What is a Nervous Tic?

Word: twitch

[chu chù]

Convulsions are a manifestation of involuntary movement, a pathological phenomenon of neuromuscular disease, and are manifested by involuntary contraction of striated muscle. There are the following clinically common: convulsions, tonic spasms, myoclonus, tremors, dance-like movements, hand and foot movements, torsion spasms, muscle bundle tremors, and habitual twitching. Traditional Chinese medicine believes that the main causes and causes of convulsions are fever, internal disturbance, wind-yang disturbance, wind-toxin channeling, and loss of yin and blood. It is common in diseases such as brain diseases, infectious diseases, poisoning, internal head injuries, fecal diseases, eclampsia, postpartum spasm, convulsions in children, tetanus, rabies and other diseases. When the clinical type of convulsions is not yet determined, convulsions can be used as a preliminary diagnosis and dialectical treatment.

Jerks

Word: twitch

Pinyin: chu chù

Convulsions

Convulsions are manifestations of involuntary movements and are pathological manifestations of neuromuscular diseases

Tonic spasm It appears as unconscious contractile symptoms of muscles.

Convulsions

Mao Dun's "Midnight" 15: "Tu Weiyue feels unexpectedly lonely. Although the temperature in this silk workshop is always 90 degrees, he feels a cold twitch on his spine, gradually spreading to the whole body."

Chapter 12 of Yang Mo's "Song of Youth": "Suddenly his face turned pale, his lips twitched, and he buried his head on the table and sobbed violently."

Niu Han's "South China Tiger": Is the humiliating soul jerking? (This refers to the trembling of the soul due to pain)

Convulsive disorders

Cause of convulsions

High fever, epilepsy, tetanus, rabies, calcium deficiency, etc. can cause cramps. This is a systemic, but also localized, such as gastrocnemius (commonly known as calf belly) spasms, often due to sharp movements or fatigue at work or severe twisting of the tibia cause

Spinal muscle group , Often when lying down or sleeping.

Seizures description

There are many causes of convulsions, and there are many manifestations of symptoms, the main ones are: fever, fever, constipation, phlegm in the throat, yellow sputum, greasy yellow fur, hot thirst, constipation, bloating, rash, tongue rash, irritability , Red eyes, bitter mouth, interrupted insomnia, blood deficiency, frequent twitching, frequent twitching, phlegm salivation, phlegm salivation, appetite, bloating, cold limbs, loose stools, closed teeth, angled bow Tension, generalized spasms, twitching of the upper and lower limbs, irregular seizures, and a sense of consciousness.

Clinical manifestations of convulsions

1. Whole body tonic convulsions: the whole body muscles are stiff, twitching, and angled back (the head is tilted back, the whole body is bent backwards into an arch shape), eyes are turned up or stared, unconscious.

2. Limited convulsions: only local muscle twitches, such as only one limb twitch, or facial muscle twitches, or finger or toe twitches, or eyeball rotation, nystagmus, blinking actions, gaze, etc. Most are unconscious. The fashion of the above convulsions can be a few seconds or several minutes, severe cases can last for several minutes or recurrent attacks, and those with convulsions that last more than 30 minutes are called the continuation state of convulsions.

3. High fever convulsions: mainly seen in children who are 6 months to 4 years old with convulsions during high fever. The onset of high fever convulsions is short-lived, and the consciousness recovers quickly after pumping. Most of them occur in the early stages of fever. In a sick fever, only one convulsion can occur, which can rule out brain diseases and other serious diseases. EEG is normal.

Twitch category

Convulsions : a common type of involuntary movement, which is tonicity and clonic seizures that occur in whole or local muscle groups. Systemic, such as epileptic seizures, localized, such as localized epilepsy. Convulsions may or may not be accompanied by a disturbance of consciousness.

Tonic spasm : refers to the muscular tonic contraction, such as the tonic phase of a major epileptic seizure, hand and foot spasms in tetany, tetanus, and closed arches are all of this type.

Myoclonus : refers to a short, rapid, electroshock-like repetitive muscle contraction, which can spread to the muscle group or part of the muscle. Myoclonus may be mild without causing part of the body to move, or it may be severe enough to cause the patient to fall.

Tremor : It is a rhythmic rotation exercise of the stimulating and antagonistic muscles of the joint. The amplitude can be large or small, and the speed can be fast or slow. It varies with different diseases. Common areas of tremor are fingers, chin, lips, and head.

Dance-like movement : It is a sudden fast, amorphous, purposeless, thick muscle group beating. It is most common on the head, and the upper limbs of the face are especially obvious on the distal ends of the limbs.

Hand and foot movement : refers to the relatively slow twisting movements of the fingers or toes, which are manifested in various strange shapes, the speed of which lies between the dance movements and torsional spasms.

