Gan Tang or Dang Gui Di Huang Yin for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Other symptoms often associated with lower back pain
Dizziness Tinnitus Depression Night sweats Insomnia Feeling of cold Knee pain Fatigue Impotence Palpitations