Question

Diagnosis of Pediatric Neuromuscular Diseases

Answer

  1. Liver and Kidney Yin Deficiency: Symptoms include muscle atrophy in the limbs, particularly in the distal parts of the hands, difficulty gripping, limited mobility, and possibly the appearance of apes’ or eagles’ hands, accompanied by fasciculations and tremors in the hands. There may also be symptoms of emotional instability, frequent dreams, emaciation, flushing on the cheeks in the afternoon, and constipation. The tongue coating is thin and the tongue body is soft and slender, with a deep fine and wiry pulse.
  2. Spleen and Kidney Yang Deficiency: Symptoms include weakness in the limbs, muscle atrophy, loose skin, fatigue, lack of appetite, pale or swollen skin, shortness of breath, and possible erectile dysfunction or premature ejaculation. The tongue coating is thin and white, the tongue body is pale and plump, with a deep fine pulse.
  3. Dry Heat Damage to Body Fluids: Symptoms include muscle atrophy in the palms, dry skin, grooves between tendons, insufficient grip strength, or tremors. There may also be symptoms of restlessness and thirst, dry throat discomfort, thin yellow tongue coating, dry mouth, reddish tongue body, fine and sticky pulse.