Paralysis

Paralysis

Palsy

Paralysis is a loss of function of a part or the whole body, sometimes with a loss of sensation. It may be a single part such as the hand or tongue, or of half of the body 9such as the left, right or lower body), or of the whole body.
Several types were recognised:

  • Palsy–Paralysis
  • Dead Palsy–Paralysis with loss of sensation
  • Shaking Palsy–Parkinsonism

Other types of Paralysis recognised today include:

  • Hemiplegia–Paralysis of one side of the body
  • Paraplegia–Paralysis that usually affects the legs, sometimes the lower body or arms
  • Quadriplegia–Paralysis that affects all the lmibs, often from damage to the spinal cord
  • Facial Paralysis–loss of movement of one or both sides of the face
  • Bell’s Palsy–weakness or Paralysis of one side of the face

Paralysis can come from Disease, Injury or Poison. Brunschwig (1561) gave a number of causes which we have added a TCM equivalent diganosis:

  1. Anger: Liver Heat–clear Liver Heat
  2. Cold: Wind-Cold-Damp–avoid Cold foods, use warming medicines internally and externally
  3. Excess Eating and Drinking: Phlegm and Damp obstruction–Fasting, Purging
  4. Excess Blood which overwhelms the Heart: Liver Heat causing Wind–Bleeding is indicated
  5. Excess Sex: Kidney Deficiency–abstinence, Kidney tonics
  6. Unresolved Trauma: Blood Stagnation, or damage to a Nerve–Nourish Yin

Other causes include excess Joy or Fear, excess Labor or Rest, or an excess of any of the Humors.
Brunschwig then gives this interesting note:
‘Sometimes is the cause, that the two Strings, coming down from the Brain through the backbone to the feet: through the one goes the Natural Heat [Yang], and through the other the Cold [Yin], that the same Strings are stopped, either the one or both. Wherefore, in whatsoever member is stopped this String, that the Natural Spirit [Qi] can not come into the same, its wastes lame’.
This clearly indicates Yin and Yang channels and the flow of Qi to each part.
As it is generally classed as a Wind disease, it is treated with medicines that settle Wind in combination with medicines appropriated to the individual.
In addition to Medicine, internal and external, Cupping, Massage, Bloodletting, Acupuncture, Moxa, Baths etc. can be very useful. Bloodletting  can be effective but is only indicated when there is excess Blood. However, if there is veins in the location, small amounts of blood can be taken. Pricking points to extract a drop or 2 can be used more liberally as long as the body is not cold or edematous. When Bloodletting is used, it is often performed on the opposite side to the Paralysis.


Western Tradition
1. Lavender decotcted in water, and half a pint of the decoction taken twice daily, helps Paralysis. (Alexis)
2. Pig feet made into a Soup with Turnips strengthens Sinews in lameness associated with Paralysis.
Paralysi prosunt–Benefit Paralysis
Decoction for Paralysis (Praxis Medicinae)
Decoction to Strengthen the Head (Wirtzung)
Syrup of Calamus (Wirtzung)
Syrup of Stoechas (Judeus)
Syrup of Stoechas (Fernelius)
Syrup of Ivy
Syrup of Sage juice

Conserve of Calamus
Tincture of Juniper Berry
Tincture for Paralysis
Powder of Rosemary Compound (Dianthos) (Nicholas)
Powder for Paralysis and Vertigo (Nicholas)
Compound for Paralysis (Salerno)
Confection of Alfesera (Diabryonias) (Democrites)
Electuary of Calamus (Diacorum) (Mesue)
Electuary for Paralysis (Wirtzung)
Electuary for Crass and Viscid Humors (Azaricon)
Wonderful Confection for Cold Nerve Diseases
Blanca (Nicholas)
Confection of Musk
Diacastoreum

Theriac of 4 Ingredients (Diatessaron)
Hiera Hermetis

Hiera Logadii
Pills of Opopanax
Pills of Euphorbium
(Mesue)
Pills of Ishrat (Unani)
Pills of Nux Vomica (Unani)
Pills of Ten Things (Unani)
Mithridate
Medicine for Paralysis
Oil of Pepper
Oil of the Philosophers

