What does Chinese medicine say about oculomotor myasthenia gravis in children? Reviewing the previous articles on pediatric-type myasthenia gravis, the most common clinical signs of pediatric-type myasthenia gravis are ptosis, diplopia, and ocular fixation, which are present in up to 90% of pediatric-type patients, with ptosis being the most common and most easily recognized. In pediatric ptosis, partial or complete loss of function of the levator muscle, the Müller muscle, results in one or both upper lids being significantly lower than normal or unable to open the eyes at all. In Chinese medicine, this is called “lid wasting” or “sagging eyes”. Causes 1. Congenital deficiency. Due to the weakness of the mother or improper care during pregnancy, the fetal growth and development are affected and the fetus is not well endowed, resulting in a deficiency of the kidney. The kidney collects essence, which is the main bone, and the kidney essence is insufficient to nourish the bones and muscles of the whole body, thus causing the disease. 2.Lack of nourishment after birth. If the child’s spleen is often deficient, if not properly fed, it is more likely to damage the spleen and stomach, so that the Qi and blood biochemical lack of sources, tendons and muscles are not full and the disease develops. The key to the pathogenesis The key to the pathogenesis is spleen deficiency and Qi trapping, combined with liver and kidney deficiency. When the spleen is weak, the Yang does not rise and the lids are weak, so the upper cells droop. Spleen is the source of Qi and blood, so a weak Spleen is unable to nourish the innate, and the disease affects the liver and kidneys; a deficiency of the liver and kidneys leads to a deficiency of essence and blood, and the eyes are deprived of nourishment, so lid wasting is often accompanied by diplopia and strabismus. The main method of treatment is to strengthen the spleen and benefit the qi, supplemented by tonifying the liver and kidney. We can add and subtract from the main formula, and add Dendrobium and Fructus Lycii to tonify the kidneys and fill the essence if there is also deficiency of the liver and kidneys. Adjunctive treatment Parents of children can learn pediatric chiropractic and plum blossom acupuncture, and give more treatment to their children in daily life. Chiropractic can strengthen the spleen and stomach, move Qi and activate Blood. The Governor Vessel is the sea of Yang Vessel, and the back acupoints of the five viscera and six internal organs are all in the bladder meridian, so percussion of the Governor Vessel and the bladder meridian through plum blossom acupuncture can invigorate the Yuan and nourish the deficiency. If the child does not cooperate with the plum blossom acupuncture, he can also use a toothbrush to acupuncture.