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Limbs Dx

Gio Ch 23

Swelling of joints of 4 limbs Damp Bi
Swelling of joints of 4 limbs, joints red & hot to touch Damp heat
Pitting edema of hands Lu yang xu
Pitting edema of feet Kid yang xu
Pitting edema of the four limbs Sp yang xu
Edema of 4 limbs – non pitting Dampness or qi stag
Acute edema of hands/face Invasion of Lu by wind water
Flaccidity of limbs (acute) Invasion of wind heat in Lungs becoming Lu Heat injuring body fluids
Flaccidity of limbs (chronic) Kid yin xu (severe), St & Sp xu, Damp heat in Sp/St
Rigidity of limbs
Define flaccidity of limbs Muscles are flaccid, soft, limp, not atrophied
Define rigidity of limbs Unable to flexor extend, wrist, elbow, knee, or ankle.
Acute rigidity of limbs Invasion of external wind
Chronic rigidity of limbs Liver yang rising or Liver wind in elderly, Liver & Kid yin xu, Sp & Kid yang xu
Chronic rigidity of limb with swelling & pain of joints bi syndrome w/phlegm
Inability to flex limbs in elderly Phlegm w/ internal wind in channels
Rigidity w/ pain in joints or muscles, worse at night Blood stasis
Paralysis of limbs St & Sp xu, qi & blood, xu, Liv & Kid yin xu, Dampness in muscles, blood stasis, Phlegm & internal wind in channels
Acute contraction of limbs Invasion of wind
Chronic contraction of limbs Dampness in muscles, heat injuring fluids in muscles, Liv blood or Liv yin xu
Tremor of hands Liv wind
Tremor of 4 limbs in elderly Liv wind & phlegm affecting channels & sinews, Liv or Kid yin xu
Tremor of 4 limbs Liv yang rising
Fine tremor in women Liv wind from Liv blood xu
Mild, fine tremors of limb General qi & blood xu
Spasticity & tremor in febrile disease Liver wind or empty wind from yin xu
In general, the limbs indicate the state of The SP & St. Sp influences muscles. Stomach transports food essence to limbs
A healthy color & firmness of flesh around ankles & wrists Good state of body fluids
Created by: c-rex