[Etiology and pathogenesis]
The causes of flaccidity are very complicated. Most of them are due to the deficiency of vital qi, feeling the toxic evil of damp heat or high fever, or burning body fluid consumes qi after illness. Body fluid can't transport and moisten the viscera, and the tendons and veins lose nutrition, while lung heat hurts body fluid and the limbs are weak, so there is no need to form flaccidity. Or stay in the wetland for a long time, wading in the cold, staying in the dampness for a long time, and turning into heat for a long time; Or due to improper diet, spleen and stomach injury, endogenous dampness, accumulation of dampness and heat, soaking in the tendons, so that the tendons are not closed, resulting in flaccidity and softness. Or long-term illness, physical weakness or overwork, hard to recover from essence damage, liver and kidney deficiency, and loss of essence and blood. If you don't nourish your muscles and veins, you will be flaccid. Or traumatic injury, blood stasis, meridian bones can not be nourished and become flaccid disease.
【 Syndrome Differentiation and Treatment 】
Main symptoms: muscle weakness of limbs and loss of activity function. At first, there was a lot of fever, and then the upper limbs or lower limbs, left or right, were weak and unable to move at all, and their muscles became thinner and thinner, with numbness and chills. Different from joint pain, such as soreness and limited activity. Excessive lung and stomach heat leads to fever and cough, upset and thirsty, short and red urine and dry stool. Red tongue with yellow fur and thin pulse. If damp-heat invades, the body weight, chest tightness and fullness, red and astringent urine, yellow and greasy tongue coating, and rapid pulse. If the spleen and stomach are weak and subtle, they will suffer from anorexia, shortness of breath, abdominal distension, loose stool, dull complexion, fatigue, thin and white tongue coating and rapid pulse. If liver and kidney deficiency, backache, dizziness, tinnitus, nocturnal emission, premature ejaculation or irregular menstruation, less red tongue coating, rapid pulse. If the bones and muscles are injured, there is a history of trauma, numbness or unconsciousness in the limbs, and a heavy and thin pulse.
Analysis: flaccidity syndrome is caused by nutrient loss of meridian muscles, which belongs to lung and stomach heat. It is due to the invasion of warmth, which hurts the lungs and stomach, leading to flaccidity and weakness. Excessive heat causes bodily fluid injury, which leads to upset and thirst, dry throat, burning lung, cough due to loss of lung qi, and short and red urine. A red tongue with yellow fur and a rapid pulse is a sign that excess heat hurts body fluid. It is an invader of damp heat, which is caused by damp heat blocking qi and blood circulation, limb weakness and sensory disturbance. Damp pathogen trapped in the spleen leads to weight, chest tightness and flatulence. Damp-heat betting leads to red heat and pain in urine. The fur is yellow and greasy, and the pulse is damp and hot. People with weak spleen and stomach are depressed because of insufficient sources of chemicals and lack of nourishment of tendons. Poor spleen leads to loss of appetite. Yang deficiency, abdominal distension and loose stool. Deficiency of qi and lack of blood will make you pale and mentally exhausted. Thin and white tongue coating and rapid pulse are signs of spleen deficiency and qi and blood deficiency. Deficiency of liver and kidney is due to weak liver, weak tendons, weak kidneys and weak bones. Kidney needs can not be sealed, so nocturnal emission, premature ejaculation, liver and kidney deficiency, semen and blood can not bear, leading to dizziness and tinnitus. Red tongue and thin pulse are all manifestations of yin deficiency. It is a servant injury, which is caused by the accumulation of blood stasis in the wound, the impassability of tendons and veins, and the malnutrition of bones and muscles after a fall injury.
Treatment principle: harmonize qi and blood, nourish tendons and veins.
Prescription: Mainly select the acupoints of Foot Yangming Meridian. If there is heat and damp heat in the lung and stomach without moxibustion with a single needle, the purging method should be used, and acupuncture and moxibustion for patients with spleen and stomach weakness and liver and kidney deficiency can be used as auxiliary moxibustion, and trauma can reinforce diarrhea. Acupoints are selected from Shousanli, Zusanli, Zhongwan, Shu Wei, Pishu and Yanglingquan. Lung-heat plus red fever, damp-heat plus Yinlingquan, spleen-stomach weakness plus triple energizer, liver-kidney deficiency plus Ganshu, trauma plus Shu Ge and blood sea.
Righteousness: Yangming Meridian is a meridian full of qi and blood, which is called the sea of the five internal organs and nourishes and nourishes tendons. Yangming is connected with pulse, pulse and governor pulse, so the treatment of flaccidity syndrome should focus on regulating Yangming, and the prescription aims at regulating spleen and stomach, nourishing qi and blood, moistening tendons and strengthening muscles and benefiting joints. Zuoyang Lingquan relaxes tendons and activates collaterals. Lung-heat plus Qingfei acupoint is used to disperse lung, damp-heat plus Yinlingquan is used to strengthen spleen and remove dampness, spleen and stomach weakness plus Sanyinjiao to strengthen spleen and replenish qi, and liver and stomach deficiency can take its back Shu and nourish liver and kidney. In addition, acupoints can be selected according to the incidence.
[other therapies]
Ear acupuncture: take the affected part, lung, stomach, liver and kidney. Methods: Select 3-5 acupoints at a time, hold the needle for 20 minutes at a time, 65,438+0 times a day, or bury the thread by pressing the needle or stick the seeds of Vaccaria seed every 3-5 days for 65,438+0 times.
Scalp acupuncture: take the top midline, the oblique line before the top and the line beside the top 1. Methods: Puncture the scalp with a 1.5 inch long 28 ~ 30 gauge needle, twist it for 2~3 minutes, hold the needle for 5~ 10 minutes each time, and repeat the operation for 2 ~ 3 times, once a day or every other day, 1 0 is/kloc-.
Electroacupuncture: refer to the aforementioned acupoints. Methods: After getting qi by acupuncture, connect the electroacupuncture machine, select the wave type, and keep the needle for 30 minutes every day, 1 time,1time as a course of treatment.
Acupoint injection: refers to the aforementioned acupoints. Methods: Vitamin B 1 or Vitamin B 12 injection was used, and 0.5 liter was injected into each point, once a day, and 1 0 was a course of treatment. [Notes]
Acupuncture can treat some diseases in flaccidity syndrome, with different effects, but more courses of treatment. It can be combined with medicine, physical therapy and massage to improve the curative effect. Be sure to combine your own functions to exercise.