↑ reinforcing ↓ reducing ⊥ even method.
1. Painful Obstruction with Wind-Cold-Damp
Clinical manifestations: Deep aching pain worsening with cold or wind, stiffness and limited hip range of motion, heaviness or numbness in the buttock, pain relieved by warmth and gentle movement, aversion to cold or drafts.
Tongue: Pale, slightly swollen body with teeth marks and white greasy coating. Pulse: Wiry and tight, or slow and soggy.
Treatment principle: Warm the Spleen and Kidney Yang, dispel Cold, and dry Dampness to unblock the channels in the buttocks.
Note: moxa applicable on the tonifying points given the Cold. No deck on this site has a combined Wind-Cold-Damp Bi-syndrome slide, a confirmed and recurring absence, so no pattern link is given here.
Clinical manifestations: Fixed stabbing pain in the buttock, pain radiates down the thigh or calf, worse with prolonged sitting or inactivity, worse with pressure or touch, irritability or frustration, history of injury or poor posture.
Tongue: Purple or dark body with stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy.
Treatment principle: Move Qi and Blood in the channels, especially for fixed stabbing pain in the buttocks and legs.
Note: no moxa. Matches this site's Liver-Blood stasis slide — a purple/dark tongue with stasis spots is the same discoloration marker named there.
3. Painful Obstruction due to Damp Heat in Channels
Clinical manifestations: Buttock feels hot and swollen, pain worsens with warmth, heavy aching sensation, thirst and dark urine, irritability.
Tongue: Red body, possibly swollen, with yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clear Damp-Heat from the lower body channels and relieve pain.
Note: no moxa. No deck on this site has a dedicated Damp-Heat-in-channels Bi-syndrome category, a confirmed and recurring absence, so no pattern link is given here.
Clinical manifestations: Cold dull aching pain in the buttocks, pain better with warmth and worse with cold, frequent urination especially at night, low energy and desire to sleep, soreness and weakness in the lower back and knees.
Tongue: Pale, puffy, tender body with teeth marks and wet white coating. Pulse: Deep, slow and weak, especially at rear positions.
Treatment principle: Tonify Kidney-Yang to strengthen the body's ability to warm and protect the lower back.
Note: moxibustion strongly indicated throughout. Direct match with this site's own Kidney-Yang-deficiency slide.
5. Qi and Blood Deficiency
Clinical manifestations: Dull persistent ache, worse after exertion or prolonged standing, general fatigue and weakness, pale complexion and lips, dizziness or lightheadedness, numbness or tingling in the limbs.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, especially at right Guan.
Treatment principle: Tonify both Qi and Blood, rebuilding the nourishment that the buttock muscles and sinews need.
Note: moxa applicable on the tonifying points. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.