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Backache (Comprehensive)

Chapter 13.2.8 · Water Element

Description

Most common problem among acupuncture patients. Comprehensive table covering four pain types (hot, cold, damp, wind) across three stages (acute, sub-acute/recurrent, chronic) on Urinary Bladder meridian.

Differential Diagnosis

Treatment

Hot pain (acute — Yang excess)

Sedate UB 65/63Vibrate SI 7Four Local points with electro-stimulationUB 37, UB 40, UB 60

Hot pain (sub-acute — hyperactive Yang)

Sedate UB 63Vibrate SI 7K 4 (Luo point)Four Local points with electro-stimulationUB 37, UB 40, UB 60

Hot pain (chronic — Yin deficiency)

Ren 3, UB 40, K 7Four Local points with electroUB 37, UB 60

Cold pain (acute)

Sedate UB 63/K 5Vibrate K 5Six to eight Local hot needlesUB 37

Cold pain (sub-acute)

Sedate UB 63Sedate K 3, tonify UB 58Six to eight Local hot needlesUB 37

Cold pain (chronic)

UB 67, K 3Six to eight Local hot needlesUB 37

Damp pain (acute)

Sedate UB 63/K 5Vibrate K 5Four Local hot needles then dry cuppingSt 40

Damp pain (sub-acute)

Sedate UB 63Sedate K 3, tonify UB 58Hot needles and cuppingSt 40

Damp pain (chronic)

UB 58, St 40 (always Yin stagnation — Luo points)Local hot needles and cupping

Wind pain (cold)

Few Local points where it hurts on the dayUB 12, GB 31Wind-elimination tonificationLocal moxa or hot needles

Wind pain (heat)

Few Local points with electro-stimulationUB 12, GB 31Wind-elimination sedationSI 7 vibration

Treatment Schedule

Acute: 1-2/weekly daily at start. Chronic: 2/weekly at beginning, after 50% improvement change to 1/weekly, stop gradually. Very deficient states: 1/monthly for few months.

Point Prescription Builder

Select Organ

Energy State

Add Symptomatic Point (optional)

Suggested Prescription

K 7GB 25UB 23

Rationale

• Tonification (Mother) point — tonifies 90% house energy of Kidney.

• Mu-Front point — tonifies cooling/calming Yin of Kidney.

• Back-Shu point — tonifies functional Yang of Kidney.

• Influential point: GB 39 (Marrow/nerve) — treats related tissue group.

Educational use only. Point prescriptions should only be applied by licensed practitioners.