Volume 9, Number 4 | Winter 2014

Clinical Report 1 (Acupuncture)
A Case of Acute Low Back Pain that Developed in a
Severely Stressed 58-year-old Woman
Motoko Otsuka
Acupuncture and Moxibustion Care Unit
East Asian Traditional Medicine
Ehime Prefectural Central Hospitalincreased before the background of her chiefcomplaint and on October 31 she quit her job.
Overall blood stagnation developed superimposed on
theReporting the good outcome we obtained bytreating GV11 in a patient in whom acute low backpain developed under stress.

pain, heaviness); Ⓑ heaviness from the neck downto the handunderstressful working conditions at the workplacebecame a burden and conceivably led to the onset of○ Analysis of the point locations
Congestions: neck,
Fine floating vessels, GV14, GV4, GV3

Pressure hypersensitive indurations: BL10, GB21,BL43, BL14, right BL18, BL27, BL58, LI11, ST36,
GB34, stuffiness and rigidity below the heart○ Treatment○ Present illness:

Moxibustion points: GV11, LI11, ST36, SP6

low back pain (centrally) of

Micropuncturing: GV12, GV4, GV3, BL43, BL18

unknown origin developed. In a local orthopedicKampo medicine: Keikyososooushinbuto 桂姜草棗

clinic a "lumbar spondylolisthesis" was diagnosed
and healed in 2-3 days. Later, the condition Ⓑ
developed also of unknown cause. The patient wasdiagnosed with "(mild) cervical herniated disk" andtreated with hot packs and traction, which remainedineffective. On November 7th the symptom (Ⓐ, left)developed, when the patient tried to carry somebaggage. On November 8th she received massage
treatment decreasing the pain scale score 10→7 andlater on November 11 she visited our clinic in thatcondition.
she黄辛附湯 (decoction)○ CourseⒶ

improved day by day and regarding Ⓑ

afavorable course was observed too, so that by thefourth treatment session the Kampo medicine wasdiscontinued. From the sixth treatment session theintervals were changed from 4 to 6 weeks.
[Discussion, conclusions]
In our clinic we use GV11 based on a restored copyof the "Hall of Brilliance Canon (Ming Tang JiuJing)" as our main therapy to treat health problems○ Chronological analysis
sufferedfromrepeatedtonsillitis and was very short-tempered. Since hermenarche she experienced menstrual pain (low backpain) and approximately from the age of 20
symptoms like shoulder stiffness and constipation
also appeared. At the age of 28 she had a trafficof the shoulders, abdomen and back originating frommental or emotional disorders. On this occasion weadded treatment of GV11 to the local treatment for
the low back pain that developed before abackground of mental burden and think, it probably
led to an interruption of a vicious circle.

accident causing hip joint and pubic bone fracturesand later led to occasional low back pain attacks. By
the age of 45 menopause was artificially induced
through a surgery for a myoma of the uterus.

18

constitution,(GV11 maximum), BL52, BL57, CV9, SP6, KI3○ Chief complaint: Ⓐ low back pain (sort of pullingchildhooddetoxication

Pressure hypersensitive depressions: GV12 – GV10

[Patient] 58-year old female

Since

original

her condition.

[Purpose]

In August X-4 Ⓐ

In X-4 the stress with her superiors at work

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)