National Standard Code
BWL
GB/T 15657-2021
Category
Diseases of the aged

Traditional Chinese Medicine Definition

In traditional Chinese medicine, senile tremor is referred to as "Chàn Zheng," a category of disease associated with aging. According to the records in "Internal Medicine of Traditional Chinese Medicine," the definition is: characterized by involuntary tremors of the head and limbs, which is more common in the elderly and often caused by Yin and Liver deficiency, Qi and Blood deficiency, or phlegm and blood stasis blocking the meridians.

In clinical practice of traditional Chinese medicine, the core pathogenesis of senile tremor is often related to Yin and Liver deficiency, as well as Qi and Blood deficiency. Common precipitating factors include aging, emotional disorders, and irregular diet. In the process of differentiation, attention should be paid to distinguishing between cold, heat, deficiency, and excess:

1. Yin deficiency with wind stirring syndrome: Patients commonly exhibit limb tremors accompanied by dizziness and dry mouth. The treatment approach for this type is to nourish Yin and subdue Yang, and to calm the tremors.

2. Qi and Blood deficiency syndrome: Patients present with weak tremors, fatigue, and a pale complexion. The treatment approach for this type is to invigorate Qi and nourish Blood, and to calm the tremors and unblock the meridians.

In general, the adjustment for senile tremor should focus on nourishing the Liver and Kidneys, harmonizing Qi and Blood, in order to achieve the effect of calming the tremors. In clinical treatment, traditional Chinese medicine methods such as herbal medicine, acupuncture, and massage should be flexibly applied according to the specific condition.

Common Syndrome Types and Key Points of Differentiation

Yin deficiency with wind stirring

Main Manifestations: Tremors, dizziness, dry mouth

Management Approach: Nourishing Yin and subduing Yang, calming the wind and stopping tremors

Deficiency of both Qi and Blood Syndrome

Main Manifestations: Shaking weakness, fatigue, pale complexion

Management Approach: Tonifying Qi and nourishing blood, calming the wind and promoting circulation

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, the amplitude of hand tremors in patients with senile tremor varies. The medication is adjusted according to the degree of tremor, with the principle of balancing Yin and Yang.

— Tang Yulan Traditional Chinese Medicine Practitioner (Apprentice)

Reviewed by: Tang Yulan (Traditional Chinese Medicine Practitioner (Apprentice)) | 2026-07-08 | 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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