NUMBNESS, PARESTHESIA,TINGLING

Clinical Manifestations
  • Numbness describes a loss of sensation or feeling in a part of the body.
  • Paresthesia is a sensation of tingling, tickling, pricking, or burning of a person's skin with no apparent long-term physical effect.
  • The manifestation of a paresthesia may be transient or chronic.
  • The most familiar kind of paresthesia is the sensation known as "pins and needles" or of a limb "falling asleep".
Treatment Principle
Herb Formulas
  • For pharyngeal paresthesia: Ban Xia Hou Po Tang
  • With back pain:
    Chinese Patent MedicineKang Gu Zheng Sheng Pian
Points
Clinical Manifestations
  • Moving numbness
  • Flaccid muscles
  • Moving pain
  • Affect the shoulders and limbs primarily
  • Limbs and joints may be swollen and painful
  • The pain never ceases
  • T: Normal
  • C: White
  • P: Floating, choppy and tight
Treatment Principle
  • Dispels Wind
  • Alleviates pain and numbness
Herb Formulas
Points
Clinical Manifestations
  • Numbness of the extremities
  • Paralysis of the extremities
  • Sudden facial paralysis
  • Dysphagia
  • Arthralgia
  • T: Normal
  • C: White
  • P: Floating and wiry or Thready and wiry
Treatment Principle
  • Expel Wind
  • Clear Heat or Cold
  • Nourish and invigorate Qi and Blood
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Numbness of the limbs
  • Limbs cramped and painful
  • The pain is sharp
  • Severe when Cold
  • Relieved by warmth
  • Usually occurs at night
  • T: Normal
  • C: White
  • P: Choppy and tight
  • When associated with Dampness:
    Heavy body
    Occurs in Damp weather
    C: White and moist
    P: Choppy
Treatment Principle
  • Expel Wind
  • Dispel Cold
  • Ventilate the Lungs
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Fixed pain and numbness
  • Heavy swelling
  • Limbs slow and weak
  • Mental confusion
  • Numb skin
  • Electrical numbness (paresthesia)
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Excruciating sharp, stabbing joint pain
  • Pain alleviated by warmth and aggravated by Cold
  • Pain with fixed location
  • Few joints are involved
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • Pain worse at night and better during the day
  • Pain mostly affects low back and lower extremities
  • Pain intense but short lived
  • Pain changes over days or weeks
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T: Pink or Pale
  • C: Thin and white (thicker than for Wind-Bi)
  • P: Superficial and tight or Wiry and tight - maybe slow
Treatment Principle
  • Warm the channels
  • Activate Qi and Blood.
Herb Formulas
Points
Clinical Manifestations
  • Joint pain, especially in the wrist, ankle, knee and elbow
  • Muscle pain
  • There may be numbness and heaviness in the limbs
  • The pain is worse with Cold and better with warmth
  • The pain is aggravated by Wind
  • The pain aggravated by Dampness
  • The pain is stabbing
  • Muscle weakness
  • Difficult movement
  • Numbness of the muscles and skin
  • Hemiplegia, especially of the upper limbs
  • The pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Aversion to Cold
  • The pain worse at night
  • Local inflammation
  • Migratory pain
  • Deviation of the eyes and mouth
  • Spasm of the limbs
  • T: Slightly purple or purple spots
  • C: Thick and white
  • P: Slippery or Slightly superficial or slightly rough or Slow and Soft or Wiry and tight or Floating and wiry
Treatment Principle
  • Remove Wind-Dampness
  • Circulate Qi and Blood
  • Stop numbness
Herb Formulas
Points
Clinical Manifestations
  • Numbness and heaviness of the extremities
  • Soreness and fixed pain of joints
  • Stiffness or numbness of the muscles or skin
  • Pain worse on cloudy or rainy days
  • Maybe peripheral or systemic edema
  • Pain is alleviated by pressure and warmth
  • Pain lingers and is recalcitrant to treatment
  • Worse during cloudy or wet weather
  • Limited movement
  • Edema
  • Maybe stifling sensation in chest
  • Maybe anorexia or indigestion
  • Maybe abdominal distention
  • Maybe loose or semi-liquid stools
  • T: Pink or Pale
  • C: Greasy and white
  • P: Slow, moderate and soft
Treatment Principle
  • Expel Damp
  • Clear the channels
Herb Formulas
Points
Clinical Manifestations
  • Muscle aches
  • Joint pain
  • Radiating pain in the legs
  • Low back pain
  • Edema
  • Numbness in the lower extremities
  • Pain in the trunk and extremities
  • Abdominal pain
  • Sciatica
  • Aversion to Wind and Cold
  • Knee pain
  • T: Pale or Pink with purple spots
  • C: Normal
  • P: Choppy or Taut
Treatment Principle
  • Unblock and relax the channels
  • Invigorate the Blood
  • Break up Blood Stasis
  • Dispel Wind-Dampness
  • Strengthen the tendons
Herb Formulas
Points
Clinical Manifestations
  • Numbness of the joints
  • Bones and joints sore and painful
  • Worse with movement
  • Face is dull yellow
  • Spasms or contractures of muscles and sinews
  • Palpitations
  • Asthenia
  • Shortness of breath
  • Spontaneous sweating
  • Weight loss
  • Poor appetite
  • Diarrhea
  • T: Pale
  • C: None or White
  • P: Soggy and Weak or Thin and Faint
Treatment Principle
  • Strengthen Qi
  • Nourish the Blood
  • Expel Wind and Dampness
  • Stop numbness and pain
Herb Formulas
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel numb, tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphagia
  • Unsteady gait
  • With Wind-Stroke:
    Sudden loss of consciousness
    Tongue stiffness with aphasia
    Facial paralysis
    Hemiplegia
  • Maybe coma
  • Sometimes death
