Is waist soreness due to kidney yin deficiency or kidney yang deficiency

Lumbar soreness may be a manifestation of kidney yin deficiency or kidney yang deficiency, and should be judged comprehensively in combination with other symptoms. Kidney yin deficiency is usually accompanied by hot flashes, night sweats, restlessness of the five hearts, and red tongue with little coating; Kidney yang deficiency often results in cold limbs, clear and long urine, pale and chubby tongue with tooth marks. Both can be improved through TCM syndrome differentiation and regulation.

1. Kidney Yin Deficiency and Lower Back Acid

Kidney Yin Deficiency and Lower Back Acid are often caused by prolonged illness, excessive sexual activity, or heat related injuries to the yin. Typical symptoms include soreness, weakness, and burning sensation in the waist, which may worsen in the afternoon or at night, and may be accompanied by tinnitus such as cicadas, insomnia, and dry throat and mouth. For recuperation, traditional Chinese patent medicines and simple preparations such as Liuwei Dihuang Pill and Zuogui Pill can be used to nourish kidney yin. Black sesame, mulberry, tremella and other yin nourishing ingredients can be eaten daily to avoid spicy and hot food.

II. Kidney Yang Deficiency and Lower Back Acid

Kidney Yang Deficiency and Lower Back Acid are often caused by old age and physical weakness, prolonged residence in cold and damp environments, or overeating and consuming raw and cold foods. Manifesting as cold pain in the waist, preferring warmth and pressure, worsening when exposed to cold, possibly accompanied by lower limb edema, decreased sexual function, and frequent nocturia. It is recommended to use Jin Kui Shen Qi Wan and You Gui Wan as isothermal kidney yang tonifying drugs for conditioning. Dietary therapy recommends foods such as lamb, walnuts, and chives as isothermal tonifying foods. Pay attention to keeping the waist and abdomen warm and avoid cold water stimulation.

III. Mixed Kidney Deficiency

Some patients may experience symptoms of both yin and yang deficiency, such as both hand, foot, and heart heat, as well as fear of cold and coldness. In this case, traditional Chinese medicine practitioners need to comprehensively differentiate the symptoms through pulse and tongue diagnosis. Guilu Erxian Gum, Qibao Meiran Dan and other yin and yang tonics are commonly used. For dietotherapy, they can be paired with yam and medlar Congee to avoid overwork and staying up late.

IV. Key Points for Identification

The core of distinguishing between kidney yin deficiency and yang deficiency lies in the manifestation of cold and heat: yin deficiency generates internal heat, often accompanied by red, dry, and hot signs; Yang deficiency leads to external coldness, often accompanied by white, moist, and cold symptoms. However, in clinical practice, it is common to have mixed syndromes of deficiency and excess. For example, patients with yin deficiency and excessive fire may experience false cold symptoms, which need to be distinguished through tongue and pulse analysis.

Fifth, Daily Care

Regardless of the type of kidney deficiency, it is necessary to control sexual activity and avoid sitting for too long, which can harm the waist. For those with yin deficiency, it is advisable to supplement kidney yin between 17-19 o'clock in the hour of You, and massage the Yongquan acupoint; For those with yang deficiency, it is advisable to warm up the yang between 5-7 o'clock during the Mao period and apply moxibustion to the Mingmen acupoint. Tai Chi, Ba Duan Jin and other gentle exercises can help improve the circulation of kidney qi.

It is recommended that patients with long-term lower back pain seek medical treatment as soon as possible to avoid self medication and delay the condition. The regulation of kidney deficiency needs to be gradual, combined with regular sleep and emotional regulation. In winter, it is advisable to increase warm and nourishing diets appropriately, and in summer, avoid indulging in cold drinks. Regularly review changes in tongue coating and pulse, and adjust the conditioning plan according to the constitution.