Patient's question:
Detailed medical condition and consultation purpose: I had a healthy baby via cesarean section on June 16th. Due to prolonged sitting for breastfeeding after delivery, I now experience chronic morning back pain, which is quite severe. Since giving birth, I haven't had my period for five months. How should the back pain be treated? What medication should be taken? Is the menstrual cycle normal? How should it be treated?Doctor's answer:
1. Kidney Deficiency and Blood Insufficiency TypeMain Symptoms: Persistent lower back pain, weakness in the lower legs and knees, dizziness, tinnitus, numbness in hands and feet, pale or sallow complexion, pale tongue, and deep, thready pulse.
Treatment Principle: Nourishing blood and replenishing yin.
Representative Formula: Ba Zhen Tang (Eight Treasure Decoction) with Eucommia, Duzhong, Xuduan, and Ejiao.
Commonly Used Herbs: Tai Dang Shen (Codonopsis pilosula), Bai Zhu (Atractylodes macrocephala), Fu Ling (Poria cocos), Bao Gan Cao (Licorice), Shu Di (Rehmannia glutinosa), Bai Shao (Paeonia lactiflora), Chuan Xiong (Ligusticum chuanxiong), Dang Gui (Angelica sinensis), Eucommia, Duan Xun (Cimicifuga foetida), Sheng Ji (Dendrobium candidum), Ejiao (Asiatic Donkey Hide Gelatin), Jiang Gan (Ginger), and Da Zao (Jujube).
2. Cold Dampness Obstructing Collaterals Type
Main Symptoms: Lower back pain with difficulty in turning sides, worsening in cold, coldness in lower abdomen and limbs, swollen and tooth-marked tongue, white, greasy, and greasy tongue coating, and deep, slow pulse.
Treatment Principle: Warming yang and draining dampness.
Representative Formula: Modified Gan Cao Gan Jiang Fu Ling Bai Zhu Tang (Decoction with Modified Licorice, Dry Ginger, Fu Ling, and Bai Zhu).
Commonly Used Herbs: Gan Cao (Licorice), Gan Jiang (Dry Ginger), Fu Ling, Bai Zhu, Sheng Ji, Wei Ling Xian (Cimicifuga foetida), Gui Zhi (Cinnamon twigs), Bai Shao, and Pian Jiang Huang (Tangutiae).
3. Stagnant Blood Stagnation Type
Main Symptoms: Lower back pain like a needle pricking, slightly relieved after movement, or accompanied by lower abdominal pain, possible purple spots on the tongue edges, and wiry, (obstructed) pulse.
Treatment Principle: Removing stagnation and unblocking collaterals.
Representative Formula: Du Huo Jing Shi Tang (Du Huo and Jing Shi Decoction) with modifications.
Commonly Used Herbs: Du Huo (Angelica dahurica), Jing Shi (Dendrobium candidum), Qin Jiao (Scutellaria baicalensis), Duzhong, Xuduan, Dang Gui, Chi Shao (Paeonia lactiflora), Chuan Xiong, Dan Shen (Salvia miltiorrhiza), Chuan Niu Xikin (Korean Angelica), Tao Ren (Pistacia chinensis), Tu Biie Chong (Manduca sexta), and Gan Cao.