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Important issues about patient history for myasthenic patient
Clinical manifestation of myasthenia gravis(MG) patients at different ages
Lifestyle behaviours for MG patients
Type of Traditional Chinese Medicine
MG typical case
Traditional Chinese Medicine
Western Medicine
Establishing follow-up center to supervise and guide patients
Index / Traditional Chinese Medicine /

Traditional Chinese Medicine

First, Unique traditional Chinese medicine decoctions

1. Treating myasthenia gravis with the decoction of Chinese medicine
After long-term clinical practice, we selected the main effective herbal medicine for treating myasthenia gravis, including: ginseng, astragalus, antler, cordyceps, atractylodes, angelica, placenta, morinda root and so on, then we developed series of Chinese medicine decoctions which are effective for myasthenia gravis. Basic formula: ginseng, astragalus, antler, cordyceps, atractylodes, angelica, placenta, morinda root and so on. Decoctions of Chinese medicine have the effect of raising the drooping by tonifying qi and elevating yang, reinforcing kidney by tonifying blood and promoting essence generation.

2. Pharmacological analysis of the main herbs and main active ingredients of Chinese medicine decoctions
(1)Ginseng has effects of powerfully tonifiying primordial qi, tonifying the spleen to benefit the lung, promoting fluid production and tranquilizing mind in traditional Chinese medicine. Main active ingredient is panaxoside, which has functions of anti-shock, anti-fatigue and regulation of cholesterol metabolism, increasing ratio of plasma albumin and globulin, promoting biosynthesis of protein RNA and DNA as well as promoting function of hematopoietic system and enhancing immunity on the human body.

(2)Astragalus has effects of tonifying qi and elevating yang,replenishing defense and consolidating exterior, promoting diuresis to reduce edema, healing up sore and promoting granulation in Chinese medicine. Main components are sucrose, glucoronic acid, phlegmatic temperament, several amino acids and trace elements. It has functions of anti-aging, liver protection, stabilization of erythrocyte membrane, promoting regeneration of liver DNA synthesis, enhancing myocardial contractility and immunity.

(3)Antler has effects of invigorating kidney yang, promoting generation of essence and blood, strengthening the bones and muscles, regulating Chong and Ren meridians, promoting pustulation of sore and expelling toxin in traditional Chinese medicine. The main active ingredient pantocrine is a good tonic for the whole body, which can promote the growth and development, improve the body's ability to work, relieve fatigue, improve sleep and appetite as well as metabolism of protein and energy.
⑷Cordyceps has effects of replenishing kidney and invigorating yang, tonifying lung to relieve asthma, stopping bleeding and resolving phlegm in traditional Chinese medicine. This herb contains crude protein, and its hydrolysis products are: glutamic acid, phenylalanine, proline, histidine, alanine, etc., cordycepic acid also isolated from it, which has effects of anti-myocardial ischemia and hypoxia, improving cellular immune function, inhibiting thrombosis, lowering cholesterol and triglyceride; it also has anti-cancer, anti-bacterial, anti-virus, anti-radiation and sedation, expectorant and antiasthmatic effects and so on.

3.For Chinese medicine treatment of myasthenia gravis, the whole course of taking Chinese medicine decoction is about 6 to 8 months. Adults take 125ml three times a day for the first day, 125ml four times on the second and third day, 250ml three times a day starting from the fourth day. There should be 1 hour interval when taking the Chinese medicine no matter before or after meals. Treating of myasthenia gravis with these kinds of Chinese medicine decoctions, generally, patients no longer need other kinds of Chinese medicines or Chinese patent medicines, so as not to affect the therapeutic effect of these decoctions. For simple eyes type patients, taking decoctions combined with Yuan-cun Moxibustion will have a better effect.

Second, original Yuan-Cun moxibustion and acupuncture treatment

Yuan-Cun moxibustion (called as "musk moxibustion", yuan cun, alias of musk), is based on 20 kinds of traditional Chinese medicine as raw material, made of traditional moxibustion with special processing methods. It is drug, but also equipment. Compatibility with needles used in clinical, moxibustion after acupuncture, complement each other; used alone, also with a miraculous effect; portable, easy-to-handle, facilitating; it’s not only used routinely in some departments of hospital or clinic, but also used as a "family doctor" in millions of households. Manufacturing and clinical application of Yuan-Cun moxibustion is a secret imparted by folk people.

