Which Extraordinary Vessel would be selected for a patient with severe left lateral back pain radiating to the lower abdomen?

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The Girdle Vessel, or Dai Mai, is particularly relevant for addressing conditions that are related to lower back pain, especially when it radiates to the lower abdomen. This vessel encircles the waist area and connects the lower body with the upper body, acting as a girdle that can influence the hips and lower back. Issues like tightness or pain in this region can often benefit from treatment of the Dai Mai, since it governs the qi and blood flow around the waist and hips, which are critical areas for musculoskeletal issues.

When considering lower back pain that radiates to the lower abdomen, the Dai Mai is especially useful because it covers the lower back's lateral aspects and transmits pathology between the back and abdomen. Therefore, it can help alleviate pain as well as improve function in both the lower back and the abdominal area.

In contrast, while the other extraordinary vessels have their own roles, they do not specifically address the symptoms presented as effectively. For instance, the Governing Vessel primarily governs the spine and the yang energies of the body but does not specifically influence the lateral waist area. The Yang Linking Vessel connects the yang channels and has a role in harmonizing upper and lower body dynamics but is not tailored to address lateral back pain.

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