Wei Syndrome Flashcards

(54 cards)

0
Q

Clinical Features

A
Weakness of the four limbs 
Progressively leading to atrophy
Limp state of muscles and tendons 
Inability to walk properly with eventual paralysis
Weakness generally occurs without pain
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1
Q

Def

A

Wei Syndrome refers to weakness, muscular atrophy and motor impairment of the limbs and body
*Most commonly affects the lower limbs

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2
Q

5 Syndromes

A
Lung heat consuming body fluids
Damp heat affecting the channels
Sp/St Qi Def
Liver and Kidney Def
Qi and Blood Stagnation
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3
Q

Progressive weakness and paralysis of the body and limbs, particularly the lower limbs, slight swelling and numbness of the limbs with heat sensation to touch, general heaviness, sensation of fullness in the chest and epigastric region, loose stools with bad smell or diarrhea, irritability, thirst, painful urination, hot and dark yellowish or turbid urine, or hot feet which are relieved by the cold

A

Damp Heat affecting the Channels

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4
Q

Slow onset, weakness and/or paralysis of the body and limbs, muscle atrophy, sore/weak lumbar and knees, dizziness, vertigo, blurred vision, seminal emission or premature ejaculation, leukorrhea, low or tidal fever, night sweats

A

Liver and Kidney Deficiency

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5
Q

History of traumatic injury, flaccid paralytic limbs, incontinence of urine and feces if spinal cord is injured

A

Qi and Blood Stagnation

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6
Q

Fever at the onset of disease, sudden weakness of the limbs and body when the fever subsides, dryness of the skin, fever, irritability, cough, thirst, scanty and brownish urine, poor appetite, constipation

A

Lung Heat consuming Body Fluids

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7
Q

Slow onset, weakness and/or paralysis of the limbs, muscle atrophy, puffy face with sallow complexion or emaciation, lassitude, SOB, dislike of speaking, reduced appetite, abdominal distention, loose stools without bad smell

A

Sp/St Qi Def

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8
Q

Lung Heat consuming Body Fluids T & P

A

T: Red, thin or thick dry yellow coat

P: Thready and Rapid

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9
Q

Lung Heat Consuming Body Fluids Points

A

Lu 5
UB 13/21
St 44

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10
Q

Damp Heat affecting the Channels T & P

A

T: Red, puffy and maybe purple with a yellow thick greasy or sticky or dry tongue coat

P: Soft, Slippery, Thready and/or Rapid

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11
Q

Damp Heat affecting the Channels Points

A

Sp 9
UB 20
St 28
Ren 3 or Ren 4

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12
Q

Sp and St Qi Def T & P

A

T: Pale, puffy, scallops with thin white coating

P: Slow weak or soft thready

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13
Q

Sp and St Qi Def Points

A

UB 20/21

Ren 6

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14
Q

Liver and Kidney Def. T and P

A

T: Pale or Red with thin white or scanty coating

P: Thready weak and/or Rapid

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15
Q

Liver and Kidney Def Points

A

UB 18/23/52

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16
Q

Qi and Blood Stagnation T & P

A

T: Purple with thin white coating

P: Choppy

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17
Q

Qi and Blood Stagnation Points

A

Jiaji
Ren 3
UB 25/32

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18
Q

Incontinence of Urine Points

A

Ren 3

Sp 6

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19
Q

Incontinence of Feces Points

A

UB 25/32

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20
Q

What causes drop foot?

A

Def of Qi on the part of the stomach meridian - St points

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21
Q

What causes Eversion of the foot?

A

Def of Qi on the lateral side of GB meridian - GB pts

22
Q

Transmission

A

Consumption of Lung Fluids Def of Kidney/Liver

Spleen Def Damp Heat —–> Kidney Yin Def.

23
Q

Etiology

A

Consumption of Lu & ST Fluids —> Febrile Disease

Retention of Damp Heat –> Invasion of Damp Heat
–> Irregular Diet of greasy, sweet foods

Qi and Blood Stag. in Channels –> From Damp Heat affecting tendons
and channels, consuming BF, and
leading to Qi/Blood Stag and Sp/St
Qi Deficiency

Sp/St Qi Def –> Diminished Qi and Blood production

Def of Liver/Kidney –> Consumption of Essence and Blood from
Congenital Def, Long term illness, lots of sex

Concussion –> Injury of the meridians —> Slow flow of Qi and Blood in meridians —-> Leading to Qi and Blood Stag in Channels & Collaterals

