On the basis of theory expression paralysis syndrome

ZhaiShuangQing Beijing university of Chinese medicine

China's traditional Chinese medicine to

        Confused card, refers to the walls of the limbs waste can't movement, muscle gradually atrophic the confused or JuLuan cause expression paralysis. The confused, and withering. Yang good cloud: "with the heat, and make the skin, vein, tendons, meat, bone slow confused flexion weak need not, so called confused." "Classic" also called "confused Bi", "expression paralysis disease", "expression paralysis easy". Its symptoms and modern medicine of limb muscle movement, loss of consciousness are similar. The card to the criterion · miscellaneous diseases "records:" confused person, confused the brotherhood of soft and weak, day slow longitudinal and don't accept also."

        Pathogeny and pathogenesis

        Neijing think, more confused card because the heat quickly, smoked burning the Yin of the five zang-organs, tianjin is fluid drying, the influence to the close of the muscles and bones, muscles, blood, fur and become. "Element asked · confused theory" cloud: "the for lung heat YeJiao hair for Bi confused", and explain the expression paralysis syndrome formation process lung heat is an important pathogenic factor. ZhangJieBin also cloud: "view of the card is listed the speech is hot, and the total of the card and in the lung heat YeJiao, so that the gold dry water deficit, but into confused certificate." By water wet, damp and hot or cold dampness etc caused by external cause, or by seven emotions too, trips LaoJuan, room internal lesion caused by overexertion kidney, Yin fluid in the spleen and stomach qi, the internal factors such as cause.

        external

        "Element asked · angry unto heaven theory" cloud: "hot and humid not busy, big bar Ruan short, small bar chi long, short for Ruan limit for initial long confused." "Element asked · gas alternating big theory" and the "element asked · six yuan is discipline big theory" also discusses the water wet, cold dampness evil caused by the confused card. Therefore, in terms of the pericardium, "classic" think basically has damp and hot, cold dampness by wounding.

        Internal cause

        "Element asked · confused theory" cloud "has lost dead, but not", "sad number", "thought infinite, may not", emphasize the characteristic is hurt, gas YuSheng heat and become confused disease. "Spirit pivot bin god" also pointed out: "fear not understand is hurt essence which hurt is bone acid confused faint." Form law excessive, air of Yin, Yin not system Yang, YangKangSheng thermal induced expression paralysis, such as "element asked · confused theory" cloud "trips LaoJuan" person. Therefore, in terms of internal cause, "classic" think expression paralysis syndrome mainly due to the characteristic internal injury or body virtual LaoJuan and lead to weak spleen and stomach, liver and kidney deficiency, less blood loss, lung heat YeJiao etc caused by wounding.

        In short, confused confirmed card is often caused by heat evil, damp and hot or cold be caused by, deficiency syndrome is often caused by the spleen and stomach weak, the seven emotions and internal injury, kidney essence, qi and blood loss caused by deficiency. A disease involving the five internal organs, lung, spleen with kidney primarily. The card to the criterion · miscellaneous diseases "cloud:" is to use five volunteers, five law, the six evils, from dirty air have all, all for one think example ear. If elements in eighty-one articles, and saw five law, five ambition, the six evils, all have to into the heat of thought confused also." "Spirit pivot · meridians" puts forward the cause of confused card overall pathogenesis is "virtual is confused Bi", no matter what the cause caused, confused card will be for virtual and hair, lead to form without a and disease.

        classification

        The confused card

        Neijing think, five zang-organs and all the skin, muscle, tendon, vessel and bone corresponding, "element asked · confused theory" cloud: "the main body of the lung fur, the heart of the main body blood, liver main body of the fascia, spleen, the main body of the muscle, kidney main body of bone marrow. The heat, make five body lose the essence of moisten and produce confused Bi, muscle, vein confused confused, bone expression paralysis, meat confused, but disease hair at and performance at outside.