Torsion spasm : It is a slow twisting movement of the proximal limbs and spinal muscles, and is also caused by basal ganglia disease. Myofibrillation is an extremely rapid and short contraction that is confined to certain muscle bundles without joint movements and can be induced when the lesion is stimulated by hand.

Habitual twitching : It is a fast, short, repetitive, purposeful, stereotyped, involuntary movement. Common blinks, pouts, froze, shrugs, etc. are common.

Whole-body tonic convulsions : Whole-body muscles are stiff, twitching, angled back (the head is tilted back, the whole body is bent backwards into an arch), eyes are turned up or stared, unconscious.

Localized convulsions : only local muscle twitches, such as only one limb twitch, or facial muscle twitches, or finger or toe twitches, or eyeball rotation, nystagmus, blinking actions, gaze, etc. Most are unconscious. The fashion of the above convulsions can be a few seconds or several minutes, severe cases can last for several minutes or recurrent attacks, and those with convulsions that last more than 30 minutes are called the continuation state of convulsions.

High fever convulsions : mainly seen in children who are 6 months to 4 years old with convulsions during high fever. The onset of high fever convulsions is short-lived, and the consciousness recovers quickly after pumping. Most of them occur in the early stages of fever. In a sick fever, only one convulsion can occur, which can rule out brain diseases and other serious diseases. EEG is normal.

TCM has pointed out that the main causes of convulsions are two types of external sensation and internal injury. The symptoms are mostly liver meridian lesions, and are closely related to the disease and the brain. Clinical dialectics is different from reality. Exogenous wind, cold and dampness, which causes qi and blood to be unsatisfactory, causing evil to meridian; or intoxication of intoxication, wind toxin channeling, closed disturbance of the brain and God, burning of the liver meridian; or internal heat of evil, burning fluid, or wind sun Disturbance, and convulsions caused by wind, are mostly empirical. The deficiency of yin and blood, the lack of tendons and veins, or the weakness of the internal organs, and the deficiency of liver and kidney, and the internal movement of the virtual wind, are mostly deficiency syndromes.

Twitch diagnosis

Convulsions can be diagnosed when striated muscles contract involuntarily. However, to distinguish which type depends on the specific clinical manifestations. The movement of hands and feet and trembling are obvious at the extremities, which is different from convulsions.

In addition to detailed medical history, symptoms and physical examination, routine blood, urine, and stool tests

Striated muscle Is necessary. Other laboratory tests are selectively performed according to the condition, such as cerebrospinal fluid, blood glucose, urea nitrogen, and carbon dioxide binding capacity, as well as X-ray, B-mode ultrasound, electrocardiogram, and CT tests to assist in the establishment of the diagnosis.

Differentiation and analysis of convulsive diseases

Seizures.

Hysterical convulsions.

Mental tremor.

Myopathy atrophy.

Integrative diagnosis of traditional Chinese medicine for diagnosis, such as:

Sudden onset of illness, accompanied by high fever, should consider spring temperature [blast], summer temperature [blast], epidemic poisoning and so on.

With headache, vomiting, etc., in addition to diseases such as spring temperature [blast], summer temperature [blast], and epidemic poisoning, etc., brain maggots and cerebral parasitic diseases should also be considered.

Patients with liver fever and liver plaque who experience deep jaundice and brain symptoms and convulsions are mostly liver dysfunction.

Children with high fever and convulsions for an acute convulsion; children with weak and chronic illness convulsions for a slow convulsion.

Diagnostic thinking based on medical history, such as:

In patients with chronic or acute kidney disease, if convulsions are seen, renal dysfunction should be considered.

Patients with thirst see symptoms of convulsions and should consider thirst-quenching.

Seeing convulsions in patients with wind dizziness, hemorrhage, stroke, and [true] headache should be considered.

Those with a similar medical history, who had unconsciousness during the onset, spit foam on the mouth, and stopped on their own, were mostly epilepsy.

Onset in the high temperature environment in the summer season, most of them are summer wind [spasm].

Caused by emotional stimuli, etc., are often found in Qi [yu].

Those with a history of trauma or bite by rabies should consider tetanus and rabies.

Women with convulsions at the end of pregnancy are called eclampsia; convulsions after a new birth are called postpartum spasms.

Convulsive TCM treatment

Evil meridian

Symptoms: fever, chills, headaches, stiff neck back or even mouth utterances, convulsions in the limbs, or anxiety of tendons and veins, tightness in the chest, thirst for drinking, white greasy fur, and tight pulse.

Governing Law: Qufengsanhan, and camp dry.

Subject: Huohuosheng Wet Soup

Usage: Oral.

Addition and subtraction: children's dosage is halved.

Wind phlegm closing

Symptoms: Sudden fainting, limb convulsions or paralysis, sputum in the throat, saliva foam, greasy white fur, slippery pulse strings.

Governing Law: Search wind and expectorant.

