Diagnosis and Differentiations:
This case is an acute lower back pain due to wind-cold blocked the meridians (muscles). Or say myofibrositis.
The patient had no injury or big movement, no nerve pain signs. Although there was deep pressing pain on the lumbar spine (L4~5, L4~S1), but the pain feeling of the patient and touching feeling of mine was different from arthritis pain. The pressing pain is more likely coming from the deep tissues than the spinal joints. Also the time when the patient got the pain was during the weather change.
Didn’t check the tongue, because it is a meridian disorder, the tongue won’t show anything about it, and may confuse the diagnosis. Same thing happened on pulse check (unless the high pulse check skill may tell this kind of body situation).
Needle technique:
Although this is an excessive case, and the reducing technique was used, but I didn’t give strong stimulations. This is the point I’d like to discuss: [color=red:0891983cde] REDUCING DOES NOT MEAN STRONG STIMULATION. [/color:0891983cde]
Reducing or tonifying, is the result of the patient’s reaction of the needle techniques. Gentle or strong stimulation is the practitioner’s choice of the needle techniques. As a practitioner, to choose to give strong or gentle stimulation is not only depending on excess or deficiency, but also on the shape (Xing) and Qi of the certain patient.
Back to this case, the lady is quite skinny, she was quite sensitive to the needles too, and the pathogen was not deep. So I decided to use gentle way, and the result proved it was right.
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A practitioner from BC Canada |