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Back Support (AC)

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CLINICAL APPLICATIONS

 

  • [     Acute low back pain 
  • [     Back pain from sports or traumatic injuries, sprains and strains, subluxation
  • [     Back pain due to strenuous exercise or repetitive movements (e.g., grocery checkers/packers, warehouse and assembly-line workers, and others in similarly demanding occupations)
  • [     Back pain with inflammation, swelling or redness
  • [     Chronic back pain with acute exacerbation or re-injury

 

WESTERN THERAPEUTIC ACTIONS

 

  • [     Anti-inflammatory action to reduce pain and inflammation
  • [     Analgesic influence to relieve pain
  • [     Antispasmodic effects to relax muscles and tendons

 

CHINESE THERAPEUTIC ACTIONS

 

  • [     Relieves pain
  • [     Opens channels
  • [     Disperses qi and blood stagnation

 

DOSAGE

 

Take 3 to 4 capsules, three times daily as needed to relieve pain. The dosage may be increased up to 6 to 8 capsules every four to six hours if necessary, especially in the early stages of injury when there is severe and excruciating pain. When the pain subsides, the dosage can then be decreased to 3 or 4 capsules three times daily. For maximum effectiveness, take the herbs on an empty stomach with two tall glasses of warm water.

 

INGREDIENTS

 


Bai Shao(Radix Paeoniae Alba)

Chuan Niu Xi(Radix Cyathulae)

Du Zhong(Cortex Eucommiae)

Ge Gen(Radix Puerariae)

Gui Zhi(Ramulus Cinnamomi)

Huang Jin Gui(Caulis Vanieriae)

Ji Xue Teng(Caulis Spatholobi)

Liu Zhi Huang(Herba Solidaginis)

Mo Gu Xiao(Caulis Hyptis Capitatae)

Mu Gua(Fructus Chaenomelis)

Wei Ling Xian(Radix Clematidis)

Yan Hu Suo(Rhizoma Corydalis)

Zhi Gan Cao(Radix Glycyrrhizae Preparata)


 

FORMULA EXPLANATION

 

Back Support (Acute)is formulated specifically to relieve acute low back pain, caused by sports or traumatic injuries, strenuous exercise, repetitive movements, or accidents. Back Support (Acute)contains herbs that regulate qi and blood circulation, remove qi and blood stagnation, and relieve pain.

 

Yan Hu Suo(Rhizoma Corydalis)activates qi and blood circulation, and is one of the strongest analgesic herbs to relieve pain.Mo Gu Xiao(Caulis Hyptis Capitatae),Liu Zhi Huang(Herba Solidaginis)andHuang Jin Gui(Caulis Vanieriae)have anti-inflammatory and analgesic properties and are often used to treat the acute pain associated with traumatic injuries or sprains and strains.Gui Zhi(Ramulus Cinnamomi)warms the channels, facilitates the flow of qi and relieves painful obstruction.Ge Gen(Radix Puerariae)alleviates muscle tightness.Bai Shao(Radix Paeoniae Alba)has analgesic, antispasmodic and anti-inflammatory actions. Furthermore, the combination ofBai Shao(Radix Paeoniae Alba)andZhi Gan Cao(Radix Glycyrrhizae Preparata)nourish and relax the tendons and the muscles of the back.Mu Gua(Fructus Chaenomelis),Wei Ling Xian(Radix Clematidis)andJi Xue Teng(Caulis Spatholobi)increase qi and blood circulation to relax the muscles and the tendons.Chuan Niu Xi(Radix Cyathulae)invigorates the blood.Du Zhong(Cortex Eucommiae)acts as a channel-guiding herb to focus the actions of the formula on the lumbar region.

