Sore lower back according to Chinese Medicine

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Sore lower back 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 sore lower back 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 sore lower back is often associated with back pain, frequent urination and fatigue in the pattern “Kidney Qi not Firm”. As you will see below, we have in record five patterns that can cause sore lower back.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of sore lower back 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 sore lower back.

The five "patterns of disharmony" that can cause sore lower back

In Chinese Medicine sore lower back is a symptom for 5 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 Qi not Firm

Pulse type(s): Deep (Chen), Weak (Ruo)

Tongue color: Pale

Kidney Qi not Firm means Kidney Qi Deficiency. Two characteristics are typical in this pattern. Firstly, it is a type of Kidney Yang Deficiency with the associated Cold symptoms. Secondly, it is a type of sinking of Kidneys Qi, thus with many ‘leaking’ downwards symptoms.

In addition to sore lower back, other symptoms associated with Kidney Qi not Firm include back pain, frequent urination and fatigue.

Kidney Qi not Firm is often treated with You Gui Wan, a herbal formula made of 10 herbs (including Prepared Aconite - Zhi Fu Zi - as a key herb). You Gui Wan belongs to the category of "formulas that warm yang and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms and tonifies Kidney Yang".

Read more about Kidney Qi not Firm here

Korean Mint (Huo Xiang) is the king ingredient for Huo Xiang Zheng Qi San, a formula used for Damp-Heat

Damp-Heat

Pulse type(s): Soggy (Ru)

In addition to sore lower back, other symptoms associated with Damp-Heat include dizziness, frequent urination and dry mouth.

From a Western Medicine standpoint Damp-Heat is associated with health issues such as Menstrual Cramps, Intermenstrual Bleeding or Abnormal Vaginal Discharge.

Damp-Heat is often treated with Huo Xiang Zheng Qi San, a herbal formula made of 11 herbs (including Korean Mint - Huo Xiang - as a key herb). Huo Xiang Zheng Qi San belongs to the category of "formulas that transform dampness and harmonize stomach", which might be why it is often recommended for this pattern. Its main action as a formula is: "Releases the Exterior".

Read more about Damp-Heat here

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 sore lower back, other symptoms associated with Kidney Yang Deficiency include dizziness, tinnitus and night sweats.

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".

Read more about Kidney Yang Deficiency here

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 sore lower back, other symptoms associated with Kidney Yin Deficiency include dizziness, tinnitus and night sweats.

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)".

Read more about Kidney Yin Deficiency here

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 sore lower back, 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".

Read more about Kidney and Liver Yin Deficiency here

Five herbal formulas that might help with sore lower back

Fu Tu Dan

Source date: 1107 AD

Number of ingredients: 5 herbs

Key actions: Stabilizes the Kidney Qi. Strengthens the Spleen. Stops leakage.

Why might Fu Tu Dan help with sore lower back?

Because it is a formula often recommended to treat the pattern 'Kidney Qi not Firm' of which sore lower back is a symptom.

Other symptoms characteristic of Kidney Qi Not Firm include back pain, frequent urination and fatigue.

Read more about Fu Tu Dan here

Xiao Yao San

Source date: 1107 AD

Number of ingredients: 6 herbs

Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.

Why might Xiao Yao San help with sore lower back?

Because it is a formula often recommended to treat the pattern 'Damp-Heat' of which sore lower back is a symptom.

According to Chinese Medicine, Damp-Heat can contribute to many health issues, including Menstrual Cramps.

Read more about Xiao Yao San here

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 sore lower back?

Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which sore lower back is a symptom.

According to Chinese Medicine, Kidney Yang Deficiency can contribute to many health issues, including Menopausal Syndrome.

Read more about You Gui Wan here

Ba Wei Di Huang Wan

Source date: 220 AD

Number of ingredients: 8 herbs

Key actions: Tonifies Yang. Warms the Kidneys and lower extremities.

Why might Ba Wei Di Huang Wan help with sore lower back?

Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which sore lower back is a symptom.

According to Chinese Medicine, Kidney Yin Deficiency can contribute to many health issues, including Menopausal Syndrome.

Read more about Ba Wei Di Huang Wan here

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 sore lower back?

Because it is a formula often recommended to treat the pattern 'Kidney and Liver Yin Deficiency' of which sore lower back is a symptom.

According to Chinese Medicine, Kidney and Liver Yin Deficiency can contribute to many health issues, including Menopausal Syndrome.

Read more about Zuo Gui Wan here

The five Chinese Medicinal herbs most likely to help treat sore lower back

Why might Poria-Cocos Mushroom (Fu Ling) help with sore lower back?

Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat sore lower back as a symptom, like Fu Tu Dan or Xiao Yao San for instance.

Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Spleen, the Heart, the Kidney and the Lung.

Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.

Read more about Poria-Cocos Mushrooms here

Why might Prepared Rehmannia (Shu Di Huang) help with sore lower back?

Because Prepared Rehmannia is an ingredient in several formulas indicated to treat sore lower back as a symptom, like Zuo Gui Wan or Qi Ju 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.

Read more about Prepared Rehmannia here

Why might Cornelian Cherry (Shan Zhu Yu) help with sore lower back?

Because Cornelian Cherry is an ingredient in several formulas indicated to treat sore lower back as a symptom, like Zuo Gui Wan or Qi Ju Di Huang Wan for instance.

Cornelian Cherries is a Warm herb that tastes Sour. It targets the Kidney and the Liver.

Its main actions are: Preserves and tonifies the Kidney, Liver and Essence. Stops sweating and benefits the Yang and Qi. Assists menstruation and stops bleeding.

Read more about Cornelian Cherries here

Why might Dong Quai (Dang Gui) help with sore lower back?

Because Dong Quai is an ingredient in several formulas indicated to treat sore lower back as a symptom, like You Gui Wan or Xiao Yao San for instance.

Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.

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.

Read more about Dong Quai here

Why might Water Plantain (Ze Xie) help with sore lower back?

Because Water Plantain is an ingredient in several formulas indicated to treat sore lower back as a symptom, like Qi Ju Di Huang Wan or Liu Wei Di Huang Wan for instance.

Water Plantain is a Cold herb that tastes Sweet. It targets the Bladder and the Kidney.

Its main actions are: Causes urination and removes Damp-Heat

Read more about Water Plantain here

Conditions associated with sore lower back

Menstrual cramps Menopausal syndrome