Clinical Manifestations

The patient feels pain at one side or both sides of the waist, sometimes the pain is severe and sometimes weaker. It becomes worse after a long period of standing or sitting or overwork. After a rest, the pain will be relieved. Sometimes the patient

Fig. 91

may also have such symptoms as scoliosis, lumbar muscle spasms and lower limb

Practise "l or 2 times a day, 15 to 30 minutes each time. See the previous section of prolapse of lumbar intervertebral disc.

2) Breath-adjusting and Waist-strengthening Exercise

Practise 1 or 2 times a day, 15 to 30 minutes each time. See the previous section of prolapse of lumbar intervertebral disc.

Practise 1 or 2 times a day, 10 to 20 minutes each time. See the previous section of acute lumbar sprain.

4) Abdomen-contracting and Waist-lowering Exercise

Lie on the back. Tense the abdominal muscles and iliopsoas muscles in order to force the lumbar vetebra to touch the bed. Meanwhile, limit the abdominal respiration method and use more natural chest respiration method, but don't hold the breath. Keep this state as long as possible, according to your own constitution. Return the original posture and rest for a while when you are tired.

a. Relax all the muscles in the body, bend the knees a little, then walk backward with the same pace as you walk forward. While walking, clench the fists with the four fingers covering the thumb, and swing the arms back and forth gently and b. Arms akimbo with the thumbs backward and other fingers forward, press the thumbs on the Shenyu points and massage the points once every step. While walking backward, inhale through the nose and exhale through the mouth natur-

Practise once every morning, 5 to 6 minutes each time, walking for about 100

6) Longevity Exercise, Sinew-transforming Exercise, Eight Pieces of Brocade Exercise, the Five Animals Frolic and other Qigong exercises can be practised according to the constitution and state of illness of the patients. See Chapter Two

3. Sample Case

Ms. Zhu, 55 years old, suffered from waist pain on the left side, which could be relieved only after rubbing for several times. In recent years, the pain got worse and spread to the buttocks and thighs, especially in the rainy season and changable weather. The pain was often accompanied by tingling and swollenness making her incapable of standing for a long time. After the hospital examination, she was diagnosed as having lumbar muscle strain. She began to practise Qigong exercises and often massaged the waist herself. The symptoms were relieved a month later. By three months later she had recovered, returned to work and was doing some housework as well. Now she is continuing the Qigong exercises to strengthen the

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