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6.58 What are the concept and treatment of ininbar intervertebral disc protrusion?
Lumbar intervertebral disc protrusion is a conthtion associated with the ruptured annulus fibrosus and results in the nucieus ptilposus bulging out to compress nerve roots or the cauda equina nerve. Thus, this lead to a series of symptoms. It is common in adults and clinically common is the protrusion of tile disc between the 4th and 5th urnbar vertebrae arid that between the 5th lumbar vertebrae and the I st sacra joint.
[Treatment]
The principle of treatment is as follows: dredging the channeh and collaterals, relieving spasm and pain, releasing the adhesion, and red icing compressing to the never roots. During the treatment period, the patient should rest on a hard bed uniii alLeviation of syrnptoms- appropriate physicai exercise of the lumbar muscles is necessary and very important.
(1 )Comrnon manual techniques
Gun-rolling, An-pressing. Rou-stationary circular pressing, Tui -pushing, Na-holding, Yao -rotation, Ba - tract ion., dou -shaking, Ban-manipulation, etc.
(2)Process
①With the patient in prone1 stand at the affected side and use C-un-rolling, An-pressing, and Roy-stationary cireuar pressing to the hack waist and buttocks for about 20 minutes.
②Apply Than- ffinnger pressing and An -pressing to Sherishu Yaowrzg-guan, Hucnitiao, Weizhong, Yanglingquan, Chengshan and Kunlun for 2-3 minutes.
③ Apply An -pressing and swing with hands to the waist and rhythmically repear for 2 - 3 minutes.
④Let the patient hold the bed, Hold both ankle joints and apply liflction. Swing for a while and shake once. The wa.st should be out oi the bed. Repeat 3 irnes.
⑤Obligue Ban -manipulation.
⑥Sitring-rotational-replaccinent.
⑦AppIy Tui -pwhitig from back to sacrurn 10 times.
⑧With the patient supine, . stand on the affected side . hip aginst the patient’s thigh. with one hand hc4ding rhc heel, and the lower hand holding the forefoot . Passively raise the lower limb 10-15 times, then, bend ilw k-nec anti hip. Apply traction and shake the affected leg 3 -5 times. In thc acute stage, the patient must rest on a bard bed, and shodid be treaied with mild nianipulation( with serious attentbn to Ban -manipulation). If symptoms such as numbness of the seilar area, and incontinence of urine and stooI are present, manipulation is forbidden.
four beats to a normal cycle of respiration
Yi (the liver) and Gui (the kidney) are the same source
①Shao Yang syndrome complicated by Taiwng syndrome ②②Taiyang-.Shaoyang complication
Seven emotions overact
Without violent breakout of seven enictic)rls.arly disease will vanlish by itself
internal injury by seven emotions
①analyze and differentiate paihlolgical conditions in accot-dance with the cight principal syndromes ②clinicafly analyse and differentiate diseases according to the eight principal syridrorries ③clitneally analyse and differentiate diseases according to the eight principles for diagnosis :④diagiiosis according to the eight guiding Principles ⑤differential diagnosis in accordance with the eight principal syndromes of syndromes according to the eight principles for diagnosis
A human body’s essence is the Qi of the stomach
The cornplcxity of the human anatomy represeritable exclusively hy Yin and Yang
Man receives Qi in hs ftxxi
①a concurrenj disease of the three Yang ②a disease jnvo1ving all the three Yang channls ③a diseasc involving all three Yang channels smuhaneously
④ three regions and nine locations for pulse feeling ⑤ three regions and nine modes ⑥ three region nine subdivisions mcdes for pu isef cc ling ⑦ three regions and nine sUbdivisions for the pulse-feeling ⑧three regions and nine subchvsions for pulse feeling
①The triple warmer (heater) manages the dredging of water pathway ②The triple warmer (heater) is concerned with the dredging of water pathway
① analyse and diflereniiate diseases according to the pathological ehangcs in triple wanner diagnusis according to the thaxy of triple wanner ③idenlification according to the triple heater (or warmer)
①inhibition of die earth to transport water ②the earth (the spleen) fails to control fluid metabolism
the earth s eoinquered by the wood
①everything grows from the earth: ?②everything grows out of the earth
①dampness accutatulated in the spleen (earth) should be removed ②eliminate the siagnant earth ③eliminating the stagnant earth
①the earth has a desire for warmth and dryness ②the earth has indilnation for wannth and dryness ③the earth Likes warmth and dryness ④the earth prefers warmth and dryness
insufficiency of the kidney
①instability of the kidney-Qi ②instabiliiy of the renal Qi
①cold and insufficiency cii the lower-warnier ②deficicney-cold of the kidney
①elevate the fallen ②elevating the fallen ③syrnploIns of sinking should be treaied with drugs of raising property
①an asthenie disease in the iower part involves the upper
?②asthenic diseases in the lower part involve the upper ③dwbilitated diseases in the lower part involve the upper ④discases the lower part affect the upper ⑤the lower affects the upper