        Bi expression paralysis of the lower limbs Bi refers to confused, confused Bi system refers to the confused limbs without waste. "Element asked · confused theory" cloud: "the lung, dirty long also, for the heart cover also.... the for lung heat YeJiao, hair for Bi confused, and this is thy also." The spleen and stomach weak, qi and blood metaplasia of subtle force disorder, lung hot smoked burning, lung tianjin KuHe, cannot lose cloth body fluid everywhere, inner cannot irrigation in the five internal organs, external shall not lose in fur bones and muscles, the muscles lost relative to moisten and became thinner wither without. To the skin, muscles and wither don't feature.

        Reinforcement bar for confused confused relative JuLuan confused and without waste. By vomiting hot, liver-kidney Yin deficiency, lack of JingXie, fascia caused by dry. To members arrested urgent, the loss of normal activity characteristic of ability.

        Bone bone for confused confused because of bone is confused and weak need not. By heat evil attack cutting kidney Yin, Yin deficient can't restrict put fire, Yin not system Yang, Yin deficiency is more very, pure virtual pulp reduction, bone displacement caused by the raise. With lumbar spinal don't lift, unable to walk for characteristics.

        Vein pulse confused confused joint relaxation confused soft, for blood deficiency, blood deficiency caused by a loss. Heart heat is on the fire inflammation, blood with QiNi, lower blood jue inverse upward, the pulse on real and vein virtual, blood deficiency not affect relative embellish, or because of excessive blood loss, blood emptiness and raw pulse expression paralysis. To shins weak cannot stand, knee ankle flexion and not for characteristics.

        Meat meat confused confused because hot temper, or the wet a polluted air caused by the infringement. Spleen main muscle and evil wet, hot temper is luck change dereliction of duty, hot filled fluid injury, tianjin injury stomach is dry and thirsty. Hanya dip in the spleen, spleen lost health shipment, body fluid no, it can't moisten the muscle. Muscle wasting, insensitive to feature.

        Hot and humid expression paralysis syndrome

        The disease from the external cause, feeling in wet, wet YuHua hot, hot and humid immersed meridians. Wet cheng trapped Yang, sun be the spirit can't change subtle; Hot filled JingXie injury, loss of a relative, reinforcement of soft and is confused. "Element asked · angry unto heaven theory" cloud: "from wet, the first such as wrapped, hot and humid not busy, big bar Ruan short, small bar chi long, short for Ruan limit for initial long confused."

        Clinical manifestation with body gradually confused soft weakness, and with lower limbs for common, or can and see slightly swollen, hands and feet numbness, bosom frowsty, new wan urine acerbity red heat pain, moss yellow greasy, such as the number of pulse and moist damp and hot like.

        The spleen and stomach weak expression paralysis syndrome

        Taste for the day after tomorrow, the source of qi and blood biochemical, spleen and main limbs, muscle. Stomach for the sea of essence, qi and blood metaplasia and embellish of bar. "Element asked · too Yin and Yang Ming theory" cloud: "spleen disease and limbs without any also? S" yue: limbs are most gas in the stomach, and not to the, will from the spleen, but most have also. This spleen disease can't for stomach line its body fluid, limb may not most food gas, gas days in failure, vein way adverse, bones and muscles muscle nix gas with birth, so don't how." "Element asked · confused theory" also cloud: "the Yang Ming, the entrails of the sea, the Lord embellish of reinforcement, reinforcement of the main beam bone and the authorities also." Clinical manifestation with physical expression paralysis soft weakness, muscle wasting is given priority to, or associated with food less loose stool, abdominal distension discomfort, sallow complexion and spleen and stomach as a weakness.

