Syndrome differentiation and classification
Pathogenic stagnation of lung: fever, headache, sore throat, sudden weakness of limbs after heat, numbness of skin, quadriplegia and even tongue weakness, choking cough, dysphagia, short and astringent urine, constipation, red tongue, thin yellow fur and floating pulse.
Damp-heat accumulation: lazy speech, chest fullness, weakness of limbs, numbness, tingling, itching, dysuria, even constipation, red tongue, yellow fur and slippery pulse.
Paralysis due to qi deficiency and blood stasis: flaccidity and weakness, sallow complexion, mental fatigue, enuresis or urine obstruction, pale tongue, thin and white fur, and thready and astringent pulse.
Paralysis caused by yin deficiency of liver and kidney: muscle atrophy, flexion contracture, dry and numb skin, or enuresis with dizziness and tinnitus, hot flashes and night sweats, red tongue with little fur and rapid pulse.
treatment according to syndrome differentiation
1.
[Therapeutic prescription] Clearing lung and moistening dryness, promoting fluid production and quenching thirst. Modified qingzao jiufei decoction. Trichosanthis Radix, Rhizoma Phragmitis and Herba Dendrobii are added for patients with dry throat and thirst; Rhizoma Anemarrhenae, Fructus Forsythiae and Flos Lonicerae are added for patients with high fever and excessive sweating; Rhizoma Ligustici Chuanxiong and Radix Achyranthis Bidentatae are added for patients with body pain and numbness.
2. Damp heat accumulation
[Therapeutic prescription] Clearing heat and promoting diuresis, dredging channels and activating collaterals. Jiawei Ermiao Powder. Adding Olibanum and Myrrha to muscle pain; Gardenia and Radix Isatidis are added for fever; Cortex Magnolia Officinalis, Poria and Alismatis Rhizoma are added for patients with chest pain and limb swelling; Radix Rehmanniae and Radix Ophiopogonis are added for people with dry mouth and upset.
3. Spleen and stomach weakness
[Therapeutic prescription] Tonifying the spleen and stomach. Shen Ling Baizhu Powder is modified. If you are weak for a long time, reuse Shenqi and add Lycium barbarum and longan meat; Asthma when you move, and fever in your limbs. Add cooked Radix Aconiti Lateralis Preparata, Cortex Cinnamomi and Semen Juglandis. If limbs are weak, papaya and clematis root are added; If you have palpitations, add Semen Platycladi and Semen Ziziphi Spinosae.
4. Yin deficiency of liver and kidney
[Therapeutic prescription] Tonifying liver and kidney, strengthening tendons and bones. Qian Hu Pill is improved. Epimedium, Fructus Psoraleae and Radix Morindae Officinalis can be added for chronic diseases with deficiency of yin and yang; If muscle atrophy is weak, Rhizoma Ligustici Chuanxiong and Carapax Trionycis are added; Radix Astragali, Ramulus Cinnamomi, and Fructus Jujubae can be added for patients with qi deficiency and blood deficiency; If there is blood stasis, peach kernel 10g, safflower 65438 g and Ligusticum chuanxiong 65438 g can be added.
5. Venous stasis
[Therapeutic prescription] Yiqi Huoxue Tongluo. Jiawei Buyang Huanwu Decoction.
Other therapies
1. Acupuncture therapy
(1) Paralysis or muscular atrophy can be treated with acupuncture at Dazhui, Jiaji, Shousanli, Zusanli, Huantiao, Yanglingquan, Shenshu, Xiexi and Juegu, 3-4 points each time, once a day/kloc-0; Acupoint injection can be angelica injection or salvia miltiorrhiza injection.
(2) The upper limbs should be acromion, acromion, acromion, Quchi, Shousanli and Hegu; The lower limbs were selected from Zhuiguan, Futu, Liang Qiu, Zusanli, Xue Hai and Yanglingquan. Cloak plus Jiaji point, Rank Edge, Guanyuan point, Sanyinjiao point and waterway of fourteen vertebrae; Constipation plus Waiguan, Shu Tian and Zhigou; Cha Na Jia Zhong Wan, Neiguan and Zusanli. Take 2 ~ 3 acupoints of upper and lower limbs as a group and use them alternately. Acupuncture is suitable for diarrhea and stimulation, once a day, and can be used with electroacupuncture to make the condition frustrated. For those who are weak for a long time, the method of flat reinforcing and diarrhea should be used, and the needle should be kept for 15 ~ 20 minutes every other day 1 time, and 14 ~ 20 times is 1 course of treatment.
2. Ear acupuncture therapy
Acupoints: lung, stomach, large intestine, liver, kidney, spleen and Shenmen. Select 3-4 acupoints at a time, and use strong stimulation with filiform needles, and keep the needles for 10 minute, every other day 1 time, and 1 time is1course of treatment.
3. Foot acupuncture therapy
Acupoints: Shen Xue, bladder meridian, 14 (midpoint of the first horizontal stripe at the bottom of the little toe of both feet). The patient lay on his back with his feet straight, disinfected routinely, and punctured with a 25 mm 30 gauge needle. Straight needling at Shen and Bladder Meridian points, oblique needling at point 14, twisting for 2-3 minutes after getting angry, strong stimulation, keeping the needle for 30 minutes, 1 time per day, 1 time per course of treatment.
4. Electroacupuncture therapy
Select body acupoints, or Jiaji acupoints corresponding to the upper and lower segments of spinal cord lesions, adopt wave-dispersing, and the current should be small, so as to make muscles contract slightly rhythmically, prevent the current from suddenly increasing, and prevent the current loop from passing through the heart (forbidden for heart patients), once a day, 30 minutes each time, 6 times as a course of treatment, rest for two days, and apply the second course of treatment as appropriate.
