Contents 1 Pinyin 2 English reference 3 Overview 4 Treatment of sequelae of polio 4.1 Acupuncture 4.2 Acupoint injection 4.3 Electroacupuncture 5 References attached: 1 Acupoints for the treatment of sequelae of polio 2 Treatment of sequelae of polio Prescriptions 3 Chinese patent medicines for treating the sequelae of polio 4 Drugs related to the sequelae of polio 5 The sequelae of polio in ancient books 1 Pinyin
xiǎo ér má bì hòu yí zhèng 2 English reference
aftereffect of infantile paralysis 3 Overview
Sequelae of poliomyelitis, the name of the disease in Western medicine. It belongs to the scope of impotence syndrome and impotence in traditional Chinese medicine [1]. It is mostly caused by the evils of rheumatic heat flowing through the meridians, which is different from the general warm evils attacking the lungs or summer-dampness blocking the intestines and stomach [1]. "Huangdi Neijing Suwen·Qi Tongtian Lun": "Dampness and heat are not present, the big tendons are soft and short, and the small tendons are relaxed. Soft and short muscles are tight, and loose muscles are flaccidity." Early clinical manifestations are similar to colds, such as fever, vomiting, diarrhea, etc. [ 1]. In the early stage of paralysis, symptoms include red face, red throat, sweating, muscle pain and nervousness throughout the body, tremors in the limbs, etc. [1]. The treatment is suitable for relieving dampness and heat, dispelling wind and dredging collaterals [1]. If the virus penetrates deeply, symptoms such as drowsiness, coma, twitching, strong nape or shortness of breath, and difficulty in swallowing may be seen [1]. Treatment should be to extinguish wind and calm down, or to calm asthma and reduce adverse effects [1]. The disease enters the paralytic stage, and paralysis can occur in any part of the body, often in the limbs, especially the lower limbs [1]. The treatment is suitable for dispersing wind and unblocking collaterals, harmonizing Qi and blood, and use Duhuo Jisheng Decoction [1]. If the face is paralyzed, use Qianzheng Powder or acupuncture to prick the cheeks, Dicang, and Hegu [1]. If it fails to recover during this period, muscle atrophy, joint deformation, etc. may occur over time, which is the sequelae of poliomyelitis. Treatment should be to nourish the liver and kidneys, warm and unblock collaterals, and use Huqian Pills, Huoluo Dan, or King Kong Pills [1]. We also actively cooperate with acupuncture and massage therapy. For upper limb paralysis, we should treat Jiaoqiu, Jianliao, Quchi, and Dazhui; for lower limb paralysis, we should treat Zusanli, Jiexi, Huantiao, Fengshi, and Yanglingquan; for abdominal muscle paralysis, we should treat Zhongwan. , Liangmen, Qihai; cervical muscle paralysis, take Tianzhu, Tianding, Tianrong [1].
Sequelae of polio is the name of the disease. Also known as sequelae of polio. It is a sequelae of acute infectious diseases that commonly occurs in children. Clinically, it is characterized by varying degrees of flaccid paralysis of the affected limbs. It is flaccid paralysis of the corresponding muscle group caused by poliovirus invading the anterior horn cells of the spinal cord or the motor nerve cells of the brainstem. This disease belongs to the category of "impotence syndrome" in traditional Chinese medicine, and is related to the damage to the meridians and tendons due to external pathogens and epidemic toxins. Clinically, paralysis can be monoplegia, hemiplegia, or even paralysis of the abdominal muscles, nuchal muscles, facial muscles, intercostal muscles, etc., but monoplegia of the lower limbs is more common. The initial symptoms include weakness and flaccidity of the affected limbs. Over time, muscle atrophy, coldness and thinning of the limbs, bone and joint deformities, and abnormal postures will occur. [2]
Poliomyelitis syndrome is considered by traditional Chinese medicine to belong to the category of "summer-heat" and "damp-heat". Due to the dampness and heat, the poison of epidemic diseases invades the lungs and stomach meridians through the mouth and nose, flowing into the meridians, causing Qi and blood are imbalanced, and the tendons and muscles are out of balance. Symptoms such as limb paralysis, muscle atrophy, and paralysis appear in the later stage, which fall into the categories of "fault syndrome" and "paralysis". This section focuses on the paralysis period.
In the early stage of the disease, there are fever, cough, vomiting, diarrhea, headache, limb pain, and flaccid limb paralysis, more common in the lower limbs, or monoplegia or hemiplegia. There are also cases of paralysis of the abdominal muscles, intercostal muscles, and diaphragm, and the condition is more serious. Paralyzed limbs begin to recover 1 to 2 weeks after the acute symptoms disappear, and the recovery is more obvious within 6 months. After that, the recovery is very slow, leaving muscle atrophy, joint deformation and other symptoms.