Oil Against Paralysis
Oil of Castoreum
Oil of Foxes
Oil of Earthworms
Ointment of Bdellium
Ointment Martiatum
Aloeswood 20 (A gar nyi shu) (Tibetan)
Confect of Musk with Gems (Dawaul Misk Har Jawahar)
Pills of Mother of Pearl (Tibetan Medicine)
Pills of Nux Vomica (Habbe Azaraqi)
Electuary of Nux Vomica (Majun Azaraqi)
Catechu 25 (Seng ldeng 25) (Tibetan Medicine)
Red Coral 25 (Rin chen byur dmar nyer lnga)
Rhododendron 18 (Dwa lis bco brgyad)
Wish-fulfilling Jewel (Bsam phel nor bu) (Tibetan)
Facial Paralysis, Bell’s Palsy
Many of the Formulas for Paralysis are also used for Facial Paralysis
Electuary for Facial Paralysis
Pills of Ishrat (Unani)
Pills of Nux Vomica (Unani)
Electuary of Nux Vomica (Majun Azaraqi)
Rhododendron 18 (Dwa lis bco brgyad)
Paralysim purgant–Purge in Paralysis
Blanca (Nicholas)
Hiera Hermetis

Hiera Logadii
Pills of Cochia
Pills of Sagapen
Pills of Assajeret
Pills of Agaric
Aloephangine
Pills of Euphorbium (Mesue)
Pills of Opopanax

Pills of Ten Things (Unani)
Paralysis from Deficiency
Decoction to Strengthen the Head (Wirtzung)
Tincture for Paralysis
Powder of Rosemary Compound (Dianthos) (Nicholas)
Electuary of Calamus (Diacorum) (Mesue)
Electuary of Nux Vomica (Majun Azaraqi)
Electuary for Paralysis (Wirtzung)
Wonderful Confection for Cold Nerve Diseases
Catechu 25 (Seng ldeng 25) (Tibetan Medicine)
 To Strengthen after Treatment 
Diarrhodon Abbatis
Pleres Arconticon
Rosata Nouvelle
Diamoschu Dulce
Diambra
Electuary of Nux Vomica (Majun Azaraqi)

Paralysis from Wind and Heat
Aloeswood 20 (A gar nyi shu) (Tibetan)
Pearl 25 (Mu tig nyer lnga) (Tibetan Medicine)
Red Coral 25 (Rin chen byur dmar nyer lnga)
Wish-fulfilling Jewel (Bsam phel nor bu) (Tibetan)
Paralysis from Wind and Phlegm
Syrup of Calamus (Wirtzung)
Confection of Alfesera (Diabryonias) (Democrites)
Electuary for Crass and Viscid Humors (Azaricon)
Pills of Opopanax (De Morbis internis curanda)
Pills of Colchicum Greater (Habb E Suranjun Kalan)
Pills of Ishrat (Unani)
Pills of Ten Things (Unani)
Powder of Three Peppers (Diatrion Piperion) (Mesue)
Externally:
1. Boil Brandy with Sage in it and let the vapor go to the part. This can be used for various types of Paralysis including Shaking Paralysis. (Brunschwig, 1561)

TCM Classification

Paralysis
Internal Wind
Paralysis with headache, dizziness, vertigo, tremors, tinnitus, hemiplegia
Tian Ma Gou Teng Yin
Qian Zheng San
Pearl 25 (Mu tig nyer lnga) (Tibetan)
Internal Wind with Heat
Paralysis with Irritability, Insomnia, Red tongue with a yellow coat, fast and strong  pulse
Qu Feng Zhi Bao Dan
Aloeswood 20 (A gar nyi shu) (Tibetan)
Internal Wind with Yin Deficiency
Paralysis with low energy, dry mouth and skin, crimson and dry or cracked tongue, night sweats, very weak pulse

Da Ding Feng Zhu
Cold, Wind and Damp Obstruction
Numbness, stiffness and Paralysis, coldness, heaviness in the lower back and legs, maybe moving pains, Pale tongue with a white, moist coat and a tight or wiry or soft pulse.
Huang Qi Gui Zhi Wu Wu Tang
Xiao Huo Luo Dan

Shi Xiang Fan Sheng Wan
Yin and Yang deficiency
Paralysis, marked weakness, flaring heat due to Yin deficiency with hot symptoms in the upper body and cold and weakness in the lower body with back pain and weakness of legs; dry mouth, red tongue with greasy coat and a deep, weak, slippery pulse.

