LEGS

FEET

Oedema

Observation, Chapters 18 and 19; Interrogation, Chapter 39; Symptoms and Signs, Chapters 64 and 68

ATROPHY OF THE LEGS

Observation, Chapter 19

Stomach- and Spleen-Qi deficiency

Atrophy or thinning of the muscles of the legs, weakness of the limbs, muscular weakness, gait like a duck, feet turning in or out, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, loose stools, uncomfortable feeling in the epigastrium, lack of sense of taste, Pale tongue, Empty pulse.

In children this corresponds to the sequelae stage of poliomyelitis.

Liver- and Kidney-Yin deficiency

Atrophy or thinning of the leg muscles, weak knees, staggering gait, dizziness, tinnitus, weak knees, hardness of hearing, lower backache, dull occipital or vertical headache, insomnia, numbness/tingling of the limbs, dry eyes, blurred vision, dry throat in the evening, dry hair and skin, brittle nails, night sweating, dry stools, scanty menstruation or amenorrhoea, normal-coloured tongue without coating, Floating-Empty pulse.

This pattern is more common in the elderly.

Spleen- and Kidney-Yang deficiency

Atrophy or thinning of the leg muscles, cold and weak knees, oedema of the lower legs, muscular weakness, lower backache, feelings of cold generally or in the back, weak legs, bright-white complexion, decreased libido, tiredness, lassitude, abundant clear or scanty clear urination, urination at night, loose stools, poor appetite, slight abdominal distension, a desire to lie down, early-morning diarrhoea, Pale and wet tongue, Deep-Weak pulse.

Deficiency of Qi and Blood

Atrophy or thinning of the leg muscles, poor appetite, loose stools, weak voice, tiredness, blurred vision, dizziness, numbness/tingling of limbs, palpitations, dull-pale complexion, Pale tongue, Weak or Choppy pulse.

Kidney-Essence deficiency

Atrophy or thinning of the leg muscles, late physical/mental development in children, inability to grasp with the hands, inability to put feet down.

This pattern occurs only in children or babies and is often associated with the Five Retardations (slow development in children involving standing, walking, teeth development, hair development and speech) and the Five Flaccidities (late closure of the fontanelles, flaccidity of mouth, hands, feet and muscles).

PARALYSIS OF THE LEGS

Observation, Chapter 19

Stomach- and Spleen-Qi deficiency

Paralysis of the legs, weak and cold limbs, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, loose stools, an uncomfortable feeling in the epigastrium, lack of sense of taste, Pale tongue, Empty pulse.

Deficiency of Qi and Blood

Paralysis of the legs, weak limbs, poor appetite, loose stools, weak voice, tiredness, blurred vision, dizziness, numbness/tingling of limbs, palpitations, dull-pale complexion, Pale tongue, Weak or Choppy pulse.

Liver- and Kidney-Yin deficiency

Paralysis of the legs, dizziness, tinnitus, weak knees, hardness of hearing, lower backache, dull occipital or vertical headache, insomnia, numbness/tingling of the limbs, dry eyes, blurred vision, dry throat in the evening, dry hair and skin, brittle nails, night sweating, dry stools, scanty menstruation or amenorrhoea, normal-coloured tongue without coating, Floating-Empty pulse.

Retention of Dampness in the muscles

Paralysis of the legs, a feeling of heaviness of the body or limbs, swelling of the limbs, epigastric fullness, sticky taste, sticky tongue coating, Slippery pulse.

Liver-Blood stasis

Paralysis of the legs, pain in the limbs which may be worse at night, hypochondrial/abdominal pain, painful periods, dark and clotted menstrual blood, masses in the abdomen, purple nails and lips, purple or dark complexion, Purple tongue, Wiry or Firm pulse.

Wind and Phlegm in the channels

Paralysis of the leg on one side, numbness of the limbs, severe dizziness, blurred vision, tremors, numbness/tingling of the limbs, tinnitus, nausea, sputum in the throat, a feeling of oppression of the chest, Stiff or Deviated and Swollen tongue, Wiry-Slippery pulse.

This corresponds to the sequelae stage of Wind-stroke.

GAIT

Festination

Observation, Chapter 19

‘Festination’ refers to a particular gait whereby the patient lifts the feet up higher than necessary and then steps forward in a haste as if trying to avoid falling forwards.

Liver- and Kidney-Yin deficiency with internal Wind

Festination, tremors, severe dizziness, tinnitus, weak knees, hardness of hearing, lower backache, dull occipital or vertical headache, insomnia, numbness/tingling of the limbs, dry eyes, blurred vision, dry throat in the evening, dry hair and skin, brittle nails, night sweating, dry stools, scanty menstruation or amenorrhoea, tremors, tic, normal-coloured, Deviated or Moving tongue without coating, Floating-Empty and slightly Wiry pulse.

Qi and Blood deficiency with internal Wind

Festination, weak limbs, slight tremor of the limbs, tic, poor appetite, loose stools, weak voice, tired-ness, blurred vision, dizziness, numbness/tingling of limbs, palpitations, dull-pale complexion, Pale and Deviated or Moving tongue, Weak or Choppy and slightly Wiry pulse.

Unstable gait

Observation, Chapter 19

Liver- and Kidney-Yin deficiency with internal Wind

Unstable gait, severe dizziness, tinnitus, weak knees, hardness of hearing, lower backache, dull occipital or vertical headache, insomnia, numbness/tingling of the limbs, dry eyes, blurred vision, dry throat in the evening, dry hair and skin, brittle nails, night sweating, dry stools, scanty menstruation or amenorrhoea, tremors, tic, normal-coloured, Deviated or Moving tongue without coating, Floating-Empty and slightly Wiry pulse.

Qi and Blood deficiency with internal Wind

Unstable gait, weak limbs, slight tremor of the limbs, tic, poor appetite, loose stools, weak voice, tiredness, blurred vision, dizziness, numbness/tingling of limbs, palpitations, dull-pale complexion, Pale and Deviated or Moving tongue, Weak or Choppy and slightly Wiry pulse.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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