(1) Herbal Therapy
1) Internal Medicine
a. Syndrome due to invasion of wind, cold, dampness and evil
Therapeutic methods: Expelling wind and cold, dispelling wind and dampness.
Prescription: Duhuo (Radix Angelicae Pubescentis) 6g; Radix Gentianae Macrophyllae (Qinjiao)12g; Radix Saposhnikoviae (Fangfeng) 6g; Herba Asari (Xixin) 3g; Chuanxiong (Rhizoma Chuanxiong) 6g; Radix Angelicae Sinensis (Danggui) 12g; Radix Rehmanniae (Shengdihuang) 15g; Radix Paeoniae Alba (Baishaoyao) 10g; Poria (Fuling) 12g; Juchong Rougui(Baked cinnamon)1g; Cortex Eucommiae (Duzhong) 12g; Radix Achyranthis Bidentatae (Niuxi) 6g; Radix Codonopsis (Dangshen) 12g; Radix Astragali (Huangqi) 12g; Xuduan(radix dipsaci)12g; Radix Glycyrrhizae (Gancao) 3g.
Administration: Decoct the above drugs in water for oral application. Once a day.
b. Syndrome due to accumulated of heat and dampness, and blockage of meridians
Therapeutic methods: Clearing away heat and removing dampness, relaxing tendon to relieve pain, accompanied with dispelling wind and cold.
Prescription: Cortex Phellodendri (HuangBai) 12g; Niuxi ( radix achyranthis bidentatae) 12g; Semen Coicis (Yiyiren)15g; Chuanxiong( Rhizoma ligustici ) 6g; Danggui( Radix angelicae sinensis) 9g; Mahuang (ephedra) 6g; Guizhi (Ramulus cinnamomi) 9g; Rhizoma et Radix Notopterygii (Qianghuo) 10g; Duhuo (radix angelicae pubescentis) 10g; Fangfeng( Radix ledebouriellae) 9g; Zhichuanwu(Radix aconiti preparata) 6g; Cangzhu (Wordlike atractylodes rhizonme) 10g; Gancao(Radix glycyrrhizae) 6g; Shengjiang (ginger) 3 pieces.
Administration: Decoct the above drugs in water for oral application.
c. Syndrome due to stagnation of blood and blockage o f meridian
Therapeutic methods: Promoting flow of qi and blood circulation, removing meridian obstruction to relieve pain
Prescription: Qinjiao(Gentiana) 9g; Chuanxiong(Rhizoma ligustici) 9g; Honghua( flowers carthami) 6g; Semen Persicae (Taoren) 6g; Gancao(Radix glycyrrhizae) 3g; Qianghuo (Notopterygium) 9g; Myrrha (Moyao) 9g; Wulingzhi(trogopterus dung) 9g; Xiangfu(rhizoma cyperi)9g; Niuxi (radix achyranthis bidentatae) 9g; Danggui( Radix angelicae sinensis) 15g
Administration: Decoct the above drugs in water for oral application.
d. Syndrome due to deficiency of kidney-Qi and meridian dystrophy
Therapeutic methods: Nourish kidney and strengthening meridians accompanied with removing meridian obstruction
Prescription: Radix Rehmanniae Praeparata (Shudihuang) 24g; Rhizoma Dioscoreae (Shanyao) 12g; Shanyurou( cornelian cherry meat) 12g; Poria (Fuling) 9g; zexie(rhizoma alismatis) 9g; Danpi(Cortex Moutan )9g; Paofuzi( roasted monkshood) 3g; Guizhi(Ramulus cinnamomi) 3g
Administration: Grind the above drugs into fine powder and then make them into boluses by mixing them with honey; take 9g with boiled water or light saltwater, once to twice a day, or decoct the above drugs in water for oral application.
2) External Medicine
(1) TCM surgical external plaster
External plaster can reach the effect of relaxing meridians and stimulating blood circulation, detumescence and relieving pain, promoting blood circulation and clearing away stagnation, eliminating wind and cold. The plaster can reach to meridians, channels, muscles and bones through skin and arouse the regulatory function of body, thus reach the effect of eliminating detumescence and pain, promoting the blood circulation and function recovery.
