Introduction: Motor neurons are neurons that are responsible for transmitting messages from the spinal cord and brain to the muscles and endocrine glands, innervating the activity of effector organs. Motor neurons can be divided into upper and lower neurons, all of which can have different lesions and even cause paralysis, so how to differentially diagnose motor neuron diseases clinically
Diagnosis and differentiation:
According to the slow insidious onset of the disease, the gradual progression of the worsening, with bilateral basically symmetrical upper or lower, or upper and lower motor neuron mixed lesions, without objective sensory impairment and other clinical features, and after the exclusion of related diseases, the diagnosis is generally not difficult.
Western Medical Examination:
Cerebrospinal fluid pressure, composition, and kinetics are normal, and a few patients may have a slight increase in protein. The needle electrode electromyography of the affected muscle can show spontaneous potentials such as fibrillation, positive tip and fasciculation, the time limit of the motor unit potential is wide, the amplitude is high, and the huge potential can be seen, and the recruitment of the motor unit potential is significantly reduced during heavy contraction. Magnetic resonance imaging of the spinal cord can be done when available, and the disease may show spinal cord atrophy.
Traditional Chinese medicine Zhang Zhizhong syndrome differentiation and treatment:
Motor neuron (ALS) is a form of impotence in traditional Chinese medicine, which causes a deficiency of blood and blood, resulting in a deficiency of fluid and blood, which can not nourish the muscles and muscles, making the muscles weak and weak, so that the patient has symptoms such as limb weakness and inability to move at will.
Congenital endowment is insufficient, and the lack of sperm and blood cannot nourish the muscles, muscles and bones, and muscle weakness and atrophy gradually appear. At the same time, the spleen and stomach are the foundation of the day after tomorrow, metamorphosis qi and blood, nutrition of the five internal organs, muscles, muscles and bones, and the spleen is the main muscle, the spleen and stomach are weak, the biochemistry of qi and blood is insufficient, and the muscles are atrophied and weak without nutrition.