Library

(Attached Discussion)
All diseases of lower back pain (Yao Tong) originate from the Kidney. This is because the Kidney connects to the lumbar spine. The manifestations of lower back pain vary among different meridians; treatment should be based on syndrome differentiation.
When lower back pain radiates to the neck and spine, feeling heavy as if bearing a burden, it is a disease of the Foot-Taiyang Meridian. Prick the central meridian to bleed. In spring, avoid bleeding (referring to Weizhong BL-40).
When lower back pain feels like needle pricks, preventing flexion and extension, and inability to look back, prick the end of the "Chenggu" bone of the Shaoyang meridian with slight bleeding. In summer, avoid bleeding ("Chenggu" refers to the prominent bone on the lateral side of the knee).
When lower back pain prevents looking back, accompanied by frequent sadness and weeping, it is a disease of the Yangming meridian. Prick the Yangming meridian three cun anteriorly, stabbing up and down to bleed. In autumn, avoid bleeding (referring to Zusanli ST-36).
When lower back pain radiates to the medial aspect of the spine, it belongs to the Shaoyin meridian. Prick the acupoint two cun above the medial malleolus to bleed. In spring, avoid bleeding. Excessive bleeding cannot be recovered (referring to Fuliou KI-7).
When the waist feels tight like a drawn bowstring, it belongs to the Jueyin meridian. Prick the lateral side of the "fish belly" at the heel. Follow the sensation until nodules are felt, then prick (referring to Ligou LR-5).
When lower back pain radiates to the shoulder and eyes, causing blurred vision and occasional enuresis, the disease is in the Jie Mai. Prick between the muscles inside the knee joint, bleeding from the lateral side. Stop when the blood color changes (this is also a Taiyang acupoint).
When lower back pain feels like being pulled by a belt, often feeling as if the waist is broken, and prone to fear, it is also a disease of the Jie Mai. Prick the knotted collaterals in the popliteal fossa resembling millet grains. Blood will shoot out; stop when dark blood appears (referring to Weizhong BL-40).
When lower back pain feels like a small awl is inside, with local swelling, the disease is in the Tongyin meridian. Prick the end of Jiegu (Gaohuang GB-39), inserting three needles.
When lower back pain presents with local swelling, it belongs to the Yangming meridian disease. Prick the area about one chi below the calf muscle belly (referring to Chengshan BL-57).
When lower back pain prevents flexion and extension, and fear of falling upon extension, caused by lifting heavy objects injuring the waist, severing collateral vessels, and causing blood stasis, prick between the Yang tendons, several cun above, horizontally inserting two needles (referring to Weiyang BL-38).
When upper lower back pain is accompanied by profuse sweating, thirst after sweat dries, and restlessness after drinking, it belongs to the Huiyin meridian. Prick the Qiao vessel five cun above and below, horizontally inserting, and bleed where vessels are full (referring to Chengjin BL-56).
When lower back pain is hot and irritable, leading to sorrow and fear, the disease belongs to the Feiyang meridian. Prick five cun above the medial malleolus, at the intersection of the Shaoyin meridian and Yinwei vessel (referring to Fuliou KI-7 and Zubin KI-9).
When lower back pain radiates to the chest, with blurred vision, severe cases involving opisthotonos and inability to speak, the disease is in the Changyang meridian. Prick anterior to the large tendon above the medial malleolus, posterior to the Taiyin meridian, about two cun above the ankle (referring to Jiaoxin KI-8).
When lower back pain is accompanied by heat, irritability, a sensation of a horizontal block in the lower waist, and severe enuresis, the disease is in the San Mai. Prick the space between bone and muscle anterior to the knee, on the lateral aspect of the collateral vessels, inserting three needles (referring to Diji SP-8).
When lower back pain prevents coughing, and coughing causes muscle spasm, the disease is in the Rouli meridian. Prick posterior to the lateral Taiyang and distal Shaoyang (Jiegu), inserting two needles (referring to Fenrou).
When lower back pain involves the spine, stiff neck, blurred vision, and desire to fall, prick an acupoint to bleed.
For coldness in the upper waist, prick Foot-Taiyang and Foot-Yangming meridians; for heat in the upper waist, prick Foot-Jueyin; for heat in the middle waist with panting, prick Foot-Shaoyin. Prick an acupoint to bleed.
For coldness in the upper waist preventing looking back, prick Foot-Yangming; for difficult defecation, prick Foot-Shaoyin; for lower abdominal fullness, prick Foot-Jueyin.
If lower back pain feels like breaking, preventing flexion/extension and lifting, prick Foot-Taiyang and Foot-Yangming.
If pain radiates to the lower abdomen and testicles, preventing extension, prick the intersection of the waist and sacrum, above the malleoli. Determine the number of insertions based on the lunar cycle. Pain stops immediately upon needling. Treat left disease with right points, and right disease with left points. This is the method for treating lower back pain. Besides these acupoints, there are remaining methods attached below.

