Wind-damp paralysis evidence
Clinical manifestations]: Pain, heavy, wandering, or swelling in the joints and muscles of the limbs, wind, sweating, headache, fever, heavy limbs, unfavorable urination, light red tongue, thin white or greasy tongue coating, floating and slow or moist pulse.
The wind is a yang evil, its nature is open and ventilated, good at moving and changing, visible pain wandering; wind evil attacking the surface, the Wei Qi is not solid, and see sweating, evil wind; Wei Yang and wind Yang fight and see fever, wind is a yang evil, easy to attack Yang position, visible headache; damp is a yin evil, its nature is heavy and sticky, damp evil attack, stay but not go, visible limbs and joints heavy pain; damp injury to the spleen and stomach, transport and transformation failure, water does not follow the normal way, so see limbs Swelling of the joints, unfavorable urination; light red tongue, thin white or greasy tongue coating, slow floating or moist pulse are all signs of external attack of wind-damp.
The treatment is to dispel wind and dampness, to relieve pain.
[Formula] Add and subtract from Palsy Relief Soup.
Explanation】Qiang Wu, Dou Wu, Gui Zhi, Gentiana Macrophylla, Hai Feng Vine, Mulberry branch to dispel wind and remove dampness and promote circulation; supplemented by Angelica sinensis, Chuan Xiong to activate blood circulation and resolve blood stasis; wood fragrance to regulate Qi; Boswellia serrata to stretch tendons and activate circulation to relieve pain, and licorice to harmonize all medicines. If the pain is in the upper extremity, add mulberry, guiji and ginger; if the pain is in the lower extremity, add cow knee and sequestra.
Cold and damp paralysis evidence
Clinical manifestations]: Painful swollen joints, painful at a fixed place, morning stiffness, unfavorable flexion and extension, severe pain when cold, localized cold fear. The tongue is thinly coated with white fur, and the pulse is floating and tight or sunken and tight.
Evidence Breakdown】Inconsistency of Qi and blood in the human body, combined with wind, cold and dampness, leads to paralysis. The cold is a yin evil, the main attraction and stagnation, the qi and blood are blocked by the cold evil, the meridians do not work and see joint pain; in case of cold, the evil is more abundant, and the meridians are unfavorable especially, the pain is more intense; wetness is heavy and sticky, the cold and dampness are combined, the pain has a fixed place and does not move, and see the local fear of cold; the thin white tongue coating is the sign of wind, cold and dampness, the pulse is floating and tight for wind and cold.
The pulse is floating and tight for wind-cold, and sunken and tight for cold-damp.
The treatment is to disperse wind and cold, dispel dampness and open the ligaments.
[Formula] Wu-Tou Tang with addition and subtraction.
Explanation】Aconite is pungent and hot, dispels wind and dampness, warms the meridians and disperses cold; Ma Huang helps warm the Yang and disperses cold to relieve pain; Bai Shao nourishes the Blood; Huang contemptuously benefits the Qi, allowing the Qi and Blood to flow smoothly; White honey
It can resolve the poison of aconite. The whole formula works together to dispel wind and dampness, warming the meridians and dispersing cold to relieve pain. The disease in the upper extremities can be added with mulberry branch and cinnamon branch; the disease in the lower extremities can be added with douhu and niu knee. Wind-damp heat depression evidence
Clinical manifestations]: Red, swollen and painful joints like burns, morning stiffness, restricted movement. In addition, there is vicious wind and fever, sweating without relief, troubled heart and thirst, dry stool and red urine. The tongue is red, the coating is yellow or dry, and the pulse is slippery.
Analysis of the symptoms] The body is Yang-rich, with internal heat, which can turn into heat when it feels wind, cold and dampness, or wind, cold and dampness can block the meridians for a long time and turn into heat, or it can be caused by feeling wind, dampness and heat. Heat is a Yang evil, Yang Sheng is hot, so fever is seen. External evil attacks the surface, the Wei Yang is not solid and see the evil wind. Dampness is a yin evil, heavy and sticky, visible as fever with sweating without relief. Heat disturbs the heart and the mind, resulting in heart trouble, and heat injures yin, resulting in thirst, dry stool and red urine. The red tongue, yellow coating and slippery pulse are signs of damp-heat, and the dry coating is due to damp-heat injury to yin.
The treatment is to clear the wind and heat, remove dampness and clear the ligaments.
[Formula] Xuan Piao Tang with addition and subtraction.
The formula is used to clear heat and dampness, clear the ligaments and relieve pain; silkworm sand, coix seeds, red beans to facilitate water and percolate dampness; forsythia, mast, slippery stone to clear heat and remove dampness; the combination of all drugs, clear heat and dampness, clear the ligaments and relieve pain. The combination of these herbs can clear heat and dampness, open the channels and relieve pain. Heat can add gypsum and Zhi Mu; dampness can add Atractylodes and Dioscorea Z; wind can add Qiang Wu, Fang Feng and Gentiana.
