Heel pain is a chronic pain syndrome caused by calcaneus and surrounding soft tissue injuries. The onset feature is mainly heel pain or soreness. The pain is especially severe when the patient gets up in the morning or after sitting for a long time. The pain relieves after walking for a while, but the pain increases after walking for a long time. It is very common in the elderly. With the aging of the population, the incidence of heel pain is increasing year by year, which affects people's daily life to varying degrees.

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Heel pain belongs to the category of "bone arthralgia", "arthralgia" or "muscle injury" in traditional Chinese medicine. "On the Causes and Symptoms of Various Diseases" refers to the disease as "sudden heel pain", that is, "sudden pain in the heel of the heel... Feet down." The "Danxi Heart Method" calls it "heel pain". Traditional Chinese medicine believes that the most critical internal factors for heel pain are the deficiency of qi and blood and the imbalance of yin and yang in the liver and kidney. What is the relationship between the heel and the kidney so far apart?

"Zhang's Medical General" said: "The liver governs the tendons, and the kidney governs the bones. When people reach middle age, the liver and kidneys are depleted, and the muscles and bones lose their nourishment. If you are not proud, you will suffer." Kidneys store essence, essence produces marrow, marrow is full, and bones are strong. Whether the kidney essence is full or not will affect the metaplasia of bone marrow, thereby affecting the growth of bones. The heel bone bears the weight of the whole body, and kidney deficiency and depletion of essence and blood can easily lead to the loss of bone marrow nourishment of the heel bone and the disease. "On the Causes and Symptoms of Various Diseases" also explains the etiology and pathogenesis of heel pain in detail, "People who are injured by overwork have kidney qi deficiency, and the kidney governs the waist and limbs...strain causes kidney deficiency, and deficiency causes wind-cold, so the waist and feet hurt." In addition, due to the lack of righteousness due to deficiency of the kidney, cold-damp pathogens easily take advantage of the deficiency to invade and stagnate below, resulting in stagnation of heel meridians, internal blockage of blood stasis, and passage without pain. Therefore, heel pain is closely related to human body suffering from a deficiency of the kidney, which is also the reason why this disease mostly occurs in middle-aged and elderly people.

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From the circulation of the meridians, the kidney meridian passes through the heel. "Lingshu Jingjin" records: "The tendon of foot Shaoyin starts from under the little finger and enters the center of the foot...the tendon turns under the foot, and those who pass and knot are painful and turn the tendon." The heel is the kidney meridian. Mainly, the foot-shaoyin kidney meridian starts from under the little toe of the foot, obliquely to the center of the foot, exits under the tuberosity of the navicular bone, goes along the back of the medial malleolus, and enters the heel. According to the relationship between pain and kidney deficiency, when treating this disease, it can also be treated from the kidney.

Massage the kidney meridians. Rangu Point and Taixi Point are recommended. Rangu point is the intersection of flexor toes longus and abductor hallucis. Massaging and kneading can effectively relieve the tension of the plantar fascia. Taixi point is the Shu point and Yuan point of the Kidney Meridian of Foot Shaoyin. "Difficult Classics Sixty-Eight Difficulties," says: "The main body of the infusion has severe joint pain." It shows that Taixi point is suitable for people with heavy limbs, swelling, inconvenient movement, or sore joints. Massaging and kneading can effectively relieve pain.

Massage Shenshu. Shenshu is the acupoint on the back where kidney qi infuses. Pressing Shenshu acupoint and adding moxibustion as appropriate can make yang qi gradually grow, tonify deficiency and warm yang, which can nourish kidneys and strengthen bones, strengthen muscles and bones. Clinical observations and studies have shown that for patients with unilateral heel pain, the waist and thigh muscles are easily affected by stretching during compensatory walking, so the waist and thigh muscles can be loosened while rubbing Shenshu muscle.

Chinese medicine is taken orally. Treating the kidney plays a therapeutic role by dispelling rheumatism, nourishing the liver and kidney, and strengthening the bones and muscles. The Duhuo Jisheng Decoction in "Prescriptions for Emergency Prescriptions" is commonly used, which can benefit the liver and kidney, replenish qi and blood, and relieve pain.

Traditional Chinese medicine foot bath. The traditional Chinese medicine selected into the kidney meridian should be washed outside the foot bath every day, such as Duhuo, Sangjisheng, Eucommia, etc.

Daily maintenance. After the patient has heel pain, he should try to avoid bearing weight on the affected foot, and pay attention to keeping the heel warm. He should choose suitable soft-soled shoes for daily use. Heel pads or soft insoles can be added to the heel of the shoes to reduce the pressure on the feet.

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