Coccyx Pain - Wind-Cold-Damp Bi Pattern
TCM differentiation and treatment for coccyx pain with
Coccyx Pain · Wind-Cold-Damp Bi Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 6 min
Body Area: Lower Back
Pattern Overview
Wind-Cold-Damp Bi is a common pattern in coccyx pain, characterized by
**cold-dampness type pain, heavy sensation, and aggravation in cold and
damp weather. The core pathogenesis is invasion of Wind-Cold-Damp
pathogens into the coccygeal region**, causing obstruction of Qi and
Blood flow and chronic pain.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
cold/damp weather |
| Associated Symptoms |
|---|
sitting tolerance |
| Tongue and Pulse |
|---|
floating and tense pulse |
| Pathogenesis |
|---|
collaterals |
| Etiology |
|---|
surfaces |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| DU1 Changqiang |
|---|
anus | Local point; treats coccyx pain |
| BL32 Ciliao | In the second sacral foramen |
|---|
sacral pain |
| BL23 Shenshu | Lower back, 1.5 cun lateral to L2 |
|---|
Qi; disperses Cold-Damp |
| Ashi points | Tender spots around the coccyx |
|---|
and meridian unblocking |
Clinical Recommendation: Filiform needle, even method; moxibustion
may be added to warm the meridians and disperse cold and damp.
Herbal Formula
Base Formula: Du Huo Ji Sheng Tang (独活寄生汤)
Composition:
Angelica pubescens (Du Huo), Loranthus (Sang Ji Sheng), Eucommia (Du
Zhong), Achyranthes (Niu Xi), Angelica (Dang Gui), Chuanxiong (Chuan
Xiong), Rehmannia (Shu Di), White Peony (Bai Shao), Ginseng (Ren Shen),
Poria (Fu Ling), Licorice (Gan Cao), Saposhnikovia (Fang Feng), Gentiana
(Qin Jiao), Asarum (Xi Xin), Cinnamon (Rou Gui)
Action: Disperses Wind-Cold-Damp, tonifies Liver and Kidney,
strengthens tendons and bones.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Severe cold pain | Add Fu Zi, Gui Zhi to warm meridians |
|---|
| Heavy sensation | Add Fang Ji, Yi Yi Ren to drain Dampness |
|---|
| Chronic pain | Add Huang Qi, Dang Shen to supplement Qi |
|---|
Western Mechanism Reference
Cold-dampness type pain with local vasoconstriction, increased muscle
tension, and reduced tissue perfusion. Wind-Cold-Damp Bi corresponds to
coccyx pain exacerbated by cold and damp environments, where reduced
blood flow and increased muscle tension contribute to pain persistence.
References
1. Textbook Standard.
2. WHO. (2023). Musculoskeletal pain. World Health Organization.
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Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly
Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.