Cold and heat mixed evidence
Clinical manifestations]: Redness, swelling, heat and pain in the muscles and joints of the limbs, but localized fear of cold, or conscious fever but not hot to the touch; or unfavorable flexion and extension of the joints of the limbs, warmth makes them comfortable, or even stiffness and deformation of the joints, but fever and cold, sore throat, yellow urine, dry stool, red tongue, white or light tongue with yellow coating, string or tight pulse.
The occurrence of cold-heat syndrome is related to the individual’s physical factors and the circumstances in which the evil is felt. If the body is hot and Yang is strong, but the evil is cold, or if the body is Yin strong and the evil is hot, it can produce cold-heat mismatch. The redness, swelling and heat pain in the muscles and joints of the limbs, but localized through cold is due to dampness and heat and the cold has not been removed, or because the body feels wind, cold and dampness for a long time; cold evil hurts Yang, and the joints of the limbs flex and extend unfavorably due to the paralysis of the veins, but the warmth is soothing; paralysis for a long time, the tendons and veins are not used, and the joints are stiff and deformed; but when the wind-heat evil is felt again, fever and malice are seen, and the sore throat is obvious; heat evil hurts Yin and the urine is yellow and easy to use; the Yin deficiency of the body is seen again. The red tongue and white fur are seen when the cold evil is felt again; the light tongue and yellow fur are seen when the wind-heat evil is felt again when the yang evil is felt again; the chord count or tight pulse is common when the cold and heat are mixed.
Treatment】Warm the meridians to disperse cold, clear heat and remove dampness.
[Formula] Gui Zhi Shao Yao Zhi Mu Tang with addition and subtraction.
Explanation】In this formula, Gui Ji and Ephedra are used to disperse wind and cold and have the function of warming the meridians and clearing the channels; Radix et Rhizoma Paeoniae warm the Yang and disperse cold, go without guarding and pass through the twelve meridians; Paeoniae and Zhi Mu clear internal heat, ginger and licorice harmonize the medicines. The whole formula has the effect of warming the meridians and dispersing cold, clearing heat and removing dampness. If heat is heavy, add gypsum and scutellaria to clear heat; if cold is prevalent, add qiangwu, Chuanxiong and xiao xin to warm the meridians and open the channels; if joint pain is obvious, add scorpion, centipede and other insects to open the channels and relieve pain.
Paralysis by heat toxin
Clinical manifestations]: Painful redness and swelling of the joints, coldness, heat and thirst, red face and throat, constipation, red or reddish-red tongue, yellow or greasy coating, slippery pulse or stringiness.
The symptoms of the disease are: the heat of the Yang body is strong or the Yin deficiency is hot, the wind, cold and dampness are felt, and the heat of the disease is prolonged, or the heat poison is felt, “the heat is the gradual fire, the fire is the extreme heat”, the heat is strong and finally becomes fire poison, the fire poison flows in the joints and the joints are red, swollen and painful. Red face and sore throat, constipation, red tongue, yellow fur, slippery pulse or string pulse are all signs of heat toxicity.
The treatment is to clear the heat and detoxify the toxin, cool the blood and open the channels.
[Formula] Clear the heat and detoxify the toxin with addition and subtraction.
The formula is based on the use of gypsum to clear heat; rhinoceros horn to clear heat and cool the blood; Huanglian and scutellaria to clear heat in the upper jiao; Dampi, gardenia, red peony to clear the fire in the liver, forsythia and xuan shen to disperse the floating fire in the upper jiao; raw earth and Zhi Mu to nourish yin and clear heat, the whole formula has the function of clearing heat, detoxifying and cooling blood and nourishing yin. If the fever does not subside, add antelope horn to clear the fever; if the stool does not pass, add rhubarb to clear the heat from the internal organs; if the joints are red and swollen, add lonicerae, mulberry and panax root to clear the heat and detoxify the channels.
Phlegm and blood stasis evidence
Clinical manifestations】Joint swelling for a long time, stiffness and deformation, limited flexion and extension, pain fixed, pain like cone, light day and heavy night, dry mouth and no desire to drink. The tongue is purple and dark, the coating is white and greasy, and the pulse is thin and astringent or slippery.
Analysis of the symptoms]: Paralysis caused by external sensation of wind, cold and dampness, dampness blocks the qi flow, the spleen and stomach fail to transport and transform, and water and dampness stagnate internally, which can accumulate and become phlegm. Cold, phlegm and dampness can all block the qi flow and cause blood stasis due to poor blood flow, or stasis due to external injuries from falls and puffs, which can cause blood to overflow outside the veins. Phlegm and stasis are all tangible real evils that remain in the joints and muscles, blocking the blood vessels and causing localized loss of nourishment, resulting in diffuse swelling of the joints, stiffness and deformation, restricted flexion and extension, and pain in a fixed place. At night, when Yang enters Yin, blood flow is slow, and stagnation of blood vessels is more obvious, so the pain is light day and heavy night. The tongue is purple and dark, the coating is white and greasy, and the pulse is thin and astringent or slippery, all of which are signs of mutual stagnation of phlegm and stasis.