Acupuncture has a good effect in treating flaccid paralysis caused by the sequelae of polio.
In severe cases where the respiratory muscles and respiratory center are damaged, comprehensive treatment should be taken.
It should be differentiated from colds and gastrointestinal diseases in the early stage.
4 Treatment of sequelae of poliomyelitis 4.1 Acupuncture
Body acupuncture: For lower limb paralysis, Yao Jiaji (1-5), Huantiao, Yinmen, Futu, Zusanli, Yanglingquan, Sanyinjiao, Kunlun, Jiexi and other points; for upper limb paralysis, cervical Jiaji (5-7), Jianyu, Jianliao, Quchi, Shousanli, Waiguan, Hegu and other points can be used; for facial muscle paralysis, Sibai, Jieche and Dicang can be used , Xiaguan, Qianzheng, Hegu and other points; for abdominal muscle paralysis, Zhongwan, Liangmen, Tianshu, Qihai, Daimai and other points can be used. Points are allocated according to the symptoms of each paralysis: for difficulty in raising the legs, add Kutuguan, Futu, and strong knees; for knee flexion, add Yinshi, and strengthen the knees; for knee flexion, add Chengfu, Weizhong, and Chengshan; for drooping feet, add subtibial (Jiexi) 3 cun above the point, 1 cun lateral to the outer edge of the tibia), Jiexi; for varus feet, add Kunlun, Qiuxu, Jiu varus (Chengshan point 1 cun lateral); for valgus feet, add Yanglingquan, Sanyinjiao, Tai Xi, Jiu valgus (1 inch inside the Chengshan point); difficulty in raising the arm, add Tianzong, Ji Ji; inability to extend and bend the elbow, add the center of the humerus (2.5 inches below the Tianquan point); difficulty in internal and external rotation of the hand, add Yangchi, Yangxi , Sidu, Shaohai; for wrist droop, add Waiguan and Sidu. ②Water acupuncture: Refer to body acupuncture for acupoint selection, and select 2 to 4 acupuncture points each time. You can choose 10 glucose, vitamin B1, B12, compound angelica, galantamine and other injections. Inject 2 to 5 ml into each hole, once every other day. In addition, electroacupuncture, acupoint catgut embedding, skin acupuncture, etc. can also be used for this disease. You can refer to the body acupuncture point selection. Treatment can be combined with functional exercises, and orthopedic surgery can be considered for patients with severe deformities. [2]
Treatment principle? Eliminate pathogenic factors, unblock meridians, and nourish the tendons.
Prescription? Paralysis of lower limbs - Waist Jiaji Biguan Futu Zusanli.
Paralysis of the upper limbs - Neck Jiaji Shoulder? Quchi Hand Sanli Hegu.
Abdominal muscle paralysis - chest and spine with pulse.
Lung heat adds Fengchi and Lieqi, damp heat adds Yinlingquan, liver and kidney deficiency adds Ganshu and Shenshu.
Fang Yi follows the principle of "treating impotence only with Yangming". Detailed description
The points assigned according to the syndrome? Wrist ptosis-Waiguan, foot ptosis-Jiexi, foot varus-Xuanzhong, foot valgus-Sanyinjiao.
Operation: Filiform acupuncture, to replenish deficiency and relieve excess, select 4 to 5 points each time, once a day, use alternately, keep the needle for 30 minutes each time, 10 times is a course of treatment, moxibustion can be used for patients with deficiency. 4.2 Acupoint injection method
Water acupuncture: refer to body acupuncture for acupoint selection, and select 2 to 4 acupoints each time. You can choose 10 glucose, vitamin B1, B12, compound angelica, galantamine and other injections. Inject 2 to 5 ml into each hole, once every other day. In addition, electroacupuncture, acupoint catgut embedding, skin acupuncture, etc. can also be used for this disease. You can refer to the body acupuncture point selection. Treatment can be combined with functional exercises, and orthopedic surgery can be considered for patients with severe deformities. [2]
Select acupoints? Refer to acupuncture and moxibustion acupoints.
Method? Vitamin B1 or vitamin B12; or Citicoline Injection, 0.5ml injected into each hole, once a day or once every other day, 10 times as a course of treatment. 4.3 Electroacupuncture
Select acupoints? Refer to acupuncture and moxibustion acupoints.
Method? After acupuncture to get Qi, turn on the electrotherapy machine, select the wave type, adjust the power, 4 to 6 points each time, once a day, leave the needle for 30 minutes each time, 10 times is a course of treatment . 5