30/09/2025
TCM Doctor's Notes | Formula for Lumbar Disc Herniation, Spinal Stenosis & Osteoarthritis
- Dr. Elaine
Caption:
Struggling with low back pain, sciatica, or stiffness from conditions like Lumbar Disc Herniation, Spinal Stenosis, or Degenerative Osteoarthritis?
From a Traditional Chinese Medicine (TCM) perspective, the root cause often lies in "Liver and Kidney Deficiency" (weakening the tendons and bones) combined with "Blood Stasis and Qi Stagnation" (causing pain and numbness).
Let me break down a foundational clinical formula that addresses both the root and the symptoms.
🌿 The Formula & Its Logic 🌿
· Monarch (Core Herbs): Astragalus, Rehmannia, Deer Antler Powder
· Tonify Qi and essence, strongly nourish the Kidneys to strengthen bones and marrow. They are the foundation.
· Minister (Support Herbs): Angelica, Achyranthes, Drynaria, Cibotium
· Nourish Blood, invigorate circulation, and guide the formula's action downward to the lower back and knees. They are the specialized repair crew.
· Assistant & Envoy (Activation Herbs): Earthworm, Frankincense, Myrrh, Millettia, Corydalis
· This is the "dredging team." They invigorate blood, dissolve stasis, unblock the meridians, and relieve pain.
💡 Primary Effects 💡
· Tonifies the Liver and Kidneys
· Strengthens Tendons and Bones
· Activates Blood Circulation
· Removes Blood Stasis
· Relieves Pain
It is suitable for patterns like Kidney Yang Deficiency, Liver/Kidney Yin Deficiency, and Bi-Syndrome (rheumatic pain), especially manifesting as soreness, weakness, and coldness in the lower back and knees.
✨ Clinical Modifications Guide ✨
True TCM is personalized. This base formula is often modified:
· Kidney Yin Deficiency (restlessness, night sweats): Add Lycium Berry, Turtle Shell.
· Kidney Yang Deficiency (cold limbs, severe fear of cold): Add Aconite, Cistanche.
· Liver Qi Stagnation (irritability, rib-side discomfort): Add Bupleurum, Cyperus.
· Spleen/Stomach Weakness (poor appetite): Add Tangerine Peel, Chinese Yam.
· Phlegm-Dampness (heavy, swollen joints): Add Mustard Seed, Ginger, Pinellia.
· Severe Blood Stasis (stabbing, fixed pain): Add Horsefly, Leech (use with caution under guidance).
⚠️ Important Disclaimer:
This is a professional TCM formula for educational purposes only. DO NOT self-prescribe. The herbs have strong actions and require precise diagnosis by a licensed TCM practitioner. Please seek a professional consultation for a tailored treatment plan.
Healing is a journey. Wishing you strong and flexible bones and joints!
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