Restless leg syndrome I. Symptoms Restless leg syndrome occurs mostly in the lower extremities, with the gastrocnemius muscle being the most common, and the thighs or upper extremities can occasionally appear, usually symmetrically. Patients with restless leg syndrome often have tearing, ants walking, creeping, tingling, burning, pain, itching and other discomfort of leg trouble, with an urgent and strong feeling of wanting to move, and leading to overactivity. Restless leg syndrome attacks when quiet, and the symptoms are more severe at night or after a period of rest, sometimes lasting only a few minutes, and in severe cases, all night long. Moving the lower extremities can make the symptoms significantly less, but the patient’s symptoms will be significantly worse after rest or sleep. Insomnia: As a result of insomnia at night, patients with restless legs suffer from severe daytime sleepiness and reduced work ability. II. Signs Patients with restless legs syndrome experience alternating, periodic muscle hyperactivity from one lower extremity to the other during quiet sleep at night, and alternating discomfort in the muscles of the lower extremities is seen. Restless leg syndrome is a common disease in the elderly. Patients often experience unbearable uncomfortable symptoms in both lower legs at rest, such as soreness, swelling, tingling, itching and insect crawling sensation, thus tossing and turning in bed and restlessness, which can be temporarily relieved after patting, massage or activity; a few patients can also experience symptoms when walking, and thus forced to stop walking, causing intermittent claudication. Under normal circumstances, the blood circulation in the muscle tissue can ensure the adequate supply of nutrients and oxygen for muscle activity, while taking away metabolic waste, so that the muscle can move freely. However, when atherosclerosis occurs in the blood vessels that supply blood to the muscles, and the lumen of the blood vessels becomes narrower, resulting in reduced blood supply and accumulation of metabolic wastes, the normal activity of the muscles will be affected and this disease will occur. The elderly are more prone to this disease because of arteriosclerosis. The reason why restless leg syndrome occurs mostly at rest is because the body is in a quiet state, the heart rate slows down, blood flow is slow, and the calves are far from the heart, the blood supply is not good, thus affecting the muscle activity; some patients occur when walking, because when walking (especially fast walking) the calf muscle energy demand increases, oxygen consumption increases, metabolic waste also increases, at this time the blood in the narrow blood vessels, can not bear the The whole transport task, so the phenomenon of limping occurs. The occurrence of restless legs in the elderly is caused by atherosclerosis in the elderly, so the prevention of this disease, the key is to prevent the occurrence of atherosclerosis in the elderly, specific measures are: 1, quit smoking and alcohol, avoid mental tension, emotional excitement, anxiety, depression, sulking, irregular life, overwork, etc., which can affect the lipid metabolism, promoting the formation of atherosclerosis. 2, adhere to physical exercise, such as walking, jogging, tai chi, gymnastics, etc., can promote blood circulation, accelerate body fat metabolism, which is conducive to controlling weight growth and reducing blood lipid levels. 3, appropriate diet and reasonable diet to avoid overweight and high blood lipids; avoid eating more cholesterol-rich (fatty meat and animal offal) and high-sugar foods; should eat more high-fiber foods (coarse grains), green leafy vegetables and fruits. 4, vascular diastolic exercise, the method is to adhere to the cold and hot water alternating bath or cold and hot water alternating bath (that is, first with cold water bath or bath, then hot water bath or bath), so that vascular diastolic movement, can prevent or delay atherosclerosis. 5.If the blood lipid is too high, you can take lipid-lowering drugs under the guidance of a doctor to delay the occurrence of atherosclerosis. 6. Chinese herbal medicine can be used to prevent the occurrence of restless legs by treating the deficiency and dampness, activating blood circulation and removing blood stasis. Third, the restless leg syndrome treatment 1, general treatment Before going to bed, wash the feet with warm water, or wash the lower limbs with mugwort water. Massage the local muscles. Should develop the habit of regular exercise, especially to strengthen the exercise of the legs, every morning or before bedtime after washing the feet, rub the heart of the feet with your hands, first in the heart of the feet left and right, then back and forth, and finally turn around and rub until hot, red and comfortable, which helps to improve the blood circulation and nutritional status of the legs and prevent symptoms such as numbness, weakness and coldness. 2, pay attention to a balanced diet, less meat and more vegetarian food, quit smoking to reduce blood viscosity. 3.Symptomatic treatment If anemia is present, correct the anemia. If the attack occurs during pregnancy, the symptoms can disappear after delivery. 4.Medication â‘´Inositol 1g, take it once a night. (2) Treatment with vasodilators, such as niacin and scopolamine 5mg. 1 time daily. (3) Use dopaminergic drugs or dopamine agonists, such as methyldopa 125-250mg, Shinnymed 125mg, once a day. Less commonly used in China. (4) Antispasmodics such as carbamazepine or sodium valproate, both 0,1g, once before bedtime. (5) Use vitamin B1 100mg, and vitamin B2 50mg, alternately injected in the body parts of the commission, Chengshan or along the peroneal nerve stem, one point of the affected limb once a day, 5 days as a course of treatment. 5.Chinese medicine treatment: 10g of white peony, 10g of licorice, 18g of papaya, 18g of hyssop, decoction with water. White peony 12g, raw licorice 6g, raw oyster 30g (first decoction), yam 10g, papaya 10g, wai ling xian 10g, decoction in water.