The essence of maibi is the obstruction of the blood vessels, the disease is mainly in the veins, involving the skin, muscles, joints, and the relationship with the heart, liver, spleen (stomach) and other organs close. It is mostly due to feeling of external evil, stagnation of qi and blood stasis, phlegm and blood stasis, and deficiency of qi and blood, resulting in dysfunction of viscera and lack of righteousness. This disease is divided into deficiency and excess: Actually, it is mostly wind, cold, dampness, heat, poison, stagnation of qi, turbid phlegm, and blood stasis; deficiency is mostly deficiency of qi and blood.
The symptoms of pulse paralysis are mainly pain in the limbs (some are also accompanied by fatigue, swelling, numbness, and even intermittent claudication), the skin color change of the affected area (or purple or white), the affected limb has no pulse or weak pulse . Early intervention and treatment are necessary for a better prognosis.
Someone asked: What are the consequences of letting it go? If it is allowed to progress, in addition to the gradual rot of the affected limb, the pulse will become numb with a long time, and the external evil will be regained. Developed into heart failure.
So how does Chinese medicine treat it?
In short, it is dialectical treatment.
For a patient with pulse numbness, first distinguish the cold and heat: cold syndrome is mostly caused by the lack of yang in the body, and the recurrence of cold and dampness. The onset or aggravation in winter or cold, the relief or reduction of heat gain, and pale tongue are characteristics; heat syndrome is mostly caused by yin deficiency in the body and recurrence of heat evil, with redness and swelling or flushing of the skin on the affected area, fever or touching of the limbs It is characterized by burning and red tongue. Secondly, it is necessary to distinguish between deficiency and excess: those with acute onset, short course of disease, swelling of the affected limbs, severe pain, skin ecchymosis, skin nail or stubborn numbness, dark tongue or ecchymosis, thick and greasy fur are mostly evidence The onset of disease is slow, the course of the disease is long, the body is weak, the limbs are weak and weak, the pain is faint, and the patients with virtual symptoms are mostly deficiency syndrome, or mainly deficiency. Finally, the course of the disease must be distinguished: the early stage of the pulse palsy is superficial, the disease is limited, the limb pain is mild, the pain mostly appears after activities, and gradually relieves after rest; the pain worsens in the middle stage, often continues to be puzzled, and the pain is severe during the day and night. The skin color of the limbs has changed significantly, and symptoms such as skin swelling, ecchymosis, and loss of skin claw nails can be seen; in the late stage, the condition is further aggravated, the lesions are diffuse, the pain is severe and persistent, and even secondary symptoms such as ulcers may occur. Mainly.
The treatment principle for Maibi is: Tongluo to relieve pain. The empirical evidence mainly focuses on removing pathogens and dredging collaterals, and the commonly used treatment methods include expelling wind and cold, to clear heat and dampness, clearing qi and eliminating phlegm and dissipating congestion; deficiency syndrome is mainly based on strengthening the body and clearing the collaterals, and the commonly used method of strengthening the body is beneficial to qi Nourish blood and so on. In addition, it is necessary to use methods such as leveling yin and yang, nourishing yin and clearing away heat, soothing the liver and regulating qi . In the course of treatment, care should be taken to protect the heart, nourish and invigorate blood, and treat severe cases with integrated traditional Chinese and Western medicine. According to different etiology and pathogenesis, our commonly used treatment types are as follows:
1. Wind, cold and dampness syndrome
The clinical symptoms of this syndrome type are: veins bruising, limb cold and pain, heavy; joint pain, heavy body, nausea Cold, fever, no sweat or sweating. The tongue is pale red, the fur is thin and white; the pulse is floating tight or floating slowly.
The treatment should be: expelling wind and cold, dehumidifying and dredging collaterals.
Representative prescription: Juanbi Decoction (" Medical Insights ") addition and subtraction.
prescription: Qianghuo, sylvatica, Gentiana, sea breeze vine, Guixin, Asarum, Atractylodes, Frankincense, Woody, Mulberry, Ligusticum spp. , The whole prescription plays the power of dispelling wind and cold, dehumidifying and dredging collaterals.
If the pain is severe, add Weilingxian, Fangji; if the cold is not sweaty, add nepeta, peppermint, ephedra ; if fever, sweating, add chaihu, Zhimu_ span9span, gypsum; add coix seed to wet ones, 薢.
Second, damp-heat arthralgia syndrome
Clinical symptoms: red swelling of the veins, heat and pain in the limbs, heavy; like cold and fear of heat, there may be cords in the affected area, and it will cause pain or ulcers at the extremities. , Flowing yellow water, body heat, thirsty and unwilling to drink, chest tightness, anorexia, yellow urine. Red tongue, yellow greasy coating, slippery pulse.
The treatment should be: clearing away heat and removing dampness, pinbi and dredging collaterals.
Representative prescription: Danggui Niantong Decoction (" Medical Origin ") addition and subtraction.
prescription: Sophora , Scutellaria baicalensis, Yinchen, Anemarrhena, Alisma , Polyporus , Pueraria lobata _spanspan, Atractylodes spp. fangfeng and angelica have the effects of clearing away heat, removing dampness, and dredging collaterals.
