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33.    Atrophy syndrome (Wei Zheng)

Definition
    A group of disorders whose symptoms rang from flaccidity and weakness in sinuws   and muscles to diminished muscle mass

Relevant Diseases Of Western Medicine
1. Multiple sclerosis多发性硬化,多发性脑脊髓硬化症--- a chronic egenerative disease of the central nervous system in which gradual destruction of myelin occurs in patches throughout the brain or spinal cord or both, interfering with the nerve pathways and causing muscular weakness, loss of coordination, and speech and visual disturbances. It occurs chiefly in young adults and is thought to be caused by a defect in the immune system that may be of genetic or viral origin. 
2. Myasthenia gravis重症肌无力--- a disease characterized by progressive fatigue and generalized weakness of the skeletal muscles, especially those of the face, neck, arms, and legs, caused by impaired transmission of nerve impulses following an autoimmune attack on acetylcholine receptors. 
3. Progressive muscular dystrophy 进行性肌营养不良---
4. Hypokalemic periodic paralysis (hypokpp)低钾性周期性瘫痪 --- paralysis owing to low serum potassium
5. Polyneuritis (multiple neuritis)多发性神经炎--- inflammation of several nerves at one time, as in leprosy. 
6. Syringomyelia脊髓空洞症--- a chronic disease of the spinal cord characterized by the presence of fluid-filled cavities and leading to spasticity and sensory disturbances.
7. Myelitis脊髓炎--- inflammation of the spinal column. 
8. Hysterical paralysis癔症性瘫痪---

Etiology & Pathogenesis 
1. Lung Heat With Fluid Injury
2. Damp-Heat Accumulation
3. Deficiency Of Spleen And Stamoch
4. Defiency Of Liver And Kidney

Differential Diagnosis
1. Excess And Deficiency Patterns
2. Bi Syndrome
3. Wind Stroke

Classification & Treatment
1. Lung Heat Injurying The Fluid---Clear Heat, Moisten Dryness, Nourish Lung And   Generate Fluid.
   
 Qing Zao Jiu Fei Tang
    Sang Ye, Shi Gao---
    Mai Dong, Er Liao, Hu Ma Ren---
    Xing Ren, Pi Pa Ye---
    Ren Shen, Gan Cao---

2. Damp-Heat Accumulation---Clear Heat And Drain Dampness, Unblok And Facilitate Circulation In Channels And Vessels
          
Si Miao Wan
         Huang Bai---
         Cang Zhu---
         Niu Xi---
         Yi Yi Ren---
  
3. Deficiency Of Spleen And Stamoch---Strengthen Spleen, Augment Qi
          
Shen Ling Bai Zhu San          
         Dang Shen, Bai Zhu, Shao Yao, Bai Bian Dou, Lian Zi---
         Fu Ling, Yi Yi Ren---
         Chen Pi, Sha Ren---

4. Deficiency Of Liver And Kidney---Tonify Liver And Kidney, Nourish Yin And Clear Heat
               
Hu Qian Wan
               Shu Di Huang, Gui Ban---
               Bai Shao---
               Suo Yang---
               Zhi Mu, Huang Bai---

Acupuncture Treatment

Upper Limbs: 
         LI 15 Jian Yu, LI 11 Qu Chi, LI 4 He Gu, TE 5 Wai Guan, 

Lower Limbs:
      ST 31 Bi Guan, ST 34 Liang Qiu, ST 36 Zu San Li, ST 41 Jie Xi, GB 39 Xuan   Zhong, GB 39 Yang Ling Quan, GB 30 Huan Tiao, SP 10 Xue Hai

Lung Heat + LU 5 Chi Ze, BL 13 Fei Shu
Damp Heat + SP 9 Yin Ling Quan, BL 20 Pi Shu
Spleen And Stomach Deficiency + Ren 6 Qi Hai, Ren 4 Guan Yuan
Liver And Kidney Deficiency + BL 18 Gan Shu, BL 23 Shen Shu

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