[Methods]
For lower back pain radiating to the lower abdomen: Juliao GB-26.
For lower back pain with aversion to cold, hard/lumpy lower abdomen, strangury with inability to urinate, diarrhea, and sudden lower back pain: Baohuang BL-54.
For lower back pain preventing flexion/extension, red/astringent urination, and heavy lower back/sacrum unable to lift: Zhibian BL-54.
For heavy waist unable to lift the body: Weizhong BL-40.
For lumbosacral pain and leg/knee dysfunction: Baihuan Shu BL-30.
For lumbosacral pain due to falls/injuries: Jianjing GB-21.
For lumbosacral pain with spinal stiffness and inability to turn: Yaoshu BL-23.
For mutual radiating pain between waist and abdomen: Mingmen GV-4.
For strong pain in lower back: Feishu BL-13.
For lower back pain: Yinlingquan SP-9, Dachangshu BL-25.
For lower back pain preventing turning: Xialiao BL-33.
For sensation of sitting in water in the waist: Yangfu GB-38.
For lower back pain with difficult defecation: Yongquan KI-1.
For lower back pain preventing flexion/extension, chills/fever, abdominal distension radiating to back causing breathing difficulty: Jingmen GB-25.
For lower back pain with cold shoulders: Ganshu BL-18.
For lower back pain: Shenshu BL-23, Qihai Shu BL-6, Zhonglv Shu BL-27.
For wind-labor lower back pain: Guanyuan Shu BL-26, Pangguang Shu BL-28.
For evil qi, sudden lower back pain. Also: unbearable lower back pain, difficulty in flexion/extension, aversion to cold, astringent urination: Baohuang BL-54.
For heavy sacrum, unwillingness to rise, difficulty in flexion/extension, aversion to human voices: Kunlun BL-60.
For heavy sacrum, difficulty rising: Fengshi GB-31.
For lower back pain preventing flexion/extension, difficulty turning: Shenshu BL-23.
For lower back pain preventing long standing, numbness from waist to feet, difficulty sitting/rising, acute spinal stiffness, inability to flex/extend, heavy waist like stone, difficult movement: Yaoshu BL-23.
For alternating cold/heat in limbs, lower back pain preventing flexion/extension, jaundice, abdominal fullness, vomiting, straight tongue root: Moxa 7 times at three points: one cun five fen above and below the eleventh thoracic vertebra.
For lower back pain: Yaoshu BL-23, Pangguang Shu BL-28, Changqiang GV-1, Qichong ST-30, Shangliao BL-31, Xialiao BL-33, Juliao GB-26.
For lower back pain preventing looking back: Zusanli ST-36, Yinshi ST-31, Yangfu GB-38, Ligou LR-5.
For lower back pain like hammer blow in center, swelling/pain preventing cough (cough causes spasm), wandering joint pain, chills/fever: Yangfu GB-38.
For lower back pain preventing lifting: Shenmai BL-62, Taichong LR-3, Yangqiao.
For lower back pain preventing flexion/extension, and lower back pain allowing flexion but not extension: Weiyang BL-38, Yamen BL-67, Taidai SP-3, Yinlingquan SP-9, Xingjian LR-2.
For lower back pain allowing flexion but not extension: Weiyang BL-38, Yamen BL-67.
For lower back pain like breaking: Shugu BL-65, Feiyang BL-58, Chengjin BL-56.
For lower back pain with difficult defecation: Yongquan KI-1.
For lower back pain preventing long standing: Jingmen GB-25.
For lower back pain preventing flexion/extension: Qichong ST-30.
For lower back pain: Prick and drain blue/red collateral vessels around the knee/waist until bleeding; condition improves.
For lower back pain preventing flexion/extension: Have patient stand upright. Measure from ground to umbilicus with a bamboo stick. Cut stick. Measure from neck to this point on spine. Moxa at the top of the stick corresponding to age. Hide the stick.
For lower back pain: Moxa ten times at the white flesh margin of the transverse crease on the heel. Also moxa Foot-Taiyang (Kunlun) seven times. Also moxa Yao Mu seven times. Location: above sacrum, left/right approx. Also moxa Baliao. And mid-point above lateral malleolus.
For sudden lower back pain: Moxa one cun above Qionggu (coccyx) seven times. One cun left/right each seven times.
For lumbosacral pain: Moxa Xiaochangshu BL-27, fifty times.
For lower back pain: Moxa Sanjiaoshu BL-22, according to age.
Wang Shi said: A woman with chronic illness had severe lower back pain. After moxa on Yao Yan, the doctor heated a needle in fire and pricked the spot. Initially shallow, pain stopped later. Thus, "fire does not fail people" is credible.
Xu Zhike once had abdominal roaring after flood waters. After recovery, he developed lower back pain preventing flexion/extension. This was likely Kidney meridian affected by water qi. Moxa Shenshu BL-23 thirty-seven times, took Deer Antler Pill to cure. Wang Shi said: I believe moxa on Shenshu is effective for lower back pain preventing flexion/extension; Deer Antler Pill is optional.
