Paralysis / Muscular Atrophy (Wei Syndromes)

SYMPTOMS AND SIGNS: Wei originally means limbs motor impairment due to muscular weakness or atrophy in ancient Chinese medicine. So Wei syndrome is characterized by muscular flaccidity, weakness, or atrophy of the extremities with motor impairment, or even paralysis at a later stage. It shows in many diseases, such as muscular atrophy, muscular dystrophies, myotonic syndromes, periodic paralysis, myasthenia gravis, endocrine myopathies, hysterical paralysis, etc. 

ETIOLOGY AND PATHOLOGY: Wei syndromes are caused by the following factors:

  1. Malnourishment of channels and tendons due to exhaustion of body fluid by invasion of exogenous pathogenic wind-heat to the lung organs. Lung is the organ which faces all channels and collaterals, and keeps the normal circulation of Qi and blood in TCM theory.
  2. Obstruction and lesion of the channels and tendons due to accumulation of damp-heat caused by living in a damp areas; or eating fat, hot and spicy food; or drinking too much alcohol.
  3. Malnutrition of channels and tendons due to the Qi and blood deficiency which was caused by the dysfunction of spleen and stomach.
  4. Malnutrition of channels and tendons due to the insufficiency of the liver and kidney essence and Qi in the later stage of chronic diseases, or after excessive sexual activities. 


1. Wei Syndrome of Lung-Heat Type:

Indications: Weakness of four limbs after fever restlessness, thirst, cough without sputum, dry throat'. scanty and yellow urine, constipation, red tongue, yellow coating, thready and rapid pulse. 

Treatment & Formulas: Clear the heat and moisten the lungs. 


    • Qing Zao Jiu Fei Tang (Eriobotrya and Ophiopogon Combination, Item No. 2186): It cleans the dry heat and moisten lungs.
    • Sha Sheng Mai Dong Tang (Adenophore and Ophiopogon Combination, Item No. 2107): It moistens lung and strengthens the Yin, or fluid. 

2. Wei Syndrome of Damp-Heat Type

Indications: Heaviness, tightness and weakness of the four limbs, or edema, numbness, especially at the lower part of the body, or fever, oppression and fullness of chest, hot or pain sensation when urinating, yellow greasy tongue coating, thready, deep and rapid pulse. 

Treatment & Formulas: Clear hear and eliminate dampness to open the circulation of channels and tendons. 


3. Wei Syndrome of Spleen and Stomach Deficiency:

Indications: Weakness of four limbs, progressive muscular atrophy, poor appetite, pale or swollen face, fatigue, white and thin tongue coating, weak pulse. 

Treatment & Formulas: Tonify the spleen and stomach, strengthen muscles by the Qi and blood nourishment. 


    • Shen Ling Bai Zhu San (Ginseng and Atractylodes Formula, Item No. 2173)
    • Ba Xian Tang (Tang-kuei and Gentian Combination Item No. 2009): It tonifies the Qi and blood eliminates the dampness caused deficient spleen and stomach. 
    • Shi Quan Da Bu Tang (Ginseng and Tang-kuei Ten Combination, Item No. 2015): It tonifies the Qi and blood by promoting the function of spleen and stomach. 
    • Gui Pi Tang (Ginseng and Longan Combination, Item No. 2261): It tonifies the Qi and blood of heart and spleen. 

4. Wei Syndrome of Kidney and Liver Deficiency:

Indications: Weakness or progressive muscular atrophy, sore and weak at lumbar regions, or dizziness, tinnitus, emission, enuresis, or abnormal menstruation, red tongue, scanty coating, thready and rapid pulse. 

Treatment & Formulas: Tonify liver and kidney, clear the deficient fire.