What is the understanding of TCM on the etiology of progressive muscular dystrophy?
1, congenital deficiency, liver and kidney loss. The strength of innate endowment directly affects people's birth and death. Due to the lack of kidney qi of parents, the lack of essence of parents is the main reason for children's illness. The waist is the house of the kidney, and the kidney essence is insufficient, so the children are weak after seeing it; Deficiency of kidney essence can involve deficiency of liver yin, yin deficiency of liver and kidney, inability to nourish bones and muscles, resulting in weakness of limbs, which is also called "liver disease without limbs" in Neijing. Yin deficiency for a long time can lead to hyperactivity of liver yang, liver yang turning to wind, and wind shaking, which shows that patients walk like ducks left and right.
2, acquired spleen deficiency is the foundation of the day after tomorrow, the source of qi and blood biochemistry, and the main muscles and limbs. Under normal physiological conditions, Shui Gu and spleen can be decomposed by stomach intake, and fine nutrients can be ingested into the body and converted into qi and blood. Spleen is healthy, qi and blood are active, muscles and veins are strong, bones and muscles are nourished, and the body is healthy and disease-free. "Progressive muscular dystrophy" is more common in young and middle-aged children, because children's viscera are delicate, their qi is not full, and their spleen is often deficient. In addition, due to congenital deficiency, spleen deficiency, qi and blood can not be biochemical, qi and blood deficiency can not nourish muscles and limbs, muscles are increasingly atrophied and weak.
3, phlegm and blood stasis, retention of tendons and spleen, transport of water and dampness. If the spleen is weak, the spleen loses its health and cannot transport water and dampness, it will produce qi and blood, and its complexion will be turbid. Qi is the handsome of blood, and blood is the mother of qi. Due to congenital deficiency, spleen and kidney qi deficiency, long-term weak qi and blood circulation to blood stasis syndrome, phlegm and blood stasis, muscle retention, meridian obstruction, local muscle pseudo-hypertrophy, muscle thickening and hardening.
In a word, Chinese medicine believes that the main cause of progressive muscular dystrophy is the deficiency of parents' essence, which leads to the deficiency of liver and kidney and spleen deficiency in children. Over time, phlegm and blood stasis are intertwined, and tendons do not exist, forming a complex pathogenesis of essence and excess. Deficiency can be real, and deficiency can be eliminated, forming a complex pathological state. Due to kidney deficiency, liver and wood loss of nutrition, plus spleen and stomach weakness, soil deficiency leads to liver and wood loss of integrity, which is difficult to control, and it becomes liver wind, and walking swings like a duck step. Liver and wood are contrary, lung is punished, and spleen is used in China. Spleen and stomach weakness, emaciated limbs, mental fatigue; Cutting the kidney leads to more deficiency of qi and blood and yin, which leads to obvious weakness of patients' lower limbs, inability to stand for a long time and inconvenience in prone position, forming a vicious circle. After a long illness, qi and blood gradually decline, and all five organs die, and finally yin and yang decline leads to death.