5. Plum blossom needle therapy
Formula (1): both sides of the spine, abnormal parts, and some parts complained by patients, with emphasis on stimulating the affected cervical vertebra, thoracic vertebra or lumbar vertebra and both sides. Treatment: Light needling method was used. First, tap two times in three rows on both sides of the spine, then focus on stimulating the myelitis spine and its five rows on both sides for five times, tap several times horizontally in each intervertebral space, and then locally stimulate abnormal parts and some parts of the patient's chief complaint symptoms. After pricking, moxibustion with musk and garlic slices is used on the spinal column of myelitis. Once a day, 10 is a course of treatment.
(2) Formula: Fengchi, Tianzhu, Dazhui, Somatic Vertebrae, Spinal Heart, Mingmen, Yangguan, Guimen, Zhi Zhi, Zhiyang, Waiguan, Houxi, Weizhong, Zusanli, Sanyinjiao, Vertebral Pain and Myelitis. Treatment: Light needling method was used. Tap on the skin area of the above-mentioned acupoints for 20-30 times with plum blossom needle, tap on both sides of the spinal column for 4 rows and 5 times with each intervertebral space for several times, and then moxibustion on the spinal column with musk garlic slices. Once a day or once every other day, 10 is a course of treatment.
6. Water acupuncture therapy
Prescription: Jiaji point or back point. Quchi, Waiguan, Liang Qiu, Huantiao, Weizhong, Zusanli, Xue Hai and Sanyinjiao. Acupuncture: choose vitamin 100 ~ 200mg, vitamin 12500mg, or angelica injection and salvia miltiorrhiza injection. Choose 4 ~ 6 acupoints each time, inject 1ml respectively, 1 time per day, and rest 1 day after 6 times.
7.moxibustion
Upper limbs are taken from acromion, Quchi and Hegu; The lower limbs are selected from Zhuiguan, Liang Qiu, Zusanli and Jiexi. Lung heat plus Akazawa and Shu Fei; Damp-heat plus Yinlingquan and Pishu; Blood stasis, blood sea. Moxibustion is 2 ~ 3 times a day, and each time is 5 ~ 10. Moxibustion can be hung with moxa sticks.
8. Massage therapy
(1) Massage or massage paralyzed limbs every day 10 ~ 15 minutes.
(2) At the early stage of the disease, open the Tianmen, transport the sun, clear the Tianhe River, retreat the five internal organs, clear the door, clear the spleen meridian and transport the eight diagrams. Once a day, 7 times as a course of treatment; If the course of disease is prolonged, the spleen meridian, kidney meridian, Dazhui, Jianjing point, Shoulder Epiphysis, Quchi, Ganshu, Shenshu, Weizhong point, Chengshan point and Xiexi point will be massaged. Once a day or once every other day, 10 is a course of treatment.
9. fumigation
Flos Lonicerae, Radix Gentianae Macrophyllae and Rhizoma Acori Graminei can be added into Simiao Pill. Decoct in water twice a day.
10. Point injection
Acupoints: Shu Fei, Pishu, Ganshu, Shenshu, Jiaji, Zhuiguan, Futu, Zusanli, Yanglingquan, Hanging Bell, Ququan and Sanyinjiao. Operation: Take vitamin B 1 injection 200mg or angelica injection 2mg. Choose 2 ~ 3 pairs of acupoints at a time, and follow the routine operation of water acupuncture, and inject liquid medicine 1 ml at each acupoint, once a day.
1 1. Cupping method
The first group selected acupoints: Dazhui, Shouzhongshu, Shouzhen and Shu Fei; The second group: body column, shoulder external Shu and spleen Shu; The third group: Mingmen, Chengfu and Yinmen; The fourth group: Yangguan, Huantiao and Futu. Operation: According to the routine method of pricking collaterals and cupping, select a group of acupoints once a day or every other day, and 10 is a course of treatment.
12. External use
(1) Take rhubarb, Gleditsia sinensis, black ugly and gypsum fibrosum, mash them, and apply vinegar to the umbilicus once a day.
(2) Mash the scallion and rice into cakes. Bandage at the navel once a day.
(3) Take 3 snails and 9g of green salt, mash the snails, add 9g of green salt, knead into paste, and stick it at one inch and three points below the navel.
13. Chinese patent medicine
(1) Qingre Jiedu Oral Liquid: It is suitable for patients with high pathogenic heat at the beginning of the disease. Take 10 ml for 3 ~ 6 years old, 15 ml for 6 ~ 9 years old and 20 ml for 9 years old or older, twice a day.
(2) Ermiao Pill: it is suitable for the weak at the beginning of the disease, and belongs to those who bet on damp heat. 3 grams for 3-6 years old, 6 grams for 6-9 years old and 9 grams for 9 years old or older, 2-3 times a day.
(3) White Dihuang Pill: It has the effect of nourishing yin and reducing fire. Suitable for people with yin deficiency and excessive fire. Take 1 2 capsules under 6 years old and1capsule over 6 years old, twice a day.
(4) Su Quan Pill: It has the function of warming kidney and promoting diuresis. It is suitable for urinary incontinence and belongs to patients with kidney deficiency. 3 grams for 3-6 years old, 6 grams for 6-9 years old and 9 grams for 9 years old or older, twice a day.
(5) Yinhuang oral liquid: 10 ml each time, taken orally three times a day.
(6) Qingfei Liyan Granule: 6 grams each time, taken orally, three times a day.
(7) Sanhuang tablets: 4 tablets each time, taken orally three times a day.
(8) Huanglian Shangqing tablets: 4 tablets each time, taken orally, 3 times a day.
(9) Huomaren Pill: Take one pill each time and take it orally three times a day.
(10) Tongbianling Capsule: take 1 ~ 2 capsules each time, 1 ~ 3 times a day.