Blood, so it leads to poor circulation of both Qi and Blood to the limbs. Both these factors may
cause weakness of the legs, dizziness and vertigo.

In most cases the symptoms in the early stages reflect an invasion of Dampness: they are a
feeling of heaviness, numbness and tingling of the limbs. In the middle stages of the disease
there is a progressive deficiency of Liver and Kidneys with such symptoms as dizziness, vertigo,
blurred vision, progressive weakness of the legs, and urinary hesitancy or urgency. If Liver-Yang
develops, there is stiffness of the legs, more severe vertigo and vomiting. In the late stages, with
the development of Liver-Wind, there is tremor and severe spasms of the legs.

Thus the symptoms at the various stages can be summarized as follows (Table 29.1Table 29.1).

Differentiation and Treatment

Acupuncture and Herbal Treatment

Acupuncture is the treatment of choice for multiple sclerosis.

There are only two basic patterns:

Damp-Phlegm with Spleen Deficiency

Liver and Kidney Deficiency

Damp-Phlegm With Spleen Deficiency

Clinical Manifestations

Numbness, feeling of heaviness of the legs, tingling, dizziness, tiredness.

Tongue: Swollen with teeth-marks and a sticky coating.

Pulse: Weak and Slippery.

Treatment Principle

Resolve Dampness, tonify the Spleen and invigorate the Connecting channels.

Acupuncture

General Prescription