Home Community Forum Classical Acupuncture Herniated Disk

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  • #1458
    Antoine Mulpas
    Participant

    Hello everyone,

    I have a patient with a pronounced herniated disk L4-L5, with pain radiating from the sacrum to the ankle during the acute phase. With Sinew channels treatment on KI/SP/BL, the pain is now only felt at the end of the day after working. If resting, no pain at all.
    I was wondering if by resuming the treatments on the Sinews it can have an effect on the disk it self ? Or maybe another group of channels such the Divergent would be more appropriate if we can have a positive effect on it at all ?
    Thank you!
    Antoine

    #1472
    Cody Dodo
    Keymaster

    Hi Antoine,
    Divergent treatment would suggest that the pathogen is in latency. You can choose it to strengthen Wei Qi and affect the bone since you are dealing with Yuan level energetic (Bone). In this case, you can do BL divergent. It would free up the lower back and boost Wei qi to resolve the issue.
    Other things to consider if you are entering the Divergent arena is the availability of resources. If they are dehydrated or have deficient blood – you might choose advance confluences such as ST or GB divergent (respectively)

    good lick,
    cody

    #1525
    Antoine Mulpas
    Participant

    Hello Cody,

    Thank you for your answer. Can we say that all herniated disk are pathogens in latency or is it a far reach ? If so, work on the Sinew channels only will not bring any satisfying results ?
    I am not really familiar with the Divergent channels, never studying them with an experienced teacher. Only from the books. So I think I will not enter this arena for now. Do you it can be working on from the Primary + Sinew channels only ? If so, do you have any recommendations regarding the treatment ?
    Thank you,
    Antoine

    #1545
    Cody Dodo
    Keymaster

    Well, the idea is that we can address any issue from the perspective of any channel system. So If your focus is Sinew channels – we will deduct that the herniation is a result of very tight paravertebral muscles. so you will keep working on Tai Yang Sinew. If the area feel cold to the touch – you can add Moxa.
    If you want to involve Primary points you can add Spring or River points to address inflammation.
    But – If you are looking at it as a “bone” issue (Yuan level) you will end up either in the Divergent Channels or the Eight Extra – specifically the Qiaos – they affect structure and bones.

    #1546
    Antoine Mulpas
    Participant

    Thank you Cody, I understand now more the difference between Sinew/Divergent in the approach. I tend not to look at hernia as something related to the “bone”, as in my head it is not something that classically we may not have known. I see the point now and change my mind about it.

    I have a last question about the Sinews, can we also use the Kidney sinew ? As it goes to the spine directly, and as it is a chronic condition we may say that the pathogens are deeper thus affecting Bladder and Kidney Taiyang/Shaoyin. Would it be correct to focus the treatment on these two channels in addition of the sinew releases of DU-4 and DU-14 ?

    #1638

    Hello Antoine,

    Thanks for being with us.
    Remember to diagnose using movement assessment! This is the most important aspect of sinew treatments. So if the patient with the L4 herniation reports that the most difficult movement is putting his ankle up on the opposite thigh, then yes, KI sinew is your sinew. Note that you’ll use GV-4 anyway. But L4 could be many sinews: ST, BL, KI. If you decide to use KI and BL, be sure to treat KI sinew first because it is more interior. All the best in your treatment.

    xAnn

    #1649
    Antoine Mulpas
    Participant

    Hello Ann,

    Thank you for the answer, I will pay more attention to the movement assessment from now on !
    Antoine

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