(chapter47)Damp-Bi Mimicking Paralysis

In Tian Village, there was an elderly man named Qiao (his full name forgotten) who developed a joint pain condition in his old age. The pain alternated between his hands and feet, moving unpredictably from left to right. Several doctors diagnosed it as “paralysis” and prescribed over a thousand doses of medicine, yet none worked. Bedridden for years, his family had even prepared funeral arrangements. Surprisingly, his appetite and bowel/urinary functions remained normal.

Zui Hua Chuang Medical Cases Chapter 47

A local merchant from the capital who knew of my medical reputation requested my consultation. Upon arrival, I first asked his son: “What illness does your father have?” The son replied: “Paralysis.” I cautioned: “Fewer than 2-3 out of 10 elderly patients recover from paralysis. Still, I should examine him.”

Entering the room, the elderly man greeted me respectfully. His speech was clear, with no facial asymmetry, and his mental state appeared alert. I asked: “Do your limbs feel numb?” He answered: “No numbness—just sudden, unbearable pain.” Upon checking his pulse, all six positions felt slow, deep, and slightly weak.

I explained: “You have Bi Syndrome caused by dampness (Shi Bi), not paralysis! Cold-dampness is trapped in your muscles and joints, making your limbs feel leaden. Does turning over feel like moving a mountain, requiring assistance?” The man exclaimed: “Exactly! Please prescribe medicine!”

“Recovery is possible but requires time,” I said. “You’ll need dozens of herbal doses combined with rehabilitation. The earliest you might walk with a cane is three months; latest six months.” The patient agreed: “I’ll follow your plan!”

Treatment Process:

​Phase 1 (5 days):

Prescribed Wuling Lizhong Decoction (a formula to dispel cold-dampness) with added:
Aconite (fuzi)
Atractylodes (cangzhu)
After five doses, pain lessened, abdominal bloating reduced, and appetite improved.

​Phase 2 (15 days):

Switched to Qianghuo Shengshi Decoction (to enhance dampness expulsion and blood circulation) with added:
Achyranthes root (niuxi)
Cinnamon bark (rougui)
After two weeks, pain disappeared completely, but joint stiffness and walking difficulty remained.

​Phase 3 (Long-term care):

Prescribed Baizhu Fuzi Decoction (to unblock joints) with added:
Pine node (songjie)
Dioscorea root (bixie)

After ten doses, switched to herbal pills. Family assisted him in walking dozens of steps twice daily—no further consultations needed.

Zui Hua Chuang Medical Cases Source text​ 47

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