Clinical Manifestations
  • Piriformis syndrome is an uncommon neuromuscular disorder that is caused when the piriformis muscle compresses the sciatic nerve. The piriformis muscle is a flat, band-like muscle located in the buttocks near the top of the hip joint. This muscle is important in lower body movement because it stabilizes the hip joint and lifts and rotates the thigh away from the body. This enables us to walk, shift our weight from one foot to another, and maintain balance. It is also used in sports that involve lifting and rotating the thighs -- in short, in almost every motion of the hips and legs.

    The sciatic nerve is a thick and long nerve in the body. It passes alongside or goes through the piriformis muscle, goes down the back of the leg, and eventually branches off into smaller nerves that end in the feet. Nerve compression can be caused by spasm of the piriformis muscle.

Treatment Principle
Herb Formulas
  • GB-30, UB-54, Ahshi points on the buttocks. After this, burn three cones of warm needle moxibustion on the handles of the needles. At the same time, needle GB-34, UB-40, UB 57, UB-58, UB- 60
Clinical Manifestations
  • A cool sensation, heaviness and pain in the low back and buttocks area
  • Difficulty turning the waist
  • Impaired walking
  • Pain worse in damp, cold or changeable weather
  • T: Normal
  • C: Slimy
  • P: Deep and slow
Treatment Principle
  • Expel Wind
  • Warm Cold
  • Eliminate Dampness
  • Stop pain
Herb Formulas
Clinical Manifestations
  • Hip and thigh pain which is worse premenstrually or after prolonged inactivity and is better with exercise
  • Premenstrual breast distention and pain
  • Irritability
  • Fatigue
  • Loose stools
  • Constipation or
  • Alternating dysmenorrhea and constipation
  • Abdominal distention
  • Possible dysmenorrhea
  • T: Pale and dark
  • C: White
  • P:Thready and wiry
Treatment Principle
  • Regulate the Liver
  • Resolve Stagnation
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Clinical Manifestations
  • An enduring condition in an older commonly thin patient
  • The pain is worse in the evening and after periods of inactivity and better with moderate exercise
  • The pain is worse wit excessive activity
  • A liking for pressure or massage in the area
  • Dizziness
  • Insomnia
  • Tinnitus
  • Palpitations
  • Age spots
  • Dry, scaly skin
  • Low back and knee soreness and weakness
  • Muscle withering
  • Weakness in the lower limbs
  • Possible dry mouth and throat
  • T: Red
  • C Little or None
  • P: Thready, wiry and rapid
Treatment Principle
  • Tonify and nourish the Kidneys and Liver
  • Invigorate the Blood
  • Strengthen the low back
Herb Formulas
Clinical Manifestations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • In severe cases:
    Edema of scrotum
  • T: Pale and swollen
  • C: Thin, white or Thick, white and sticky
  • P: Deep and thready
  • With Water Flooding the Lungs:
    Cough with copious, thin watery phlegm
    Asthma with phlegmy sound (wheezing)
    Facial edema
    Edema of limbs
    T: Pale and swollen
    C: White and moist or White and greasy
    P: Superficial and tight
Treatment Principle
  • Warm Kidneys
  • Promote diuresis
Herb Formulas
Clinical Manifestations
  • Aching bones and joints
  • Muscle ache
  • Whole body pain
  • Aversion to Cold, especially at the back
  • Cold limbs
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Maybe fever
  • No thirst
  • T: Normal
  • C: White and slippery
  • P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle
  • Dispel Cold
  • Warm the channels
  • Assist Yang
  • Dispel Dampness
  • Relieve pain
Herb Formulas
Clinical Manifestations
  • A history of traumatic injury to the low back and/or hip area
  • Severe pain
  • Enduring pain
  • Fixed pain
  • Pain is worse at night
  • Pain extends from the low back to the thigh, possibly radiating to the lower thigh and lateral leg
  • Pain worse with pressure
  • Possible pain on coughing
  • Possible palpable cords or hardness in the buttock area
  • Possible restricted movement of the lower limbs
  • Possible systemic symptoms of Qi and Blood Stagnation:
    Premenstrual breast distention and pain
    A dark, sooty facial complexion
    T: Dark and purplish with possible maculae or spots
    C: White
    P: Wiry and choppy
Treatment Principle
  • Move Qi
  • Eliminate Stagnation
  • Invigorate the Blood
  • Break up Stasis
Herb Formulas
  • SP-10, UB-54, Ahshi points on the affected side, with a visible purple vein in the area, bleed UB-40
    For low back pain: + DU-3, UB-23
    For pain radiating to the lateral side of the leg: + GB-34, GB-39
    For pain radiating to the calf: + UB-57
    For pain in the lateral side of the feet: + Bafeng, UB-60