treat the dhease of the lower port of the body by needling
points on the upper part of the body
①dizziness caused by the abnormal rising of the vital energy ②dtzziness caused by adverse flow of Qi ③overflowing at the top with depletion below
① the lower heater is concerned with discharge ②the lower heater manages the cutlet
①the lower heater acts as the drain ②the lower warmer acts as the drain ③ the lower warmer is analogized to sluice
④the lower warmer works like gutters to filter and drain off waste and superfluousweter
①adult’s Pulse ②ancient medical specialty for adult ③ internal medicine
the large intestines loss of reinforcement arid restraint
appearance of deficiency in extreme excess
①great anger injuring the liver ②great anger injures the liver ③rage impairs the liver
excessive sorrow leads to the consumption of Qi
①treat the diseases in the upper portion by managing the lower portion CZtreat the lower part for diseases of the upper
t.M1JU (Dthe upper warmer (heater) is analogized to fog ②the upper warmer is like a sprinkler for distrbuting nutrients and Qi ④the upper warmer (heater) is like mist or fog ④the upper-wanner resembling a sprayer
?protracted standing injures thc bones
protracted walking injures the muscles and tendon
protracted sifling injures the muscles
persistant depression results in irnpaitnient of the mid
①chronic diarrhea and proctoptsis ②prolapse of rectum due to chronic diarrhea
prorracted use of eyes impairs theblcxxl
① prolonged lyiing imipairs Qi ②protracted lying damages Qi
①consumption for Yin caused by prolonged fever ②(x)nsumpliorl of Yin is caused by prolonged fever ③persistanl heat impaires Yin Yin impaired by persistant heat ④Yin impaired by prolonged fever ⑤Yin is impaired by persisinilt fever ⑥ Yin is impaired by prolonged fever
prolonged diseases involve the kidney
?When the defending qi does not function welt, spontaneous sweating will occur
The protecting Qi is the fierce Qi of food and water
①analyse and differentiate the development of a seasonal febrile disease by studying the four stages: defense, Qi, nutrition and the blood ②analyze and differentiate the development of a seasonal febrile disease by studying the four stages: Wei, Qi, Ying and blood (Kite) ③analyse and differentiate the development of a seasonal febrile disease by studying the four stages: the defense principle, vital nutrient principles and blood ④ identification according to principles defense (We?), vital energy (Qi), and blood (Kue) identification according to principles Wei (defense), Qi (vital energy), Ying and Xue
defcndign Qi circulates outside the channels
①the eight magic turtile techniques ② the eight magic
turitle techniques hi selecthig acupoints
①The small intcstne has a function of differentianion of the refined materials from the scum ②The small intestine is mainly for differentiation of the rcfincd matter from the scum
The small intestine receives trarisfonns and absorbs [lie kxd content
The small intestine separates clariy from turbidity
①sabre and beadstring scrufula ②seber and head Ying③tuberculosis of the lymph nodes
mother-child reinforcirigreducing method
treat the astheniasyndromc of child organ by invigorating the ii iot her organ
①an offspring stealing its niaterriaL Principle ②an offsping steals its mathemal principle③illness of child organ may involve mother organ
points are indicated in the fullness of the stomach
opening the space outside the viscera in the neigh. borhood of the stomach with aromatic dnigs
reinforce and reduce hy keeping the hole open or close
①open-close reinforcing-reducing method ②the reinforcing and reducing by keeping the hole open or close ③reinforeing or reducing by closing or enlarging the acupuncture hole ④reinforcing and reducing methods achieved by open and close
①break the barrier of the skiti ②open the striac of the skin
?induce appetite and promote digestion
promote the function of the stomach and regulate the
cause resuscitation and reduce phlegm
refresh the mind and iirtprove the eyesight
include resuscitaion and reLieve convulsioii
y9J inappropriale opening and closing the gate of water
Opening and closing the gate of water must be property regulated
① reinforcing by pressing the punctured hole after withdrawing the needle and attenuating by enlarging the punctured hole while withdrawing the needle ②tonification or purgation by opening and dosing the puncture hole
①correspondencc between man and the universe ②Man as a rnjcrocosiyi is connected with the macrocosm ③nature and man correspond to each other ④the rclevan t adaptation of man and nature relevant adaptation 0f man to nature
⑤the relevant adaptation of the human txxiy to nat urnl environment
without the Qi of the commences life comes to an end
The body can’t live without the mind
non-scarred moxihusrion
the inborn Qi cormnences from the vital gate
die sufficiency of the primordial Qi
?impending exhausmicm of the vtral-Q,
vital-Qi decline
deficiency of the primordial vital energy
?insufficiency of thc kidncy- Yang
the excessive wood subjugates the earth
?The wood is the mother of the fire
The wood is the sun of the water
The wood restricts the earth