National Standard Code
A05.09
GB/T 15657-2021
Category
Syndromes of the Liver and Gallbladder System

Traditional Chinese Medicine Definition

Tremor Syndrome (Parkinson's Disease/essential tremor), also known as tremor, is a type of disease in the liver and gallbladder system in traditional Chinese medicine. According to the records in "Internal Medicine of Traditional Chinese Medicine," tremor syndrome refers to the involuntary tremors of the head or limbs of patients, with varying degrees of movement amplitude. It is often accompanied by symptoms such as dizziness, headache, irritability, and easy anger. This syndrome is generally caused by Yin deficiency of the liver and kidney, and the internal movement of liver wind, which is characterized by both deficiency and excess.

In clinical practice of traditional Chinese medicine, the core pathogenesis of tremor syndrome is Yin deficiency of the liver and kidney, and the internal movement of liver wind. Common precipitating factors include emotional disorders, aging, and excessive physical and sexual exhaustion. In the process of differentiation, attention should be paid to distinguishing the nature of cold and heat, as well as the deficiency and excess. For instance, the wind-yang internal movement syndrome is characterized by head and limb tremors, dizziness, headache, irritability, and easy anger; while the phlegm-heat activating wind syndrome is characterized by head and limb tremors, chest tightness, abundant sputum, dizziness, and heavy-headedness. The overall treatment approach suggests that in the clinical treatment of tremor syndrome, attention should be given to nourishing Yin and subduing Yang, calming the liver, and extinguishing the wind, while adopting corresponding methods of clearing heat, resolving phlegm, or relaxing tendons and stopping tremors based on different patterns. Traditional Chinese medicine holds that the treatment of tremor syndrome should focus on holistic treatment, balancing Yin and Yang, adjusting the functions of the internal organs, and restoring the normal physiological state of the body.

Common Syndrome Types and Key Points of Differentiation

Internal movement of wind and yang

Main Manifestations: Head shaking, limbs trembling, unable to control oneself, dizziness, headache, irritability, and easy to get angry

Management Approach: Settle the liver and calm the wind, relax tendons and stop tremors

Stagnation of phlegm-heat leading to wind

Main Manifestations: Head shaking, limbs tremble, chest oppression with abundant phlegm, dizziness and heavy-headed sensation

Management Approach: Clear heat and resolve phlegm, calm the liver and stop the wind

The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.

Physician's Clinical Insights

For patients with tremor syndrome, it is often necessary to carefully observe the amplitude of the tremors and whether there is muscle rigidity to differentiate between Yin deficiency of the liver and kidney and the mutual binding of phlegm-heat.

— Chai Xia Yang Traditional Chinese Medicine Practitioner

Reviewed by: Chai Xia Yang (Traditional Chinese Medicine Practitioner) | 2026-07-07 | Version 2

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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.

This article has been reviewed by licensed TCM physicians at Hangzhou Kezhentang TCM Clinic. It is for TCM popular science reference only and does not involve specific treatment plan recommendations.

References: Internal Medicine of TCM (13th Five-Year Plan Textbook), Diagnostic and Therapeutic Effectiveness Standards for TCM Diseases and Syndromes (ZY/T001.1-94), Classification and Codes of TCM Diseases and Syndromes (GB/T 15657-2021)

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