 

SUPPLEMENTARY FORMULAS

 

  • [     For simultaneous upper and lower back pain, use with Back Support (Upper).
  • [     For acute back pain due to herniated disk, use with Back Support (HD).
  • [     To enhance the analgesic action, use with Herbal Analgesic.
  • [     For traumatic injuries with bruises and bone fractures, use with Traumanex.
  • [     For pain due to bone spurs, add Flex (Spur).
  • [     For back pain associated with osteoporosis, use with Osteo 8.
  • [     For back pain with severe cramps, take with Flex (SC).
  • [     For arthritic pain that worsens during cold and rainy weather, use with Flex (CD).
  • [     For arthritis with redness, swelling and inflammation, use with Flex (Heat).
  • [     For back pain due to menstrual discomfort, use Mense-Ease.
  • [     For back pain aggravated by obesity, Herbalitemay be used for weight loss.
  • [     For back pain caused by kidney stones, use Dissolve (KS).
  • [     For back pain or soreness resulting from chronic nephritis, use Kidney DTX.
  • [     For chronic, stubborn back pain with blood stagnation, add Circulation (SJ).

 

NUTRITION

 

  • [     Eat a diet with a wide variety of raw vegetables and fruits, and whole grain cereals to ensure a complete supply of nutrients for the bones, nerves, and muscles.
  • [     Adequate intake of calcium is essential for the repair and rebuilding of bones, tendons, cartilage, and connective tissues.
  • [     Fresh pineapples are recommended as they contain bromelain, an enzyme that is excellent in reducing inflammation. If the consumption of fresh pineapples causes stomach upset, eat it after meals.
  • [     To relieve cramps and spasms, eat plenty of fruits and vegetables, especially those high in potassium, such as bananas and oranges. Also drink an adequate amount of warm water.
  • [     Adequate intake of minerals, such as calcium and potassium, is essential for pain management. Deficiency of these minerals will lead to spasms, cramps, and tense muscles.
  • [     Avoid red meat and seafood in the diet as they contain high levels of uric acid, which puts added strain on the kidneys.
  • [     Avoid cold beverages, ice cream, caffeine, sugar, tomatoes, milk, and dairy products.
  • [     The following is a folk remedy to treat acute back pain from sprain and strain. Crack open 2 crabs (ocean) with a wooden stick (do not use a knife or any metal instruments) and put them into a clay pot with enough vodka or whiskey to cover both crabs. Place the clay pot into another larger pot with water, and steam it for one hour. Serve the crab meat along with the liquor soup.

 

LIFESTYLE INSTRUCTIONS

 

  • [     Patients are advised to use their knees (instead of bending from the waist or back) when lifting heavy objects.
  • [     Stretching and strengthening exercises for the back muscles are essential for long-term recovery. Strengthening the abdominal muscles is also beneficial to reduce strain on the lower back.
  • [     Mild exercise such as swimming, yoga, or Tai Chi Chuanon a regular basisis recommended.
  • [     For those who are overweight, weight loss is strongly recommended to decrease pressure on the joints and relieve pain.
  • [     Proper balance of work and rest is very important. While sitting, make sure the back is straight and the elbows and knees are bent at a 90°angle. Take a break at least once every hour to alleviate pressure on the vertebrae and disks.
  • [     Hot baths with Epsom salts help to relax tense muscles and draw toxins from tissues. Rest and relax in the bath for about 30 minutes, but avoid becoming over-tired from the heat and soaking.
  • [     Finally, adequate rest is essential to recovery. It is wise to review the sleeping postures to ensure that the back is being appropriately supported and relaxed.

 

CLINICAL NOTES

 

  • [     Take Back Support (Acute)with 2 tall glasses of warm water, as back pain can be related to dehydration.
  • [     There are several causes for back pain. This formula is designed to treat back pain due to musculoskeletal injuries. For back pain resulting from other causes, please refer to the Supplementary Formula section for appropriate formulas.
  • [     Many patients may seek treatment for a chronic back condition that has recently been exacerbated. In such cases, Back Support (Acute)should be prescribed for one or two weeks to relieve the acute pain. After the pain subsides, switch to Back Support (Chronic)to consolidate the effect.
  • [     Clinical Tip: For musculoskeletal injuries to the back, Back Support (Acute)can be given to the patient prior to each acupuncture treatment. The muscle-relaxant influence from the herbs will take effect within about half an hour. By relaxing the muscles and invigorating qi and blood circulation with the herbs, there will be less stagnation in the channels, and the acupuncture and Tui Natreatments will be more effective.