Subject: Polysputum Soup

Usage :, Take with Suhexiang pills.

Addition and subtraction: Generally, ginseng should be removed; yellow sputum and greasy moss, ginger, jujube, and bamboo leaches, scutellaria baicalensis, Coptis chinensis.

Hot sun

Symptoms: strong chest tightness, diarrhea [dental] teeth, stiff neck back, limbs, convulsions and even angulation, thirst and cold drinks, irritability, bloating, constipation, greasy yellow fur, pulse strings

Governing Law: Relieve heat and save yin.

Subject: Zengqi Chengqi Decoction

Usage: Oral.

Addition and subtraction: If there is heat and injury, and there is no evidence of stubbornness, you can add white tiger and ginseng soup to clear the heat.

Hot Shengdong wind card

Symptoms: Zhuang hot sweat thirsts, restlessness, and even fainting, twitching of the limbs, neck rigidity, two eyes looking up, red face, red tongue, yellow fur, and pulse count.

Governing Law: clearing away heat and detoxifying, opening up qi and quenching wind.

Subject: Antelope Hook Rattan Soup

To use: Serve with purple snow dan.

Addition and subtraction: often add Dilong, full scorpion; strong heat and thirst, add gypsum, Zhimu; constipation, abdominal distension, increase yellow, thenardite, osmanthus; spot rash, tongue palate, plus tannin, comfrey

Thermal camp blood

Symptoms: The body is hot at night, faint, mouth twitching, stiff neck back, angled bow, or spot rash, red tongue, yellow and dry fur, pulse string or count.

Governing method: Pingganxifeng, clearing heat and stopping spasm.

Subject: Antelope Hook Soup

Usage: Oral.

Addition and subtraction: those with coma can take An Gong Niuhuang Wan.

Liver Yang Huafeng

Symptoms: headache, dizziness, irritability, strong limb numbness, tremor or convulsions, irritability, or see

Convulsive Therapeutic Drugs: Chicken Blood Vine Coma, bitter mouth, red face, red eyes, red tongue, yellow fur, and thin pulse strings.

Governing Law: Pinggan Qianyang, Xifeng and relieve spasm.

Subject: Zhengan Xifeng Decoction

Usage: Oral.

Addition and subtraction: irritability, red eyes, bitter mouth, add bile and tannin; constipation, increase yellow, thenardite, aloe.

Yin deficiency movement wind card

Symptoms: headache, dizziness, backache, tinnitus, upset and insomnia, numbness of limbs, tremor or even convulsions, short yellow urine, dry stool, red tongue, less moss, pulse count.

Governing Law: Ziyin and wind.

Subject: Sanjia Fumai Decoction

Usage: Oral.

Addition and subtraction: break annoying insomnia, add gardenia, night vine; and blood deficiency, add Shouwu, chicken blood vine.

Wind poisoning contact card

Symptoms: convulsions of the limbs, closeness of the teeth, strong tongue-mouthing, or muscle tremor, or a bitter smile, or partial body failure, or skewed mouth and eyes, headache, dizziness, red tongue, greasy, pulse strings.

Governing Law: Qufeng stop spasm.

Subject: Yu Zhen San, or Five Tigers

Usage: Oral.

Addition and subtraction: fever, add Scutellaria baicalensis, Coptis chinensis, silver flower, forsythia; frequent convulsions, add Dilong, red castor root; spit saliva, add bamboo drain

Fire poisoning

Symptoms: weakness in twitching of limbs, muscle [shun] movement, numbness of the limbs, lack of food, bloating, loose stools, fatigue, cold limbs, dizziness, thin body, pale yellow tongue, pale tongue, thin white fur, weak pulse .

Governing Law: Wenyang nourishes Qi and wind.

The main party: can protect Li Susan

Usage: Oral.

Addition and subtraction: appetite, abdominal distension, adding Amomum villosum, chicken internal gold, tanned skin; cold limbs, loose stools, adding cinnamon sticks, dried ginger, and aconite.

Convulsions commonly used drugs

Absolutely quiet environment, bed rest, fasting.

Commonly used proprietary Chinese medicines : Qingkailing injection, Xingnaojing injection, Qingqijiedu injection, compound Houttuynia injection, etc., are added intravenously to 10% glucose injection. Zixuedan, Niuhuang Liangfeng Tablets [Niuhuang Baolong Pills], Amber Jingfeng Tablets [Amber Baolong Pills], Niuhuang Zhen Jing Pills, Zhijing San, Monkey Date Powder, Guar Cream and Antipyretic Pill, Annao Pills, oral.

Acupuncture therapy :

Cod liver oil Body acupuncture treatment: Zhongzhong, Suzhi, Baihui, etc. are the preferred acupoints, and empirical method is used for diarrhea, and deficiency method is used for tonic.

