Limb tremors

Introduction Limb tremor is a common clinical condition in acupuncture. The cause of this disease is mostly related to "wind" and has a close relationship with the liver. More irritability, anger, heart and fire, yang wind movement, or old body decline, liver and kidney deficiency, water does not contain wood, virtual wind inside, can cause limb tremor. In addition, the daring decision, if the timidity is cold, it is weak and easy to stun, and can also cause limb tremor.

Cause

Most of the limb tremor is caused by physiological factors and mental factors, and only a few are caused by the disease. Chinese medicine believes that the cause of this disease is mostly related to "wind" and has a close relationship with the liver. More irritability, anger, heart and fire, yang wind movement, or old body decline, liver and kidney deficiency, water does not contain wood, virtual wind inside, can cause limb tremor. In addition, the daring decision, if the timidity is cold, it is weak and easy to stun, and can also cause limb tremor.

In addition, caused by disease, primary tremor: the most common cause of action tremor, Parkinson's disease is more common clinical, also known as tremor paralysis. Cerebellar diseases: cerebellar tumors, vascular diseases, infections, etc. can cause action tremors. Tremors caused by other causes: tremors caused by drug poisoning, alcohol withdrawal, liver and kidney failure, rickets, etc., after the cause is removed, the tremor can disappear.

an examination

Related inspection

Electromyography neurological examination

There are tremors in the limbs, head, tongue, and trunk of normal people. When young, this tremor is fast and subtle, and it is not easy to detect. As the age increases, the amplitude of the jitter increases and the frequency slows down, especially when it is in a certain posture. This physiological tremor usually has a small impact on daily life. When panic, anxiety, anger, insomnia, heavy drinking, or taking certain medications, it may be exacerbated by irregular, swaying tremors.

Differential diagnosis

Because many causes can cause limb tremor, it is necessary to identify the treatment. Common diseases are:

1. Enhanced physiological tremor: There are tremor movements in the limbs, head, tongue and trunk of normal people. When young, this tremor is fast and subtle, and it is not easy to detect. As the age increases, the amplitude of the jitter increases and the frequency slows down, especially when it is in a certain posture. This physiological tremor has little effect on daily life, but when intense fear, anxiety, anger, insomnia, heavy drinking or taking certain drugs, it may aggravate irregular swaying tremors.

2, primary tremor: 50% to 70% of patients have a family history. Mainly manifested as slowly progressing postural tremor or intentional tremor, no symptoms of other neurological damage. It usually does not shake when it is at rest, and it only appears when it is in motion, especially when a certain limb is holding a certain posture against gravity. With the increase of age, its incidence rate is increasing, and there is no gender difference in the cause of the disease. Women mainly present with head tremor; males are mainly characterized by hand tremors. Initially manifested as intermittent tremor, only induced when nervous, fear. As the disease progresses, it can manifest as persistent tremor.

3, Parkinson's disease: is a chronic progressive progressive aggravation of central nervous system degenerative diseases in the elderly (50 ~ 70 years old). Static tremor, rigidity and bradykinesia are the three major symptoms of Parkinson's disease. The tremor is characterized by 4 to 6 rhythmic tremors per second, which occurs mainly when the limb is at rest, starting from the hand and then involving other limbs. In addition, patients often feel that their limbs are tight and their movements are inflexible. Later, they feel that it is difficult to talk, eat, write, dress, stand up, walk, turn around, etc. It is very difficult to start a certain action, and it is very difficult once you start. Stop it.

There are tremors in the limbs, head, tongue, and trunk of normal people. When young, this tremor is fast and subtle, and it is not easy to detect. As the age increases, the amplitude of the jitter increases and the frequency slows down, especially when it is in a certain posture. This physiological tremor usually has a small impact on daily life. When panic, anxiety, anger, insomnia, heavy drinking, or taking certain medications, it may be exacerbated by irregular, swaying tremors.

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