Muscular twitching refers to the involuntary twitching of the body's muscles. This condition was first mentioned in the "Treatise on Cold Damage Diseases," also known as "muscular twitching." Jingui Yaolue refers to it as "body twitching" or "twitching of the limbs." Clinically, it is often seen alongside symptoms such as profuse sweating due to yang exhaustion, reversal cold of the hands and feet, edema due to yang deficiency, and shivering.

bubble_chart Pattern Analysis

1. Yang Deficiency︰pale complexion, aversion to cold, sweating, reversal cold of hands and feet, muscular twitching, pale tongue with white coating, faint pulse. It often occurs after erroneous treatment of cold-damage disease, such as the Cinnamon Twig syndrome characterized by floating and moderate pulse, sweating, and aversion to wind, but mistakenly using Major Blue Dragon Decoction to induce sweating, which inevitably leads to profuse sweating and yang exhaustion, hence reversal cold of limbs. Yang deficiency fails to warm the muscles, resulting in symptoms of muscular twitching. The key points for identifying this syndrome lie in sweating with yang exhaustion, reversal cold of limbs, followed by muscular twitching. The treatment should prioritize supporting yang, and Cold-Extremities Decoction can be used.
2. Internal Movement of Water Qi︰Fever, dizziness, palpitations, muscular twitching, unsteady standing, pale tongue with white coating, deep pulse. $Yang deficiency muscular twitching and water qi internal movement muscular twitching! Yang deficiency muscular twitching often occurs after erroneous treatment of cold-damage disease, such as the Cinnamon Twig syndrome with floating and moderate pulse, sweating, and aversion to wind, but mistakenly using Major Blue Dragon Decoction to induce sweating, which inevitably leads to profuse sweating and yang exhaustion, hence reversal cold of limbs. Yang deficiency fails to warm the muscles and tendons, resulting in muscular twitching. The key points for differentiation of this syndrome are sweating with yang exhaustion, reversal cold of limbs, followed by muscular twitching. Treatment should prioritize supporting yang, and Cold-Extremities Decoction can be used. This is due to excessive sweating in the taiyang exterior pattern. Although the exterior is resolved, post-sweating yang exhaustion leads to internal movement of water qi, ascending to cause palpitations and dizziness. The classic text states, "Yang qi, when refined, nourishes the spirit; when gentle, it nourishes the tendons." Now, yang deficiency fails to nourish, leaving the sinews and vessels without governance, hence muscular twitching and unsteady body swaying. Treatment should warm kidney yang to disperse water qi, using True Warrior Decoction.

bubble_chart Documentation

1. Jingui Yaolue．Syndrome and Treatment of Abnormal Pulse due to Water Qi: "The disease of yellow sweat... If the heavy body sweats and then feels lighter, over time there will be body twitching, and the twitching will cause chest pain. There will also be sweating from the waist upwards, but no sweating below. There will be pain in the waist and hips, as if something is inside the skin. In severe cases, the patient cannot eat, experiences body pain and heaviness, dysphoria, and difficulty in urination. This is yellow sweat, and it is treated with Cinnamon Twig plus Astragalus Decoction."