Author: Zhu Yongbing, Licensed Traditional Chinese Medicine Practitioner (Practice License Number: 241340321000051) This article is written by Dr. Zhu Yongbing, based on classical theories of Traditional Chinese Medicine and clinical experience, and is intended for general knowledge and educational purposes only. The professional qualifications can be verified on the official website of the National Health Commission of China.
The "Golden匮要略" (Jin Gui Yao Lue) states: "The disease of 'Shen Zhe' is characterized by a heavy body, coldness in the lower back, as if sitting in water... There is no thirst, urination is normal, and appetite remains unchanged, indicating a disease of the lower jiao." Zhang Zhongjing's description of this "coldness in the lower back and a heavy body as if sitting in water" is strikingly similar to the沉重 and achy sensation in some women's lower backs during menstruation. This "Shen Zhe" is not due to kidney deficiency, but rather the attachment of cold and damp pathogenic factors.
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The Pathogenesis and Clinical Manifestations of "Shen Zhe"The pathogenesis of "Shen Zhe" is rooted in the invasion of cold and dampness into the body, which leads to the accumulation of these pathogenic factors in the lower jiao. The clinical manifestations include coldness and pain in the lower back, a feeling of heaviness, and sometimes even numbness. These symptoms are often exacerbated during menstruation due to the body's weakened defense against external factors.
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Regulation of Menstrual Back Pain Based on "Shen Zhe"The treatment of menstrual back pain based on "Shen Zhe" focuses on expelling cold and dampness, strengthening the kidney, and regulating the Qi. Acupuncture and moxibustion are commonly used to treat this condition. Acupuncture points such as Ren 4 (Kidney 4), Ren 6 (Kidney 6), and BL 23 (Shuigou) are often selected to relieve pain and improve circulation. Moxibustion can be applied to these points to enhance the therapeutic effect.
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Preventive Measures and Daily CareTo prevent menstrual back pain, it is important to maintain a healthy lifestyle. This includes avoiding exposure to cold and damp environments, wearing warm clothing, and engaging in regular physical exercise. Additionally, proper diet and emotional balance are crucial. Foods that are warm and nourishing, such as ginger, garlic, and black beans, can help expel cold and dampness. Stress management techniques, such as meditation and yoga, can also be beneficial.