If it is wet, it is advisable to add Smilax glabra and Plantago; if the stasis is obvious, add Salvia miltiorrhiza, Eupatorium, Earthworm, Wangbuliuxing, Soil beetle, s leech ; Add dandelion, purple flower field Ding, stigma to those who suffer from heat poisoning.
Third, phlegm turbidity and blood stasis syndrome
The clinical symptoms are: dark purple veins, stubborn limbs, dizziness and heavy head; limb swelling, pain, coldness, dark skin color or induration of sputum nucleus, chest tightness and swelling, Anorexia, pan spitting and salivation. The tongue is fat and dark, or ecchymoses may be seen, the fur is white and greasy; the pulse is heavy and slippery.
The treatment should be: eliminate phlegm and dispel congestion, promote blood circulation and remove blood stasis .
Representative prescription: Shuanghe Decoction (" Miscellaneous Disease Source Rhinoceros ") addition and subtraction.
prescription: dried ginger, tangerine peel, white mustard seed, bamboo leeks, peach kernel, safflower, chuanxiong, angelica, salvia, musk, earthworm, all medicines are used together to eliminate phlegm, promote blood circulation and remove blood stasis. achievement.
If the phlegm and blood stasis persists and the pain is constant, add pagoda, white flower snake , centipede, soil beetle, leech, cassia twig , aconite , asarum, deer cream.
IV. Qi stagnation and blood stasis syndrome
Clinical symptoms: dark purple veins, tingling limbs, fullness of the chest and thighs; agitation or aggravated activities, dark purple skin, good Taixi, Anorexia, irregular stool, irregular menstruation, abdominal pain and blood clots during menstruation. The tongue is purple and dark, the fur is thin white or thin yellow; the pulse string is astringent.
The treatment should be: soothing the liver and relieving depression, promoting blood circulation and removing blood stasis.
Representative prescription: Xuefu Zhuyu Decoction (" Medical Forest Correction ") addition and subtraction.
Prescription: Bupleurum, Cyperus rotundus, Black medicine, Platycodon, Citrus aurantium, Bupleurum, peach kernel, safflower, Red peony , Chuanxiong, Chuan achyranthes , Danshen, Wulingzhi , Yanhusuo , Shengdi, Angelica, Licorice, the whole prescription plays the role of soothing liver and relieving depression, promoting blood circulation and removing blood stasis.
5. Qi and blood deficiency syndrome
Clinical symptoms: weak pulse,Limb soreness, dizziness and palpitations; stubborn limbs, muscle atrophy, dry skin, pale complexion , weight loss, spontaneous sweating, weakness of limbs, shortness of breath, pale lips and nails. The tongue is pale and the fur is thin and white, and the pulse is heavy, thin and weak.
The treatment should be: nourishing qi and nourishing blood, promoting blood circulation and dredging collaterals.
Representative prescription: Sanbi Decoction ("Women's Recipe") addition and subtraction.
Prescription: Codonopsis, Astragalus, Angelica, White peony, Rehmannia, Licorice, Dipsacus, Achyranthes bidentata, Danshen, Chuanxiong, Duhuo, Asarum, all medicines can benefit from the same use Qi nourishes blood, promotes blood circulation and clears collaterals.
For those with poor appetite, add Divine Comedy, Malt, Gallus gallus , Jiao Hawthorn; For those with cold limbs, add attached piece, Guizhi, fenugreek, Morinda ; those with severe blood stasis, plus three-legged, zedoary , leeches, earthworms, soil turtles.
Ruomai Bi, startling Zhaan Zhafa, Yiren Ginseng Pill ("Taiping Shenghui Recipe"); If the pulse is Bi, the body is not benevolent, it is suitable for Astragalus Soup (" General Records of St. Franciscans) ``); If the arthralgia and blood passage is congested, Yiyibi Decoction ("Shengji General Record"); if the arthralgia develops cough, the heartache, the throat mediator is like an infarction, and the throat is swollen, and the palpitations are disturbed. Soup ("Yan Shi Ji Sheng Fang"); if the qi is weak, the blood is scorched, so angry, the lips are red, the speech is unpleasant, the color is not luster, and the diet is not good for the skin, it is suitable for Mai Men Dong soup (" Yan Shi Ji Sheng square").
In addition to the above dialectical treatment, it can also be combined with acupuncture, massage, physical therapy, diet therapy, etc.
The outcome and prognosis of Maibi mainly depend on the patient's strength of righteousness, the severity of the pathogenic factors, and the range of lesions involved.Generally, people with acute onset are easy to detect early and attract attention. If the treatment is more timely, as long as the treatment is correct and the treatment is thorough, it can often be cured without prolonging to become chronic. Early diagnosis is difficult, and treatment is often not timely. The condition can often be lingering, difficult to heal over time, and even complicated by ulceration and hemiplegia, with poor prognosis. In the middle and late stages of the disease or in severe conditions, the following syndromes are often complicated: due to damp heat accumulates poison, enters the camp and enters the blood, disturbs the gods, and may be accompanied by delirium; damp heat is more scorching, the skin veins and flesh are corrupt, and the affected limbs may be complicated Ulcer; pulse arthralgia does not heal for a long time, and the internal organs are damaged. Anxious meridian can cause acute pain in the affected limb or chest and abdomen, and even hemiplegia, causing limb apraxia.
.