  • T: Red
  • P: Thready and wiry
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish the Blood
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Slurred speech
  • Stiffness of the tongue
  • Deviation of the tongue
  • Weakness
  • Numbness or paralysis of the lower limbs
  • Palpitations
  • Shortness of breath
  • T: Pale or Red
  • C: Little or None
  • P: Thready and weak or Deep, slow and thready
Treatment Principle
  • Nourish Kidney and Liver Yin
  • Tonify Kidney Yang
  • Open the Orifices
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Loose stools
  • Anorexia
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • T: Pale
  • C: White
  • P: Empty
Treatment Principle
  • Tonify Qi
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Motor impairment
  • Numbness
  • Maybe complete loss of sensation
  • Paralysis
  • Atrophy of the lower limbs
  • Facial paralysis
  • Slurred speech
  • Drooling
  • Dry stools
  • Frequent urination
  • Urinary incontinence
  • Deviation of the eyes and mouth
  • Excess salivation
  • Cold extremities
  • Asthenia
  • T: Normal
  • C: White
  • P: Moderate
Treatment Principle
  • TonifY Qi
  • Invigorate the Blood
  • Unblock the channels
Herb Formulas
  • Bu Yang Huan Wu Tangmodified
  • Chinese Patent Medicines:
    Ren Shen Zai Zao Wan
    Niu Huang Qing Xin Wan
    Niu Huang Jiang Ya Wan
Points
Clinical Manifestations
  • Numbness and pain that is fixed, stabbing and /or severe or
  • Pains that move around
  • Maybe swelling
  • Distention
  • Depression
  • Irritability
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas,
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Activate the Blood
  • Break up Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Numbness and weakness of the extremities
  • Spasms and contractures of the extremities
  • Mild trembling of the limbs
  • Facial numbness
  • Shaking of the head
  • Shortness of breath
  • Usually long term
  • Slow to initiate movement
  • A slow, shuffling gait
  • A somber, pale, white or sallow and lusterless facial complexion
  • Pale lips and nails
  • Fatigue
  • Lassitude
  • Weakness
  • Aversion to Cold
  • Disinclination to speak
  • Stiffness of the neck and back
  • Difficulty moving
  • Spontaneous cool perspiration
  • Dizziness
  • Insomnia
  • Blurred vision
  • Palpitations
  • Loose stools
  • Maybe edema
  • All symptoms are worse with exertion
  • T: Thick and pale or Thick and dark with teethmarks or petechiae
  • C: Thin
  • P: Thready or Thready and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Extinguish Wind
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Anorexia
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Chills
  • Cold limbs
  • Inability to get warm
  • Loose stools
  • Profuse clear urine
  • Spontaneous sweating
  • Lassitude
  • T: Pale
  • C: White or Thin, white and dry
  • P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle
  • Tonify Qi and Blood
  • Strengthen the Spleen
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Palpitations
  • Insomnia
  • Numbness
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Fatigue
  • Scanty periods
  • T: Pale
  • C: Thin, white and dry
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Nourish Blood
  • Tonify the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Relatively superficial numbness without pain
  • Paresthesia and numbness of the skin and flesh
  • Paresthesia of the shoulders
  • Neck and shoulder stiffness and pain
  • Abdominal pain alleviated by warmth and pressure
  • Pale complexion
  • Hemiplegia
  • Stiff tongue
  • Flaccidity if the extremities
  • Migratory pain
  • Pain, weakness, tightness or spasms of the extremities
  • Spontaneous sweating
  • Shortness of breath
  • Aphasia
  • Excess salivation
  • Aversion to Wind
  • T: Normal or Thick
  • C: White or Smooth and white or White and greasy
  • P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle
  • TonifY Qi and Blood
  • Warm and harmonize the channels and collaterals
  • Harmonize the Ying and Wei
  • Unblock painful obstruction
  • Warm the Middle Jiao
  • Dispel Cold
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Pain in both arms
  • Inability to lift the hands
  • Symptoms more pronounced on one side
  • Numbness in both hands
  • Superficial edema in all four extremities
  • Palpitations with vomiting
  • Coughing
  • T: Normal
  • C: White and greasy
  • P: Deep and thready or Wiry and slippery
Treatment Principle
  • Dry Dampness
  • Move Qi
  • Soften hardness
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Paralysis of the limbs
  • Numbness of the limbs
  • Numbness of the face
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Dizziness
  • Vertigo
  • Tinnitus
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Nausea
  • Vomiting
  • Hypertension
  • Stroke
  • T: Deviated and trembling
  • C: Thick
  • P: Slippery and maybe wiry
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Sudden heaviness
  • Numbness or paralysis of the extremities on one side of the body
  • Facial paralysis
  • Dysphagia
  • Disordered consciousness
  • Dry stools
  • Constipation
  • Dizziness
  • Copious Phlegm
  • Drooling
  • T: Stiff and quivering or Deviated
  • C: Greasy and yellow
  • P: Wiry and slippery
Treatment Principle
  • Expel Phlegm-Heat through the bowels
Herb Formulas
  • Xing Wei Cheng Qi Tang
  • Chinese Patent Medicines:
    Niu Huang Qing Xin Wan
    Niu Huang Jiang Ya Wan

    Jiang Ya Wan
    Jiang Ya Ping Pian
Points