Wei Syndrome Flashcards

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
Q

Chief Pathology of Wei Syndrome

A

Deficient Jing, Qi, Blood and Yin

25
Q

Signs and Symptoms of Wei Syndrome

A
Weakness of the limbs
Muscular Atrophy
Paralysis
Absence of pain
No relationship to weather changes
26
Q

Location of Wei Syndrome

A

Bilateral or Unilateral impairment mainly of the lower limbs

27
Q

Western Diseases

A
Polyneuritis
MS
ALS
Myasthenia Gravis (Dropped Eyelid)
MVA - Concussion
28
Q

What does Wei Mean?

A

Withering/Drying

29
Q

Organs Involved

A
Liver
Kidney
Spleen
Stomach
Lung
30
Q

Info

A
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
Q

Prognosis

A

Usually isn’t good, treating earlier on you’ll get better results

32
Q

Diagnosis Differentiation

A

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
Q

Pattern Differentiation

A
  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
Q

Tx

A

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
Q

Incontinence or urine

A

Ren 3

Sp 6

36
Q

Incontinence of Feces

A

UB 25/32

37
Q

Eversion of Foot (Lateral)

A

Def of Qi in GB meridian

GB 34/40

38
Q

Foot Drop

A

Def of Qi in Stomach Meridian

ST 36/41

39
Q

Who created the 9 Needle Technique

A

Dr Le Ting Wang in 1968

Extensive experience on nerve damage treatment

Created 11 protocol for wei syndrome

Created 7 protocol for stroke

40
Q

What are the areas used for the 11 Wei/ Spinal Cord Protocol?

A
  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
Q

Du Points

A

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
Q

Huatojiaji Pts

A

T2 - L4
Every other vertebra contralaterally
Regular Zang Fu organ
Conduct Yang Qi

43
Q

UB/Back Shu pts

A

Lu
Ht
Diaphragm
UB 13/15/17/18/20/23/25

  • Tonify Yin organ (zang)
  • Nourish Qi and Blood
  • Aggressive Energy Tx
44
Q

UB - Below Lumbar

A

UB 31/32/33/34
GB 30
UB 36/37/40/57/60
Kid 1

  • Strengthen tendons
  • Regulate bowel and urine
45
Q

Ren (Pre heaven) and Foot Yangming (Postheaven) (St)

A

Ren 3/4/6/10/12/14
St 21/25/28
Liv 13 (Mu of Spleen)

46
Q

Foot Yangming (St)

A

22 Needles

St 30/31/32/35/36/37/39/41/43/44
Sp 6
- Strengthen Sp/St

47
Q

Foot Shaoyang (GB)

A

Bone, Joints
GB 26/29/31/34/35/37/39/40/41/43
Liv 3

48
Q

How to treat in early stage with the 11 needle protcol

A
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
Q

3 Foot Yin Meridian

A

14 pts

ST 30
Sp 6/9/11
Liv 3/11
Kid 6

  • Nourish Yin & Blood
  • Extinguish Wind
50
Q

3 Hand Yang Meridian

A

LI 4/5/11/15
SJ 3/8
PC 4

51
Q

3 Hand Yin Meridians

A

Hrt 1/5/7
Lu 4/5
PC 5/7

  • Nourish Blood
  • Calm the mind
52
Q

Hand/Foot

A

12 Needles: LI 4/11
Pc 6 } Hand

                 GB 34
                 ST 36
                 Sp 6 } Leg
  • Circulate Collaterals
  • Regulate Yin/Yang
53
Q

Education

A
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*