        Liver and kidney essence kui expression paralysis syndrome

        "Spirit pivot bin god" cloud: "fear not understand is hurt essence which hurt is bone acid confused jue, essence from the next when." "Spirit pivot · port asked" is cloud: "the gas is insufficient, but for the confused faint." Liver storing blood, the main bar; The kidney stores essence, the main bone, liver and kidney b decyl homologous, JingXie phase was born. If the injury JingXie, pure virtual can't irrigation, blood deficiency can't nutrition, body, alongwith the confused birth certificate. Clinical manifestation with knee shank confused weak cannot long stand, what are not walking, or accompanied by spermatorrhea premature ejaculation, swimming, etc fine kui not honor the disease.

        treatment

        Take Yang Ming

        "Element asked · confused theory" point out: "for the confused only take the Yang Ming." Here the "Yang" from taste solution. "Alone" is not alone, the only meaning, but pay attention to meaning, emphasized the importance of the spleen and stomach in the importance of confused disease treatment. The reason is: personal taste is the source of qi-blood and body fluids im; Moreover, YangMingCheng, qi and blood imitation, the bar to moisten, the joint smooth the, sports freely; Thirdly, the Yin Yang always in cases of muscle, suitable for Yang Ming. The horse transplant note yue: "but full expression paralysis and cannot give person, because of the Yang Ming virtual, then to take the confused alone Yang Ming, appropriate also." But from the above mechanism, it is known that a disease in the lungs, but lung lose cloth of subtle material is derived from the spleen and stomach, the starting point in the treatment of the spleen and stomach, The general characteristics of the onset and confused card mechanism is a function word, the appropriate treatment of the spleen and stomach the day after tomorrow. The concrete treatment method is: according to the symptoms can choose tonifying qi and nourish, remove dry excrement, remove heat, remove hot and humid, etc. Such as hot and humid confused card, should clear the hot and humid, can choose aromatized ermiao SAN. The spleen and stomach weak expression paralysis syndrome, appropriate nourishing spleen and enriching qi, can choose fill in beneficial gas soup. In addition, confused card at the beginning the pericardium apparent, cause lung heat YeJiao, therefore also when to lung.

        Syndrome differentiation and treatment

        The certificate of Bi confused confused, "element asked · confused theory" cloud: "the make up for its Xing and pass the shu, adjustable its false or true, and its inverse paramagnetic." "Spirit pivot · 9 needle twelve original" cloud "slip for Xing, note for shu". Xing for water, like water just form small flow but not into flow, qi gradually filling; "Shu" for the infusion, conveying meaning, like water infusion by less than to change, qi operation is filled. WuKun yue: "twelve meridians have Xing have shu, slip for Xing, note for shu. Repair, causing it to gas also; pass, lead the gas also." The acupuncture treatment Bi confused when take "yu ji", too deep hole; Herbs on the treatment should be clear lung Yin raise the method, can choose clear dry save lung soup or LiDongYuan door winter clear lung drinks. The certificate of confused confused reinforcement, acupuncture desirable taichong, inter-row hole; Herbs on the treatment should be clear liver and nourishes Yin of law, can choose the disease for vein to "clear liver ShunQi drinks, tonifying Yin pill, relieve rigidity of muscles, activate collaterals Dan or home secret hepatorenal pill. The confused card of bone expression paralysis, acupuncture desirable but valley, too creek hole; Herbs nourishing the kidney and heat treatment should be the method, can choose the theory of fact of hope to and tonifying Yin pill. The confused card of the pulse expression paralysis, acupuncture preferable god door, less mansion hole; Herbs on the treatment should be removing heat, can choose the fact theory "cardiotonic bolus. The certificate of confused confused meat, acupuncture desirable mostly, sp9 hole; Herbs on the treatment appropriate heat raise spleen Yin, can choose the medical heart enlightenment "easily confused soup. Liver and kidney essence kui expression paralysis syndrome, appropriate kidney tonic, can choose tiger latent pill add and subtract.

        Each in time by the moon

        Confused disease to syndrome differentiation and treatment of at the same time, consider the influence of the time factor, "element asked · confused theory" cloud "and activate channels, each with time by the moon, the disease has yi", which emphasized the principle of model. Above treatment of confused card method for clinical reference.