Patient's question:
Due to moderate functional impairment of the right-sided limb, muscle atrophy, and limited joint mobility, the cause was unclear in 1990, and the previous treatment history and outcomes are unknown: no treatment was administered. What kind of assistance is desired: I want to know how to treat it, and how much money is required...Doctor's answer:
Medicines that work through conduction mechanisms, such as hydralazine and lansoprazole, are not very effective. Currently, they are rarely used. When the fever has subsided and collapse no longer occurs, early adoption of the following therapies is recommended:Recommendations:
1. Acupuncture and moxibustion are suitable for patients who are young, have a short course of illness, and show no significant limb swelling. Needles can be selected based on the location of collapse. For the upper limbs, common points include the intercostal spaces of the neck (Jiaji), Jianzhen, Dazhui, Shu Санри, Shaohai, Neiguan, Hegu, and Houxi (2–3 points are selected each time). For the lower limbs, common points include the 1-cun lateral points of the waist spine, Huantiao, Zhibian, Xuanzhuan, Yushu, Biguan, Yinlian, Siquan, Futu, Chengfu, Yintian, Yanglingquan, Zusanli, Jiexi, Taixi, Juegu, Fengshi, Chengshan, and Liedi (3–4 points are selected based on the main muscle groups affected by the collapsed limb). New points can be rotated each time, with one session per day. A course consists of 10–15 sessions, with a 3–5-day break between two courses. When treatment begins, strong stimulation is used to achieve efficacy, and then moderate stimulation is used to stabilize the results. Weak stimulation can be replaced with electroacupuncture or aquacupuncture, selecting 1–2 points each time. Anesthesia, vitamin B1, gamma-aminobutyric acid, or Chinese herbal medicine formulas for invigorating blood circulation (e.g., prepared Fuling, Honghua, and Chuanxiong liquid) can be applied at 0.5–1.0 ml per point.
2. On the collapsed limbs, use the rolling method to roll back and forth for 8–10 minutes, followed by kneading to relax the joints for 3–5 minutes. Gently rub the spine and limbs 5–6 times, then apply friction to warm the local area. This can be done once daily or every other day, and family members can perform it at home.
3. Functional exercises: For severely collapsed limbs that cannot move, massage and acupuncture can first be used to improve blood circulation in the affected limb, stabilize muscle nutrition and nerve regulation, and increase muscle strength. For limbs that can make slight movements but have very poor muscle strength, assist them in performing weak movements such as extension, flexion, abduction, and adduction. When limbs can move but muscle strength is still poor, encourage patients to perform self-movement exercises, such as tennis therapy, using physical therapy tools to train muscle strength and correct deformities.
4. Physical therapy can include hydrotherapy, electrotherapy, paraffin therapy, and phototherapy to relax the affected muscles, promote local blood flow, and reduce inflammation.
5. Other options include cupping (fire cups, water cups, air cups) and herbal washing (internal and external use) to promote the full recovery of collapsed limbs. Some reports suggest using acupoint striking and induction therapy to enhance muscle strength in limbs that have been collapsed for a long time. Deformed limbs can be immobilized with wooden boards or plaster, or surgically corrected.
The above are recommendations for the issue of "unexplained moderate dysfunction and muscle atrophy with partial joint movement on the right side." I hope this helps. Wishing you good health!