24
Chief Pathology of Wei Syndrome
Deficient Jing, Qi, Blood and Yin
25
Signs and Symptoms of Wei Syndrome
``` Weakness of the limbs Muscular Atrophy Paralysis Absence of pain No relationship to weather changes ```
26
Location of Wei Syndrome
Bilateral or Unilateral impairment mainly of the lower limbs
27
Western Diseases
``` Polyneuritis MS ALS Myasthenia Gravis (Dropped Eyelid) MVA - Concussion ```
28
What does Wei Mean?
Withering/Drying
29
Organs Involved
``` Liver Kidney Spleen Stomach Lung ```
30
Info
``` Belong to internal injury category More Deficiency patterns, less excess More heat patterns, less cold Lasts a long time, pathology is complicated Major and Minor (secondary) pathology ```
31
Prognosis
Usually isn't good, treating earlier on you'll get better results
32
Diagnosis Differentiation
Bi ~ Painful, swollen joints May be spasm No atrophy in early stage W-C-D ``` Stroke ~ Brain Loss of consciousness Sudden onset Slurred Speech Deviation of mouth Hemiparalysis High Blood Pressure ``` Wei ~ Weakness of muscle (Low limbs) No pain Atrophy
33
Pattern Differentiation
1. Root vs Branch (Primary vs. Secondary) Primary: Usually Def Secondary: Usually excess Combination with blood stasis 2. Excess Vs. Deficiency Sudden onset Chronic Progresses quickly Slow progress Damp heat, lung heat Def. Sp/St/Liv/Kid
34
Tx
Tonify Deficient patterns - Tx accompanied signs and symptoms, phlegm, heat, stasis etc. - Use caution with warm dry herbals as most patterns are heat and Def. - don't use too much cold (Extinguish the fire) or long retention (Balance yin and yang) Blood Def. - Tonify blood, qi and Spleen because it produces blood * Use lots of points because of the wide array of areas affected!* ``` Yangming points mostly: Upper limb ~ LI 4/5/10/11/14/15 SJ 5, Baxie, SI 3 Ashi Pts C5 - T3 - Jiaji ``` ``` Lower Limbs ~ ST 31/34/36/40/41 GB 30/31/34/39 Liv 8 Sp 6/10 UB 62 Kid 6 Bafeng, Ashi pts L1 - L5 - Jiaji ``` Plumblossom ~ Spinal column UB/Du, Yangming meridian pts (esp legs), top to bottom, medial to lateral Scalp Acup ~ Sensory/motor line, combine with electro stim 15-20 min Electro ~ 3-4 paits - low freq 2-4 Hz, adjust as patient gets used to frequency 9 Needle Technique ~ For spinal injury, later is @ Jiajis or UB meridian
35
Incontinence or urine
Ren 3 | Sp 6
36
Incontinence of Feces
UB 25/32
37
Eversion of Foot (Lateral)
Def of Qi in GB meridian GB 34/40
38
Foot Drop
Def of Qi in Stomach Meridian ST 36/41
39
Who created the 9 Needle Technique
Dr Le Ting Wang in 1968 Extensive experience on nerve damage treatment Created 11 protocol for wei syndrome Created 7 protocol for stroke
40
What are the areas used for the 11 Wei/ Spinal Cord Protocol?
1. Du Points 2. Jiaji 3. UB/Back shu pts 4. UB - Below lumbar 5. Ren and Foot Yangming (St) 6. Foot Yangming (St) 7. Foot Shaoyang (GB) 8. 3 Foot Yin Meridian 9. 3 Hand Yang Meridian 10. 3 Hand Yin Merdian 11. Hand/Foot
41
Du Points
14 Pts ``` Du 20 Du 11 Du 4 Du 16 Du 9 Du 3 Du 13 Du 8 Du 2 Du 12 Du 6 Du 1 Du 14 Du 5 ``` Circulate Du Meridian Tonify Yang Qi
42
Huatojiaji Pts
T2 - L4 Every other vertebra contralaterally Regular Zang Fu organ Conduct Yang Qi
43
UB/Back Shu pts
Lu Ht Diaphragm UB 13/15/17/18/20/23/25 - Tonify Yin organ (zang) - Nourish Qi and Blood - Aggressive Energy Tx
44
UB - Below Lumbar
UB 31/32/33/34 GB 30 UB 36/37/40/57/60 Kid 1 - Strengthen tendons - Regulate bowel and urine
45
Ren (Pre heaven) and Foot Yangming (Postheaven) (St)
Ren 3/4/6/10/12/14 St 21/25/28 Liv 13 (Mu of Spleen)
46
Foot Yangming (St)
22 Needles St 30/31/32/35/36/37/39/41/43/44 Sp 6 - Strengthen Sp/St
47
Foot Shaoyang (GB)
Bone, Joints GB 26/29/31/34/35/37/39/40/41/43 Liv 3
48
How to treat in early stage with the 11 needle protcol
``` Rotate 7 protocols Every other day, 3x week Each time use 1 protocol Retain needles for 30 minutes 3 months is one course of tx Take 1 week break b/w courses ``` * Neck injury add 4 more protocols ie: 3 Foot Yin, 3 hand yang, 3 hand yin, hand/foot
49
3 Foot Yin Meridian
14 pts ST 30 Sp 6/9/11 Liv 3/11 Kid 6 - Nourish Yin & Blood - Extinguish Wind
50
3 Hand Yang Meridian
LI 4/5/11/15 SJ 3/8 PC 4
51
3 Hand Yin Meridians
Hrt 1/5/7 Lu 4/5 PC 5/7 - Nourish Blood - Calm the mind
52
Hand/Foot
12 Needles: LI 4/11 Pc 6 } Hand GB 34 ST 36 Sp 6 } Leg - Circulate Collaterals - Regulate Yin/Yang
53
Education
``` Exercise Regularly to avoid further atrophy Avoid Wet/Damp area Avoid EPF Invasion (esp heat) Decrease Sexual activity Regulate Emotions Regulate Diet - Decrease fatty foods Be patient with results ``` * Get Western disease diagnosis*