Spasm
Aliasconvulsion
Traditional Chinese Medicine Definition
In traditional Chinese medicine,Convulsive disease, also known as convulsion, falls under the category of liver and gallbladder diseases. According to the records in "Internal Medicine of Traditional Chinese Medicine," Convulsive disease refers to a disease characterized by spasms, stiffness, and opisthotonos of the limbs, caused by the invasion of pathogenic factors or internal injury. The pathogenesis of the disease is often related to internal movement of liver wind and malnutrition of the tendons and vessels.
In clinical practice of traditional Chinese medicine, the core pathogenesis of Convulsive disease is the internal movement of liver wind and malnutrition of the tendons and vessels. Common precipitating factors include external pathogenic invasion, emotional disturbances, and irregular diet. During the process of differentiation, attention should be paid to distinguishing the nature of cold and heat, and the excess and deficiency. For instance, the syndrome of pathogenic qi blocking the meridians presents with symptoms such as headache, stiffness of the neck and back, aversion to cold, fever, and heavy limbs, with the treatment approach focusing on dispelling wind and cold, drying dampness, and harmonizing the nutrient. The syndrome of excessive heat in the liver channel manifests with symptoms such as lockjaw, biting teeth, restlessness of the hands and feet, and opisthotonos, with the treatment approach focusing on clearing the liver, subduing the yang, and calming the spasms. The overall approach to treatment suggests that it is essential to harmonize the liver and spleen, nourish yin and subdue yang, in order to restore the normal function of the tendons and vessels.
Common Syndrome Types and Key Points of Differentiation
Obstruction of meridians by evil qi
Main Manifestations: Headache, stiff neck and back, aversion to cold and fever, heavy limbs
Management Approach: Eliminate Wind and Cold, Dry Dampness and Harmonize Qi and Blood
Excess of heat in the Liver Channel
Main Manifestations: Lockjaw, clamped teeth, interdental teeth, restlessness of hands and feet, opisthotonos
Management Approach: Clear the liver and subdue Yang, calm the wind and stop convulsions
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
In clinical practice, observing the frequency and duration of limb spasms in patients with spasms can help determine the depth and nature of the pathogenic factors.
— Li Mingjiu Traditional Chinese Medicine Practitioner
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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)