Parasthesia


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Definition:
An abnormal sensation in a body part, usually an extremity.

Etiology:
Pressure or injury to a nerve can cause abnormal sensations. A common example is in the anterior scalene syndrome, where the chief symptoms are numbness and tingling of the arm, hand and fingers from muscle compression of the brachial plexus. As tension in the scalenes narrows the angle of where it attaches to the first rib, the neurovascular bundle becomes compressed. Other nerves (such as the sciatic) can cause symptoms in other areas of the body (such as the legs, feet, and toes). Other causes of paresthesias include vitamin deficiencies.

Paresthesias are also associated with some metabolic and infectious processes (e.g. herpes prodrome).

Nutrition:
therapeutic foods: • foods that invigorate the Qi and Xue (Blood), nourish the Xue (Blood), tonify the Qi

therapeutic foods: • foods rich in Calcium, Phosphorus, Manganese, Sulfur, Iodine, tryptophan (Jensen, p. 63) • egg yolk, kale, celery, fish, raw goat's milk, veal joint broth, cod roe, rice polishings, brewer's yeast, nutritional yeast (Jensen, p. 63)

fresh juices: • celery, carrot, prune (Jensen, p. 63) • prune and rice polishings (Jensen, p. 63) • raw goat's milk and 1 tsp. sesame, sunflower or almond butter, 1 tsp. honey and sliver of avocado (Jensen, p. 63) • black cherry and egg yolk (Jensen, p. 63) • carrot, celery, spinach, and parsley (Walker, p. 149) • carrot and spinach (Walker, p. 149) • carrot, celery, and parsley (Walker, p. 149) • carrot, beet, and cucumber (Walker, p. 149)

specific remedies: • for hemianaesthia: simmer 200 g dace fish together with 15 g mushrooms into a soup, add sesame oil and salt for flavoring and serve per day (Chao-liang, Qing-rong, Bao-zhen, p. 114)

avoid: • meat, alcohol, hot sauces, spicy foods, fried foods, fatty foods, rich foods, salty foods, coffee, caffeine, sweet foods and sugar, cow's milk and other dairy products, white bread, refined foods, processed foods, catarrh-forming foods: tofu, ice cream

Botanicals
• Hypericum perforatum

consider: anti-inflammatories • Chamomilla spp. • Gaultheria procumbens: oil (externally) • Salix spp.

paresis: refer to paralysis

Chinese Formulae
• Areca Seed C.: Liver Qi Stagnation: multiple neuritis, constipation (Hsu, 1980, p. 470; Dharmananda, 1986, p. 294) • Gastrodia 9 (patent): Liver Wind Stirring (Dharmananda, 1990, p. 83)

Acupuncture
after assessing the person and palpating, consider these patterns: numbness: Heat in the Spleen and Stomach; Liver Qi Stagnation; Liver Wind Stirring; Kidney and Liver Yin Xu (Deficiency); Liver Wind arising from Liver Xue Xu (Blood Deficiency); Bi Syndrome

» therapeutic note: • see also the various musculoskeletal conditions and cancers which might be causative • many of the points and combinations from "paralysis" may be relevant to the treatment of paresthesia in the same location

» illustrative combinations: • PC-8 and Ht-3 for numbness (Mann, p. 124) • SI-3 and UB-62: open the Du Mai (Governing Vessel) to increase Qi flow through, relax and strengthen the spine • UB-65 and UB-59 (-): drain Shi (Excess) and relieve Stagnation in the lumbar spine (Finkelstein) • UB-23, GV-4 and UB-58: relax the soft tissues and invigorate blood circulation in the back (Finkelstein, p. 44) • LI-11, GV-26, GB-20 and GB-39 for alignment problems of the spine (Finkelstein, p. 10) • LI-11 and GV-26: facilitate spinal adjustments (Finkelstein, p. 9) • PC-6 and LI-11 (-): treat numbness in the extremities (EAMSS, p. 240) • LI-4 and Lu-7 with strong stimulation: for paresthesia in the thumb (Ambrose; Eisen) • ashi (tender) points on arms plus neck area corresponding dermatomes, GV-14, bai lao etc., for paresthesia in the arms (Ambrose; Eisen) • Ht-3 and LI-10 for numbness in the arm (Shanghai, p. 252) • ba xie and TW-5 for numbness in the fingers (Shanghai, p. 254) • ba feng, ling hou and St-36 for numbness of the lower limb or toe (Shanghai, p. 299) • needle ashi (tender) points in low back and buttocks for paresthesia in the legs (Ambrose) • UB-54/40 and Kd-7 with strong stimulation: for paresthesia in the feet (Ambrose; Eisen)

