Wei Syndrome Flashcards
Clinical Features
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
Def
Wei Syndrome refers to weakness, muscular atrophy and motor impairment of the limbs and body
*Most commonly affects the lower limbs
5 Syndromes
Lung heat consuming body fluids Damp heat affecting the channels Sp/St Qi Def Liver and Kidney Def Qi and Blood Stagnation
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
Damp Heat affecting the Channels
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
Liver and Kidney Deficiency
History of traumatic injury, flaccid paralytic limbs, incontinence of urine and feces if spinal cord is injured
Qi and Blood Stagnation
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
Lung Heat consuming Body Fluids
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
Sp/St Qi Def
Lung Heat consuming Body Fluids T & P
T: Red, thin or thick dry yellow coat
P: Thready and Rapid
Lung Heat Consuming Body Fluids Points
Lu 5
UB 13/21
St 44
Damp Heat affecting the Channels T & P
T: Red, puffy and maybe purple with a yellow thick greasy or sticky or dry tongue coat
P: Soft, Slippery, Thready and/or Rapid
Damp Heat affecting the Channels Points
Sp 9
UB 20
St 28
Ren 3 or Ren 4
Sp and St Qi Def T & P
T: Pale, puffy, scallops with thin white coating
P: Slow weak or soft thready
Sp and St Qi Def Points
UB 20/21
Ren 6
Liver and Kidney Def. T and P
T: Pale or Red with thin white or scanty coating
P: Thready weak and/or Rapid
Liver and Kidney Def Points
UB 18/23/52
Qi and Blood Stagnation T & P
T: Purple with thin white coating
P: Choppy
Qi and Blood Stagnation Points
Jiaji
Ren 3
UB 25/32
Incontinence of Urine Points
Ren 3
Sp 6
Incontinence of Feces Points
UB 25/32
What causes drop foot?
Def of Qi on the part of the stomach meridian - St points
What causes Eversion of the foot?
Def of Qi on the lateral side of GB meridian - GB pts
Transmission
Consumption of Lung Fluids Def of Kidney/Liver
Spleen Def Damp Heat —–> Kidney Yin Def.
Etiology
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
Chief Pathology of Wei Syndrome
Deficient Jing, Qi, Blood and Yin
Signs and Symptoms of Wei Syndrome
Weakness of the limbs Muscular Atrophy Paralysis Absence of pain No relationship to weather changes
Location of Wei Syndrome
Bilateral or Unilateral impairment mainly of the lower limbs
Western Diseases
Polyneuritis MS ALS Myasthenia Gravis (Dropped Eyelid) MVA - Concussion
What does Wei Mean?
Withering/Drying
Organs Involved
Liver Kidney Spleen Stomach Lung
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
Prognosis
Usually isn’t good, treating earlier on you’ll get better results
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
Pattern Differentiation
- Root vs Branch (Primary vs. Secondary)
Primary: Usually Def
Secondary: Usually excess
Combination with blood stasis - Excess Vs. Deficiency
Sudden onset Chronic
Progresses quickly Slow progress
Damp heat, lung heat Def. Sp/St/Liv/Kid
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
Incontinence or urine
Ren 3
Sp 6
Incontinence of Feces
UB 25/32
Eversion of Foot (Lateral)
Def of Qi in GB meridian
GB 34/40
Foot Drop
Def of Qi in Stomach Meridian
ST 36/41
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
What are the areas used for the 11 Wei/ Spinal Cord Protocol?
- Du Points
- Jiaji
- UB/Back shu pts
- UB - Below lumbar
- Ren and Foot Yangming (St)
- Foot Yangming (St)
- Foot Shaoyang (GB)
- 3 Foot Yin Meridian
- 3 Hand Yang Meridian
- 3 Hand Yin Merdian
- Hand/Foot
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
Huatojiaji Pts
T2 - L4
Every other vertebra contralaterally
Regular Zang Fu organ
Conduct Yang Qi
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
UB - Below Lumbar
UB 31/32/33/34
GB 30
UB 36/37/40/57/60
Kid 1
- Strengthen tendons
- Regulate bowel and urine
Ren (Pre heaven) and Foot Yangming (Postheaven) (St)
Ren 3/4/6/10/12/14
St 21/25/28
Liv 13 (Mu of Spleen)
Foot Yangming (St)
22 Needles
St 30/31/32/35/36/37/39/41/43/44
Sp 6
- Strengthen Sp/St
Foot Shaoyang (GB)
Bone, Joints
GB 26/29/31/34/35/37/39/40/41/43
Liv 3
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
3 Foot Yin Meridian
14 pts
ST 30
Sp 6/9/11
Liv 3/11
Kid 6
- Nourish Yin & Blood
- Extinguish Wind
3 Hand Yang Meridian
LI 4/5/11/15
SJ 3/8
PC 4
3 Hand Yin Meridians
Hrt 1/5/7
Lu 4/5
PC 5/7
- Nourish Blood
- Calm the mind
Hand/Foot
12 Needles: LI 4/11
Pc 6 } Hand
GB 34 ST 36 Sp 6 } Leg
- Circulate Collaterals
- Regulate Yin/Yang
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*