11. Hypertonicity disorder (Jing zhen)
Definition
Rigidity and stiffness of neck and upper back, contractions and tremors of the extremities, and in extreme cases, opisthotonos.
Relevant diseases of western medicine
1. Meningitis
2. Encephalitis
3. Febrile diseases
4. Parkinson’s disease
Etiology & pathogenesis
1. wind, dampness and cold obstruct the channels
2. extreme heat
3. yin and blood deficiency
Differential diagnosis
1. wind-stroke
2. epilepsy
Classification & treatment
1. Pathogenic factors accumulating & obstructing channels
Qiang huo sheng shi tang
Qiang hu, Du hu, Fang feng, Gao ben---
Chuang xiong, ---
Man jing zi---
LI 4 He gu, TE 5 Wai guan, GV 14 Da zhui, GV 20 Feng chi, BL 12 Feng men
2. Extreme heat inducing hypertonicity
Zeng ye cheng qi tang
Da huang, Mang xiao---
Xuan shen, Mai men dong, Sheng di huang---
GV 14 Da zhui, LI 11 Qu chi, LR 3 tai chong, KI 1 Yong quan, Jing-well points
3. Yin & blood deficiency
Si wu tang
Dang gui, Shu di huang---
Chuan xiong---
Bai shao---
Da ding feng zhu
Ji zi huang, E jiao, Gui ban, Bie jia,Bai shao---
Wu wei zi, Zh gan cao---
GV 20 Bai hui, SP 6 San yin jiao, KI 1, Yong quan, CV 4 Guan yuan, ST 36 Zusanli
Rigidity and stiffness of neck and upper back, contractions and tremors of the extremities, and in extreme cases, opisthotonos.
Relevant diseases of western medicine
1. Meningitis
2. Encephalitis
3. Febrile diseases
4. Parkinson’s disease
Etiology & pathogenesis
1. wind, dampness and cold obstruct the channels
2. extreme heat
3. yin and blood deficiency
Differential diagnosis
1. wind-stroke
2. epilepsy
Classification & treatment
1. Pathogenic factors accumulating & obstructing channels
Qiang huo sheng shi tang
Qiang hu, Du hu, Fang feng, Gao ben---
Chuang xiong, ---
Man jing zi---
LI 4 He gu, TE 5 Wai guan, GV 14 Da zhui, GV 20 Feng chi, BL 12 Feng men
2. Extreme heat inducing hypertonicity
Zeng ye cheng qi tang
Da huang, Mang xiao---
Xuan shen, Mai men dong, Sheng di huang---
GV 14 Da zhui, LI 11 Qu chi, LR 3 tai chong, KI 1 Yong quan, Jing-well points
3. Yin & blood deficiency
Si wu tang
Dang gui, Shu di huang---
Chuan xiong---
Bai shao---
Da ding feng zhu
Ji zi huang, E jiao, Gui ban, Bie jia,Bai shao---
Wu wei zi, Zh gan cao---
GV 20 Bai hui, SP 6 San yin jiao, KI 1, Yong quan, CV 4 Guan yuan, ST 36 Zusanli