Homeopathy
• Alumina: paresis and delayed sensitivity; no vital heat; dryness of skin and mucosa; great mental depression • Agaricus muscarius: child or elderly person after excesses; muscular spasms, twitches, jolts and tremblings; always along with a mental depression < a.m.; all muscles may be included; all disappear during sleep • Argentum nitricum: physical asthenia with tendency to paralysis; spasmodic excitation, coordination altered; wasting of muscles in the lower limbs • Cannabis indica: convulsions; tremors and extreme prostration after a short walk, finally paralysis of the lower limbs prevails < a.m., tobacco, liquor, coffee > fresh air, cold water, rest; paralysis of lower limbs with involuntary shaking of head • Causticum: gradual paralysis in very weak people; occurs in optic nerve, vocal cords, intestine, urinary bladder, hands, upper eyelid; paralysis of limbs along with articular deformations, stiffness, tendons shortening; chronicity • Cocculus indicus: great fatigue following an organic problem, very weak; paresis in extremities and cervical, thoracic, lumbar muscles; difficult to stand erect and keep head straight; numbness of extremities; trembling of limbs < evening, mental exertion, muscular exercise; pains in lumbar/sacral area; articular stiffness; vertigo and nausea; delayed perception of nervous impressions • Conium maculatum: senile, gradual paresis starting with the legs; along with muscular numbness, trembling and jolts at the beginning; mental weakness • Gelsemium: great weakness and heaviness of limbs and marked trembling < emotions; can go slowly and gradually to paralysis; all muscles but esp. eyes, eyelids, tongue, vocal cords, respiratory muscles, bladder, genitals • Kali phosphoricum: paralytic weakness in back and extremities with stiffness slow motion • Mercurius solubilis: weak, trembling < emotions and least effort; very weak mind, very weak limbs; paralysis of extensors; trembling starting at the fingers, then getting generalized; vertigo; articular and bone pains < night • Phosphorus: arms and hands become numb, can scarcely hold anything in hands; weakness and trembling from any exertion; paralysis of fingers and toes, esp. on left side • Picricum acidum: great physical and mental asthenia; general weakness with special localization in back and lower limbs; legs weak with sensation of heaviness; burning along the spine • Plumbum metallicum: paralysis of extensor muscles and lower limbs with gradual muscular atrophy; drop of wrist or foot; trembling < fatigue, end of day, night; sharp, deep paroxysmal pains > pressure • Zincum metallicum: weakness, physical and mental exhaustion; very sensitive to noise; restless sleep; constant agitation of legs

Subtle Support
pain: • Mendelssohn's Spring Song • Meditation from Thais • Chopin's Preludes • On Wings of Song • Andante, Beethoven's Fifth Symphony • Adagio, Beethoven's Pathetique Symphony (Heline, p. 18)

musculoskeletal: • Sousa's marches • The Anvil Chorus • William Tell Overture • Brahm's Hungarian Dances • By the Waters of the Minnetonka (Heline, p. 18)

Mind/Body
• Withholding love and consideration; going dead mentally. (Hay, 1984, p. 177) • Polyneuropathy is associated with fear of taking charge of one's own life. Fear of being alone or being abandoned becomes the filter through which one experiences the world and causes the dependency aspect which is characteristic of this illness. (Shealy, p. 250)

• Liver ~ Gan is the home of the Hun (Ethereal Soul); it relates to decisiveness, control, and the principle of emergence; stores and cleanses the Xue (Blood); maintains smooth flow of Qi and Xue (Blood); controls the muscles, ligaments, and tendons, especially the contractility of the muscles and moistening of the sinews; expresses itself in the nervous system; and reflects emotional harmony and movement. » Healthy expressions are kindness, spontaneity, and ease of movement. » Liver Qi Stagnation reflects and accentuates emotional constraint as the Liver's function of facilitating smooth flow in the body is constricted. Stagnation is associated with frustration, irritability, tension, and feeling stuck. With time this pattern tends to produce a gloomy emotional state of constant resentment, repressed anger or depression, along with tightness in the chest, frequent sighing, abdominal tension or distension, and/or a feeling of a lump in the throat with difficulty in swallowing. (Maciocia, p. 216) » Liver Wind derives from Liver Yin Xu (Deficiency) and/or Liver Xue Xu (Blood Deficiency) and their subsequent inability to embrace the Yang, and can manifest as joint stiffness, dizziness, tremor, paralysis, convulsions, rashes, itching, and neurological problems. Wind can also be internalized after exposure to inclement, especially windy, weather and any concomitant influences of Damp, Cold, and/or Heat.
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