Page 8 - 한의타임즈 2021년 12월호

8 광고 Dec 1, 2021 Vol. 33 Hani Times
Herbal Medicine

Finding A Guiding Herb Makes Easier to Find the Most Efficient Formula ⑤ Da Zao(大棗)

Da Zao Treats Hypertonicity of Extensors,

Postural Muscles, and White Tendons.

By Hyunchang Cho, L.Ac., Ph.D ([email protected])

Therefore, Hypertonicity of Da
굴근 屈筋 신근 伸筋
Zao muscles is most commonly
상완삼두근 observed in brachial triceps,
상완이두근 上腕三頭筋 ▶ rhomboids, lumbar erectus
上腕二頭筋
muscles, oblique muscles, rectus
▶
복사근 abdominis (below the navel),
장요근 腹斜筋 inguinal ligament, iliotibial
▶
腸腰筋 tract, Achilles tendon, plantar
요추기립근
▶
▶
▶ 腰椎起立筋 fascia, and such. Patients will
complain of muscle pains in
복직근 ▶ 햄스트링
腹直筋 ▶ Hamstring their nape, shoulder, back, flank,
lower back, lower stomach,
▶
대퇴내측근 ▶ ▶ 내측비복근 In clinical practice, the heel, or sole, all of which are
▶ 大腿內側筋 Hypertonicity of Da Zao muscles mainly located in the posterior
內側腓腹筋
is not limited to the list of Da and lateral sides of the body.
내측비복근 Zao muscles mentioned above. As such, overstrain of Da Zao
內側腓腹筋 Rather, it can be present in muscles can lead to pains
virtually all muscles. But it in the neck, shoulder, back,
Da Zao Shao Yao does appear more often in Da flank, lower stomach, inguinal
Zao muscles. ligament, leg, heel, sole, etc.
△ Da Zao. imageⓒshutterstock_JIANG HONGYAN.

Clinical Expressions

Da Zao * Patients will complain of muscle pains
Symptom Indicator Score+ caused by muscle hypertonicity in the pos-
Frequency of Use+++ terior and lateral sides of the body, man-
ifested as cramping, pulling, Stiffness, or
Main symptoms: dystonia.
① Hypertonicity (extreme tension) of Da Zao muscles (mostly exten-
sor and postural muscles). * Neck stiffness is common. The upper
② Pulling, cramping, twisting, and Stiffness due to Hypertonicity of back and shoulders will feel sore, and a
brachial triceps, rhomboids, lumbar erectus muscles, oblique mus- limited range of shoulder movement will be
cles, rectus abdominis (below the navel), inguinal ligament, iliotibial seen.
tract, Achilles tendon, plantar fascia, and such are common.
* Lower back pain. Holding the same po-
Muscle Test (Palpatory Diagnosis): sition for a long time, such as lying down,
③ Stiffness and tenderness of triceps and rhomboid muscles. If Da sitting, or standing, will aggravate the pain.
Zao muscle signs are positive, you may or may not choose to use Lower back and legs will feel sore.
Da Zao.You can still use Da Zao with negative Da Zao muscle signs.
In short, Da Zao muscle signs are not binding signs, and you can * Flank pain. Due to pulled muscles in the
choose to ignore them. area, patients will be unable to stretch their
sides.

* Lower abdominal pain and menstrual
1. Pharmacological Zao: We can consider Shao that case, we can take such cramps of unknown causes.
Hypothesis of Da Zao Yao for musculoskeletal pain words as expressions of
and Shao Yao ▶Blue due to muscle hypertonicity. muscle hypertonicity and * Muscle pain of the inguinal ligament, or
muscles indicate Shao Yao Suppose the patient says “I consider Da Zao or Shao sometimes genital(testicular) pain.
muscles and red muscles get cramps easily, or have Yao. We can also consider
indicate Da Zao muscles. pulling sensations, stiffness, Da Zao or Shao Yao in other * Growing pains in children/adolescents
muscle twisting, dystonia, disorders if such muscle causing nocturnal leg pains. Sports players
who suffer from cramps after consecutive
2. Clinical Signs of Da contraction and such.”. In hypertonicity exists.
games.* Frequent muscle cramps of the
legs. A stretch or overuse will easily lead to
cramps.
* Hypertonicity of Da Zao muscles such as white tendons of exten-
sor and postural muscles. * Walking or standing for long periods will
cause heel/sole pain. Taking the first step
* Pulling, cramping, twisting, and Stiffness due to Hypertonicity of in the morning will be painful. This is be-
brachial triceps, rhomboids, lumbar erectus muscles, oblique mus- cause heels/soles are mostly white tendons,
cles, rectus abdominis (below the navel), inguinal ligament, iliotibial which means they are Da Zao muscles. In
tract, Achilles tendon, plantar fascia, and such. clinical practice, such pains usually manifest
as heel/sole pain due to Achilles tendonitis.