Acupoint injection therapy: Dilong injection, Dazhui, Hegu, Quchi acupoint injection, each point 0.5-1.0mL.

Ear acupuncture therapy: take Shenmen, subcortex, and use strong stimulation.

Lamp dipping therapy: ignite with daffodil dipped in clear oil, aiming at an open flame at Yintang, Zhongzhong, Cheek Che, Jiao Sun, God Shrine, Dazhui and other acupoints, you can hear a "pop" sound when you touch it, and stop spasm quickly.

Commonly used antispasmodic herbs : antelope horns (goat horns), whole scorpions, hook vines, earth dragons, tadpoles, white silkworms, black snakes, white aconites, southern stars, cicadas, etc., can be basically used in disease identification and dialectics.

Twitch prevention

1. Actively treat the primary disease for the cause to prevent it. For example, patients with epilepsy need to take medicine as prescribed by their doctor. If the medicine is stopped suddenly, even 1 to 2 days will cause seizures. Another example is that children with high fever are prone to cramps, and timely fever can prevent cramps; tetanus can cause cramps, so it is necessary to break the tetanus vaccine to prevent tetanus; rabies can cause cramps, and it is important to prevent dog bites. In case of dog bites, You must go to the hospital immediately for treatment; you must kill livestock suffering from rabies immediately; calcium deficiency can cause cramps, so children should supplement calcium (eat more calcium-containing foods, take calcium gluconate, calcium tablets, etc. if necessary), and take more sun Sun, take cod liver oil, etc.

2. To prevent gastrocnemius cramps, do foot warm-ups and warm-ups before strenuous exercise or swimming. In order to prevent cramps when sleeping at night, do not overly fatigue during the day and do not cool your legs at night.

Jerking Ambulance

Once a systemic sudden cramp occurs, you should calm the spasm and immediately see a doctor. Generally cramps are not immediately life-threatening, so don't be overly alarmed.

(1) Emergency measures taken before the doctor's arrival:

1. Immediately place the child on the bed, with the head tilted to one side and tilted back slightly, and the neck slightly raised, loosen the patient's tie, belt, belt, etc., and be careful not to drop on the floor than the patient.

2. Quickly remove the nasal and throat secretions and vomit, to ensure the airway is unobstructed and to prevent the tongue from falling back. To prevent teeth from biting the tongue, a tongue depressor or chopsticks wrapped with gauze or cloth should be placed between the upper and lower teeth. Press the middle acupoint and Hegu acupoint with your fingers. The above requirements must be completed quickly within a few seconds.

3 Prevent patients from colliding with surrounding hard objects during a severe concussion, but never use strong force to press the convulsed limb to avoid fracture.

4 Management of gastrocnemius cramps:

(1) When the gastrocnemius muscle suddenly feels pain and cramps during sharp exercise, immediately grasp the thumb and slowly straighten the leg, and massage when the pain disappears.

(2) Treatment of cramps during swimming: fingers, palm cramps: Hold your hand into a fist, then open it hard, and quickly make a fist. Repeat this process, and swing the palm to the back of the hand. Upper arm cramps: Hold your hand into a fist and bend your elbows as far as you can, and then stretch it out again and again. Calf or toe cramps: Use the hand on the opposite side of the cramped calf to hold the toe of the cramped leg and pull upwards, while pressing the palm of the same side against the cramped calf's knee to help the leg straight. Thigh cramps: Bend the cramped thighs at right angles to the body and bend the knee joint, then hold the calf with both hands, force it to stick to the thigh, and make shock movements, then straight forward and repeat this process.

(3) If gastrocnemius cramps occur in the middle of the night, you can use the wall to block your toes and straighten your legs until the pain and cramps are alleviated, and then massage.

(2) Emergency rescue measures for doctors:

1. Immediately use any of the following medicines to relieve consternation: intravenous injection of diazepam, or intramuscular injection of sodium phenobarbital, or retention enema with 10% chloral hydrate and physiological saline, or intramuscular injection with 5% paraaldehyde. If the above medicine is invalid

Jerking Ambulance Sodium.

2. The cause must be treated. Infectious convulsions should be treated with antibiotics.

3. Those with high fever should cooperate with cooling treatment.

4. Give oxygen for inhalation.

Note: Neonatal convulsions should be based on the cause of the epilepsy. When it is difficult to find out the reason, first try 25% -50% glucose 20-30ml intravenous injection (common due to hypoglycemia in newborns). If no effect is seen in 15 minutes, 10% glucose Calcium acid 5ml plus 10% glucose 2ml slowly intravenously (because neonates are prone to hypocalcemia), if it is still not effective, vitamin B6 can be injected intravenously.

What are the symptoms of convulsions?

1. Whole body tonic convulsions: the whole body muscles are stiff and twitching, and they are angled back (the head is tilted backwards, the whole body is bent backwards into an arc), the eyes are turned up or stared, unconscious.