Di Huang Yin Zi
Blood Stasis with Qi Deficiency
Paralysis of lower body, weakness, atrophy, frequent urine or incontinence, purplish color of lips, tongue and nails

Bu Yang Huan Wu Tang
————————————-
Hemiplegia
Wind-Heat
Tian Ma Gou Teng Yin
Qu Feng Zhi Bao Dan
Pearl 25 (Mu tig nyer lnga) (Tibetan Medicine)
Cold, Wind and Damp Obstruction
Huang Qi Gui Zhi Wu Wu Tang
Qian Zheng San
Xiao Huo Luo Dan

Blood Stasis with Qi Deficiency
Bu Yang Huan Wu Tang
————————————-
Facial Paralysis
Wind-Heat
Tian Ma Gou Teng Yin
Qu Feng Zhi Bao Dan
Wind obstruction
Yu Zhen San
Qian Zheng San
Wind Phlegm
Yu Zhen San
Ding Xian Wan
Cold, Wind and Damp Obstruction
Huang Qi Gui Zhi Wu Wu Tang

Ma Huang Fu Zi Xi Xin Tang
Qian Zheng San
Blood Stasis with Qi Deficiency
Bu Yang Huan Wu Tang


Special Formula:

SAGE & LAVENDER WINE OR SPIRIT PILLS OF EUPHORBIUM
  Sage   Agaric
  Lavender  3 handfuls each   Colocynth pulp
Steep in 3 pints of Wine for 2 weeks. It can be distilled into a spirit or taken as it is.   Euphorbium
WINE FOR PARALYSIS FROM DAMP   Sagapen
  Lavender   Bdellium   3 drams each
  Sage   Aloes.   2 drams
  Cowlsip Rub into a pill mass with Cabbage juice.
  Rue   This is for Wind-Phlegm Paralysis.
  Juniper  1 handful ea. Dose: 1 scruple–half dram. (Syrian “Book of Medicine”, trans. by Wallis Budge, 1913)
  Brandy   1 pint ANOTHER PURGATIVE:
  White Wine  1 quart   Gum Ammoniac.  
Put into a large pot, cover and heat in a water bath.   Bdellium
  This is used for Paralysis from Damp (Wind-Damp). It is applied to the paralysed part and allowed to dry. A small cupful is taken twice daily. (Brunschwig, 1561)   Sagapen
SYRUP FOR PARALYSIS:   Aloes
  Calamus.   half oz.   Opopanax
  Cowlsip   3 handfuls   Castoreum
  St. Johns wort   Rue seed  4 drams each
  Sage   Euphorbium   3 drams
  Betony   Colocynth pulp   7 drams
  Balm Rub into a pill mass with Cabbage juice.
  Rue Dose: 1 dram. (Syrian “Book of Medicine”, trans. by Wallis Budge, 1913)
  Bay leaf  1 handful each OINTMENT OF BORAX
  Siler Montane “An ointment made from it [Borax], is useful in the treatment of Paralysis, especially in its advanced stage”. (Avicenna)
  Balsam Wood AN UNGENT FOR PARALYSIS:
  Balsam fruit   Pepper
  Basil seed      2 drams each   Pyrethrum
  Licorice   Euphorbium
  Currants   Castoreum  equal parts
  Lavender flowers Beat them and mix with oil and use as an Ointment. (Syrian “Book of Medicine”, trans. by Wallis Budge, 1913)
  Amaranthus.  1 oz. each PERSIAN OINTMENT
With Water (12 oz.) and clarified Honey (6 oz.), form a Syrup. (Wirtzung)   Resin  45 drams
SYRUP FOR PARALYSIS   Camphor oil  20 drams
  Calamus  2 oz.   Wax  16 drams
  Stoechas   Opopanax   4 drams
    Hyssop      1 oz.   Galbanum   4 drams
  Calamint Form into an ointment. Apply on strips of linen cloth and apply to the part.
  Oregano
  Aniseed
  Fennel seed
  Cinnamon   3 drams
  Fennel root
  Parsley root
  Asparagus root  ½ oz.
  Sage
  Balm
  Betony
  Avens  1 handful each
  Sugar  1 pound
Prepare a Syrup.
Dose: 1½ ounces, taken with Infusion of Nutmeg. (The Secrets of Alexis, 1615)
DECOCTION AGAINST PARALYSIS OF SERAPION
  Celery root
  Fennel root     10 drams
  Schoenanth     6 drams
  Fennel seed
  Anise
  Parsley seed
  Seseleos
  Costus
  Centaury
  Pyrethrum
  Ginger
  Bishop’s Weed
  Cardamon      4 drams
  Rue seed
  Nasturtium seed   3 drams
  Stoechas
  Belleric Myrobalan
  Emblic Myrobalan      8 drams
Decoct in 7 lbs water to 1 lb. Give for 21 days with oil of Pepper or of Costus
Dose: 1–2 oz. (De Morbis Internis Curandis, Mesue, 1551)

See also

Treatment of Paralysis (Praxis Medicinae Theorica et Empirica)