下运动神经元瘫与《素问》痿病相关性分析

Relationship between Lower Motor Neuron Atrophy and Wei Syndrome in Su Wen

下运动神经元瘫临床表现的肌无力、肌萎缩和肌束震颤与《素问·痿论》所述痿病之足痿不用、爪枯、肉蠕动相似。肉蠕动是指肌束颤动,而非肌肉软弱无力。根据临床表现,痿病应包含现代医学的运动神经元病或其他下运动神经元瘫痪性疾病,而不包含上运动神经元瘫和肌源性肌萎缩疾病。根据"治痿独取阳明"的理论,应用健脾养胃法治疗此类疾病效果较好。

The clinical manifestations of the lower motor neuron atrophy are muscle weakness,muscle atrophy and fasciculation. They are similar to the wei disease described in Su Wen Wei Lun,which manifests as weak feet,claw dry and muscle tremor. Actually the muscle tremor is fasciculation,not the weakness and flaccidity of the muscles. Wei disease includes motor neuron disease or other lower motor neuron paralysis disease of the modern medicine,but not includes the upper motor neuron paralysis and muscle atrophy myogenic disease. According to the theory that ＂treatment of atrophy should be focused on yangming channel＂,invigrating spleen and tonifying stomach could achieve satisfactory effects.