Treatment】Activate blood circulation to eliminate blood stasis, resolve phlegm and promote circulation.
[Formula] Er Chen Tang plus or minus for body pain and elimination of stasis.
In the formula, peach kernel, safflower, Chuanxiong and angelica nourish blood and invigorate blood; myrrh, wuling fat, dilong and aromatic herb regulate qi and invigorate blood, resolve blood stasis and promote circulation; gentiana and qiangwu dispel wind and overcome dampness, promote circulation and relieve pain; niu knee nourishes liver and kidney, strengthens tendons and bones; licorice harmonizes all medicines. Er Chen Tang is used to manipulate dampness and resolve phlegm. The combination of the two formulae is used for long-standing paralysis with mutual obstruction of phlegm and stagnation. If the phlegm stays in the joints and nodules under the skin, add Bile South Star, Stiff Silkworm and White Mustard Seed to cleanse the phlegm and clear the channels. If the phlegm stasis is prolonged, we can add worm medicine such as cannabis slices, wuzhizhou snake, white flower snake and centipede to search the wind and open the ligaments. In case of fatigue and qi deficiency, use Dang Ginseng and Astragalus as qi tonic; in case of internal coldness, use Radix et Rhizoma Polygoni and Cinnamomum to warm the meridians and open the ligaments. If you see red, swollen, hot and painful joints, thirst, pharyngeal cancer, yellow urine, you can use Ligustro, Mulberry, forsythia, etc. to clear heat and open the channels.
Kidney deficiency and cold condensation
Clinical manifestations】Joint pain and swelling, morning stiffness, unfavorable activity, cold fear, tiredness and laziness, low back pain, adverse prostration, aggravated by cold weather, light fat tongue, white smooth coating, sunken and thin pulse.
Analysis of the symptoms]: The kidney is deficient due to the factor, and the kidney is injured due to external cold, or the kidney is injured due to prolonged paralysis. Cold is a yin evil, blocking the veins and joints, resulting in joint pain and swelling, morning stiffness, and unfavorable movement. The kidney is the master of bone and marrow, and the kidney yang is the primary yang of the body. Insufficient kidney yang leads to loss of warmth, resulting in fear of cold, tiredness and laziness; the waist is the capital of the kidneys; insufficient kidney yang results in soreness and pain in the lower back, which is aggravated by cold weather. The tongue is pale and fat, the coating is white and smooth, and the pulse is sunken and thin, which is a sign of kidney deficiency and cold dampness.
Treatment】Tonic kidney, dispersing cold, warming yang and clearing ligaments.
[Formula]: Eliminate Yin and Lai Fu Tang plus reduction.
The formula is based on the use of deer antler to nourish the liver and kidneys and strengthen the muscles and bones: the sapodilla is a very pungent and hot product that passes through the twelve meridians and does not guard, it can warm the yang and disperse cold and pass paralysis; the bone flesh, codonopsis and dog’s backbone warm the liver and kidneys, dispel wind and dampness; the dried wolfberry nourishes the liver and kidneys and benefits the essence and blood; the fenugreek warms the middle and disperses cold; the cumin warms the kidneys and stops pain; the wood fragrance moves the qi; the angelica nourishes the blood and invigorates it; the ginger and jujube harmonize the medicines. This formula is based on warming the kidney to disperse cold and dispel wind and dampness to promote circulation. If the pain is severe, add Qiang Wu and Dou Wu to relieve the pain; if the dampness is heavy, add Atractylodes macrocephala, Fang Xie and raw barley.
Liver and kidney yin deficiency evidence
Clinical manifestations]: Swollen and deformed joints, burning pain in local joints, unfavorable flexion and extension, thin bones, soreness and weakness of the waist and knees. Accompanied by dizziness, tinnitus, night sweats, insomnia, red tongue, little coating, thin pulse.
Evidence Analysis】Or the factor body liver and kidney deficiency, or due to paralysis long injury to yin, in
The symptoms of liver and kidney yin deficiency can be seen at the beginning of paralysis and at the end of paralysis. The liver and kidney yin deficiency, the tendons and bones are not nourished, and the joints are swollen and deformed, flexion and extension are unfavorable; deficiency of fire, and joint burning pain; liver and kidney yin deficiency, can be seen in the form of thin bones, waist and knee soreness; liver body yin and use of yang, liver yin deficiency, liver yang hyperactivity can be seen in dizziness and tinnitus; into the night yang into the yin, transpiration of yin, can be seen in night sweats; deficiency of fire disturbing the heart and insomnia; tongue red, less moss, pulse thin count for liver and kidney yin deficiency. Sleep; red tongue, less moss, and fine pulse for Liver-Kidney Yin deficiency.