 

CAUTIONS

 

  • [     Because of the blood-invigorating nature of this formula, Back Support (Acute)is not recommended during pregnancy and nursing.
  • [     Back Support (Acute)is not designed for long-term use. If the pain lasts for a long period of time and becomes chronic in nature, Back Support (Chronic)should be used.
  • [     If the patient presents with fever and a one-sided back pain, consider a possible kidney infection and do not use this herbal formula. Patients with acute nephritis should be referred to their medical doctor immediately.
  • [     Patients who have pain radiating to the extremities accompanied by a sudden loss of bladder or bowel control may have a pinched nerve or spinal injury, and must be referred out to emergency care. This condition, known as Cauda Equina syndrome, can lead to permanent disability and must be evaluated and treated immediately.

 

ACUPUNCTURE POINTS

 

Traditional Points:

  • [     Yaotongxue, Huantiao(GB 30), Yaoyan(Extra 9), Shenshu(BL 23), and Weizhong(BL 40).

 

Balance Method by Dr. Richard Tan:

  • [     Needle the following points on the side opposite the pain:Hegu(LI 4),Houxi(SI 3),Wangu(SI 4),Lingku, Dabai, Zhongbai, Dazhong(KI 4) orah shipoints nearby, and Dazhong(KI 4), and Fuliu(KI 7) orah shipoints nearby.
  • [     Needle the following points on the same side as the pain:Chize(LU 5),Shugu(BL 65), and Kongzui(LU 6)orah shipointsnearby.
  • [     Note: Lingku, Dabaiand Zhongbaiare Master Tong’s points on both hands. Lingkuis located in the depression just distal to the junction of the first and second metacarpal bones, approximately 0.5 cunproximal to Hegu(LI 4), on the yangmingline. Dabaiis located at about 0.5 cunproximal to Sanjian(LI 3), on the yangmingline. Zhongbaiis located at about 0.5 cunproximal to Zhongzhu(TH 3), on the shaoyangline.
  • [     For additional information on the Balance Method, please refer to Twelve and Twelvein Acupuncture, Twenty-Four More in Acupuncture, and Acupuncture 1, 2, 3by Dr. Richard Tan.

 

Ear Points:

  • [     Sciatic pain: Lower Back, Hip, Sciatic, and Pituitary Gland. Embed needles or use ear seeds in both ears, and instruct the patient to massage the points three to four times daily for two to three minutes each time.
  • [     Tailbone injury: Coccyx, Adrenal Gland, and Pituitary Gland.

 

Auricular Acupuncture by Dr. Li-Chun Huang:

  • [     Low back pain
  • §        Main point: Lumbar Vertebral of the groove of spinal posterior
  • §        Supplementary point: Lumbar Vertebral of the antihelix middle line on the upper 4/5 positive area (front and back of ear)
  • [     Sciatic nerve pain
  • §        Main point: Triangle Area Sciatic Nerve of the posterior.
  • §        Supplementary points: Corresponding Points (to the area of pain), Sacrolumbar, Buttock, Hip Joint, Popliteal Fossa, Calf, Ankle, Heel, and Toe.
  • [     Sacroiliac joint pain: Sacroiliac Joint (front and back of ear).
  • [     Lumbar muscle pain (strain): Select the outside of Antihelix of upper 1/5 and 2/5 area. Positive point or area (front and back of ear).
  • [     Low back pain due to Kidney qi deficiency: Corresponding points (to the area of pain in the Lumbar and Lumbar Muscle Area), Kidney, Liver, Spleen, Endocrine, Coronary Vascular Subcortex, Large Auricular Nerve, and Lumbar Area.