Wang Shi said: My brother had severe lower back pain making walking difficult. I used fire needle to frequently prick Shenshu BL-23 lightly, restoring normal gait. No moxa initially. Many people with hunchback came for point moxa. I suspected tendon disease, pointed Yanglingquan GB-34, told them to moxa at home. It cured. Yanglingquan is the Hui of Tendons. Thus, lower back pain should not rely solely on Shenshu BL-23, ignoring other points.
For hunchback pulling neck tendons, weakness: Fengchi GB-20.
For stiff waist: Feishu BL-13.
For lower back pain like breaking, knotting, deafness, aversion to wind/cold, vertigo, inability to turn neck, red/rotten inner canthus: Shugu BL-65.
For lumbosacral cramping pain: Baihuan Shu BL-30.
For lower back pain preventing turning: Zhangmen LR-13.
For unavoidable lower back pain: Moxa Baihuan Shu BL-30 twice, and Yao Mu seven times.
For lower back pain radiating to testicles, sudden lower abdomen/thigh pain preventing flexion/extension: Qi Chong ST-30.
For sudden qi stagnation, lower back pain preventing flexion/extension: Prick Shen Dao GV-11 (Foot-Taiyang Luo) twice. Then Xingjian LR-2 (Foot-Jueyin) twice.
For chronic deficiency lower back pain recurring after needling, heavy waist unable to lift: Take meridian blood to cure. Prick Weizhong BL-40 (Foot-Taiyang) twice.
For persistent lower back pain unresponsive to needling: Prick Baliao BL-31-34 to cure.
For unbearable lower back/shoulder pain: Prick Fengchi GB-20 (Foot-Shaoyang) twice. Then Hegu LI-4 (Hand-Yangming) twice. Then Kunlun BL-60 (Foot-Taiyang) twice.
For chronic Kidney deficiency lower back pain: Prick Jianjing GB-21 (Foot-Shaoyang) twice. Then Shenshu BL-23 (Foot-Taiyang) twice.
For internal radiating lower back/spine pain preventing flexion/extension, upper pain: Prick Hegu LI-4 (Hand-Yangming) twice.
For internal radiating lower back/spine pain preventing flexion/extension, lower pain: Prick Kunlun BL-60 (Foot-Taiyang) twice. Then Fuliou KI-7 (Foot-Shaoyin).
For spinal stiffness/opisthotonos: Prick Yamen GV-1 (Du Mai). Cured immediately.
For lumbosacral pain preventing turning: Prick Huantiao GB-30 (Foot-Shaoyang) twice. Then Qiuxu GB-40 twice.
For sprain lower back pain, displaced qi lower back pain, and visceral qi deficiency: Prick Qihai CV-6 (Ren Mai) with Yuanli needle. Deep 1 cun for fat, 0.5 cun for thin. Three tonifying, three reducing. Wait for sensation of fullness/pain above/below umbilicus. Hold 25 breaths. Press firmly with left hand, insert with right hand for 3 breaths. Hold 25 breaths. Continue insertion. Sensation of warm qi from external kidneys entering lower abdomen. Excellent effect.
For immobile lower back pain: Stand upright. Measure from ground to umbilicus with staff. Measure from staff end to back. Mark three points one cun lateral to spine. Moxa three times each. Removes root cause.
For reverse lower back blood pain (sudden turning pain): Moxa Yao Yan seven times.
For lower back pain preventing flexion/extension, difficulty turning, chills/fever, increased appetite, emaciation, yellow-black face, blurred vision. Also for accumulation cold qi labor disease in men/women: Shenshu BL-23.
For lower back pain preventing flexion/extension, paraspinal pain responsive to pressure: Moxa from neck to this point for immediate cure. Point: Zhonglv Shu BL-27.
Dan Liao Fang records: Xu Xi, courtesy name Qiufu, unknown origin. Served as Sheyang Magistrate. Skilled in medicine, famous nationwide. Heard ghost wailing at night. Asked why crying. Ghost replied: Name Si Jie, from Dongyang, died of lower back pain. Pain unbearable even as ghost. Requested help. Qiufu said ghosts have no form. Ghost said: Bind straw into human shape, prick acupoints. Qiufu did so, pricked four points on Yao Yan, two on Jianjing. Buried with sacrifice. Next day, a man thanked him, saying illness removed, hunger solved. Disappeared. Called spiritual. Sons Daodu and Shuxiang mastered his skills.
For lower back/sacrum radiating to lower abdomen, involuntary urination: Yinbao LR-11.
For waist feeling like cold water: Yinshi ST-31.
For lumbosacral swelling, heel swelling: Kunlun BL-60.
For abdominal disease lower back pain, Cold Bladder with fluid retention, diarrhea: Moxa Xiaji Shu BL-32. According to age.