(2) It is better not massage and hot compress at the early stage of myfascial injury. When a person had acute injury, it is not right to hot compress and massage the effected part, it will aggravate injury and bleeding. Instead, first, we should practice cold therapy, such as cold water, ice bag, cool towel and so on), thus can relieve pain, stop bleeding, defervescence and detumescence. The injury tissues begins to recover after 24 hours, then we can practice hot compress and massage in order to improve local blood circulation and lymphocinesia and promote metabolism. It is good to recover the injury tissues, absorb the product of metabolism and gore and help injury union.
(2) Acupuncture Therapy
a. Rolling
Rolling patient's waist along with the line of sacrum muscular fiber softly and slowly for 8 minutes, then practicing rolling locally on the effected part, if there is obviously funicular changes, use more strength and pluck the effected part with thumb along with the line of muscular fiber for about 2 minutes.
b. Rubbing with palm
The doctor rubs the soft tissue of waist by circle from up to down with his large and small Yuji, uses certain strength and repeats this action for 7 to 8 minutes, then uses scattered method (Scattered method is to knead, push and massage the patient's effected part to the centrifugal direction)on the back and waist for 2 minutes in order to improve the local blood circulation, pass meridians warmly, promote blood circulation and remove blood stasis, diminish inflammation and relieve pain.
c. Arm moving
The doctor rubs the patient's effected part by semi-circle or circle with the side of his forearm. The touching area of this method is relatively big, practice 5 to 7minutes for each time. Then smooth the muscles locally from up to down along with the line of meridians for about 5minutes.
d. Pressing
Press with both palm, pile up both palms, press the effected part with the root of palm, Yuji or the whole palm, the action should be soft and slow, when certain depth is reached, vortical pressing could be applied, 10 minutes once.
(3) Guasha Therapy
a. Acupoints: Ashi acupoint, Jianyu (LI 15), Jugu (LI16), Quchi (LI 11), Hegu (LI 4), Jianjin (GB21)
Elucidation: Jianyu (LI 15), Jugu (LI16) and Jianjin (GB21) can activate meridians of Yang and Qi warmly and expel cold and relieve pain; Quchi (LI 11) and Hegu (LI 4) clear meridian and Qi of Yang-ming, activate the channels, expel dampness and evil.
Scraping order: pain spot, shoulder, outside elbow and the back of the hand.
b. The Guasha therapy of back myofascitis:
The patient takes a sitting position or lies prone on the bed, exposes the effected part. Disinfect the skin and scraper, then put oil on the scraper. The scraper the operator takes and the patient's back form a 45° angle, scrap area of inside of two shoulder blades, then scrape the two sides of back which belongs to bladder meridian of foot-taiyang, scrap from up to down, from inside to outside, use even and medium hard strength, from light to hard which depends on patient's suffertibility. Repeatedly scrap and scrap as long as possible the circulating part of bladder meridian of foot-taiyang, pain spot and funicular nodule, thus can make scrapping reach to the deep muscle tissues, not only scraping on the surface. Usually the scrapping lasts about 10 minutes, it is better to scrape until the patient feels warm and hot on the back.
(4) Cupping Therapy
a. Acupoints and parts: Fengmen (BL 12), Feishu (BL 13), Quyuan (SI 13), Bingfeng (SI 12), Jiafeng, local pain spot and funicular nodule.
Operation: Take cupping therapy, every acupoint practices cupping for 10-15 minutes each time, once a day, 10 times as a course of treatment.
b. The Guasha and cupping therapy for back myofascitis:
When the patient feels hot and warm on back after scraping, then can practice cupping. Use walking cupping method on the scrapping skin with oil, the operator holds the jar with right hand, push the jar up and down in order to make the skin blush or have blood stasis, this therapy can be practiced once two days, five times as a course of treatment. If the symptoms still disappear after two or three days' rest, practice another course of treatment.
(5) Foot Massage
Basic reflection area: Shoulder, Neck, Lumbar vertebra, Sacrum and Tailbone
Related reflection area: Parathyroid glands, Adrenal gland, Kidney, Ureter and Bladder
Symptom reflection area: upper body lymph and Abdomen lymph
Foot reflexotherapy takes 10-15 times as a course of treatment, 30-40 minutes each time, once to twice a day, 1-2-day break needed between two courses of treatment, foot bath in light saltwater can help recover the sensation of foot to massage.