The shape of Yuan-Cun moxibustion is like cigarette, its diameter is equal to 2 or 3 times of cigarette, usually sealed in glass bottles, ignited when using. By the ignition of the heat to give the body a warm stimulation (physical stimulation) or direct burn the acupoints or affected part. It has miraculous clinical effects which neither drugs nor needles can achieve. This traditional moxibustion, although burning the skin with fire, but don’t harm the skin, even delicate skin of baby’s, leaving only some traces of white ash (in contact with skin after combustion) which sheds off on its own, without any skin damage.

Yuan-Cun moxibustion stick, as a moxibustion tool (or the Medical Device) after acupuncture, but also as a separate clinical application. Its indications, which are included in traditional moxibustion, are extremely broad; as an emergency treatment of TCM, it rescues some difficult and complicated patients (such as stroke), provides new single track and adds a charm for medicine.


Type of Traditional Chinese Medicine

The clinical manifestations of Myasthenia Gravis (MG) can be attributed to the different TCM syndromes, such as weakness or drooping eyelids are”serious blepharoptosis" or "ptosis" in traditional Chinese medicine; diplopia is "double vision "; inability to raise head is "head tilt"; soft weakness and atrophy of limbs is "flaccidity"; dyspnea due to respiratory muscle weakness, such as myasthenia gravis crisis is "sinking of vital qi" and other illnesses. Skeletal muscle weakness is the main feature whether local or systemic, so it belongs to the range of "flaccidity syndrome" in traditional Chinese medicine. TCM advocates treatment based on syndrome differentiation, the myasthenia gravis (MG) is divided into five patterns according to different kinds of etiology and pathogenesis.

1. Spleen qi deficiency pattern
2. Spleen-kidney yang deficiency pattern
3. Liver-kidney yin deficiency pattern
4. Turbid phlegm obstruction pattern
5. Dampness-heat immersion pattern

Treatment should be based on syndrome differentiation according to etiology and pathogenesis: tonifying middle,replenishing qi and elevating yang for spleen qi deficiency pattern; warming and tonifying spleen and kidney, assiting yang to transform qi for spleen-kidney yang deficiency pattern; nourishing liver and kidney for liver-kidney yin deficiency pattern; invigorating spleen and resolving phlegm, softening hardness and dissipating mass for turbid phlegm obstruction pattern; clearing heat and eliminating dampness for dampness-heat immersion pattern.

Spleen qi deficiency pattern
Main symptoms: Ptosis, difficulty in lifting up which alleviates in the morning aggravates after sunset, lack of qi and no desire to speak, limb weakness, or swallowing difficulties, poor appetite, loose stools, sallow complexion; fat pale tongue with teeth marks and thin white fur; deep weak or soggy soft pulse.
Therapeutic method: tonifying middle,replenishing qi and elevating yang

Spleen-kidney yang deficiency pattern
Main symptoms: Ptosis, difficulty in lifting up which alleviates in the morning aggravates after sunset, fatigue and weakness, aversion to cold, swallowing difficulties, double vision, soreness and weakness of waist and knees, clear abundant urine, or loose stools, or diarrhea before dawn; fat pale tongue with teeth marks and thin white fur; deep thready or weak soft pulse.
Therapeutic method: warming and tonifying spleen and kidney, assiting yang to transform qi

Liver-kidney yin deficiency pattern
Main symptoms: Ptosis, blurred or double vision, dry eyes, less sleep but dreamfulness, vexing heat in chest, palms and soles, lean muscle, dry mouth and throat, dizziness, tinnitus, limb weakness, soreness and weakness of waist and knees, nocturnal emission, enuresis, premature ejaculation; deep red tongue with little fur; thready rapid pulse.
Therapeutic method: nourishing liver and kidney

Turbid phlegm obstruction pattern
Main symptoms: Ptosis, hoarseness, chewing and swallowing difficulties, goiter and tumor of neck, thymic enlargement, chest distress, anorexia, foreign body sensation in the throat, cough of white sputum; fat pale tongue with greasy or slippery fur; slippery or deep unsmooth pulse.
Therapeutic method: invigorating spleen and resolving phlegm, softening hardness and dissipating mass

Dampness-heat immersion pattern
Main symptoms: soft and weak flaccid body, especially lower limbs, or slightly swollen, heaviness and yellowish of the body, preferring to coolness but aversion to heat, chest distress, anorexia; yellow and greasy tongue; soggy and rapid pulse.
Therapeutic method: clearing heat and eliminating dampness

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