Paresthesia according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
tingling of limbs, tingling or pricking and pins and needles redirect here
Paresthesia can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like paresthesia here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here paresthesia is often associated with dizziness, insomnia and scanty periods in the pattern “Blood Deficiency”. As you will see below, we have in record five patterns that can cause paresthesia.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of paresthesia we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat paresthesia.
The five "patterns of disharmony" that can cause paresthesia
In Chinese Medicine paresthesia is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Prepared Rehmannia (Shu Di huang) is the king ingredient for Si Wu Tang, a formula used for Blood Deficiency
Blood Deficiency
Pulse type(s): Choppy (Se), Fine (Xi)
Tongue color: Pale
Someone has a Deficiency of Blood when their entire body, a part of body or a particular Organ is insufficiently nourished by Blood. This can be caused by blood-loss, a lack of of Spleen Qi (responsible to produce Blood) or congealed Blood which prevents new Blood from forming.
In addition to paresthesia, other symptoms associated with Blood Deficiency include dizziness, insomnia and scanty periods.
From a Western Medicine standpoint Blood Deficiency is associated with health issues such as Late Menstruation or Scanty Menstruation.
Blood Deficiency is often treated with Si Wu Tang, a herbal formula made of 4 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Si Wu Tang belongs to the category of "formulas that tonify blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Restores and nourishes Blood".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Blood Deficiency
Pulse type(s): Choppy (Se), Fine (Xi)
Tongue color: Pale
The Liver stores Blood, that is the reason any Blood Deficiency often involves the Liver. This pattern has an impact on areas the Liver relates to, such as the tendons, eyes, nails and menstruation. It arises from the same causes of general Blood Deficiency, such as poor diet, hemorrhages or Kidney Qi or Essence Deficiency.
In addition to paresthesia, other symptoms associated with Liver Blood Deficiency include dizziness, insomnia and scanty periods.
Liver Blood Deficiency is often treated with Si Wu Tang, a herbal formula made of 4 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Si Wu Tang belongs to the category of "formulas that tonify blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Restores and nourishes Blood".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Wiry (Xian), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red points on the sides
This is a type of empty Fire pattern arising out of Liver Blood Deficiency or Kidney Yin Deficiency. It shares similar symptoms as Liver Blood Deficiency, but with extra signs of Dryness and Yin-Deficient Heat. It can be caused by excessive activity, overwork, 'burning the candle at both ends' without sufficient rest, and poor and irregular diet.
In addition to paresthesia, other symptoms associated with Liver Yin Deficiency include dizziness, insomnia and scanty periods.
Liver Yin Deficiency is often treated with Qi Ju Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Qi Ju Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes Kidney and Liver Yin".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney and Liver Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
In addition to paresthesia, other symptoms associated with Kidney and Liver Yin Deficiency include dizziness, insomnia and scanty periods.
From a Western Medicine standpoint Kidney and Liver Yin Deficiency is associated with health issues such as Absence Of Menstruation, Menopausal Syndrome or Vaginal Itching.
Kidney and Liver Yin Deficiency is often treated with Zuo Gui Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Zuo Gui Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes the Yin".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Wind agitating Internally due to Liver Blood Deficiency
Pulse type(s): Wiry (Xian), Fine (Xi)
Tongue color: Pale
In addition to paresthesia, other symptoms associated with Liver Wind agitating Internally due to Liver Blood Deficiency include dizziness, insomnia and scanty periods.
Liver Wind agitating Internally due to Liver Blood Deficiency is often treated with E Jiao Ji Zi Huang Tang, a herbal formula made of 10 herbs (including Donkey-Hide Gelatin - E Jiao - as a key herb). E Jiao Ji Zi Huang Tang belongs to the category of "formulas that pacify and extinguish internal wind", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes Yin".
Read more about Liver Wind agitating Internally due to Liver Blood Deficiency here
Five herbal formulas that might help with paresthesia
Si Wu Tang
Source date: 846 AD
Number of ingredients: 4 herbs
Key actions: Restores and nourishes Blood. Stimulates Blood circulation.
Why might Si Wu Tang help with paresthesia?
Because it is a formula often recommended to treat the pattern 'Blood Deficiency' of which tingling is a symptom.
Bu Gan Tang
Source date: 1742 AD
Number of ingredients: 7 herbs
Key actions: Tonifies and regulates the Blood. Nourishes the Liver Yin.
Why might Bu Gan Tang help with paresthesia?
Because it is a formula often recommended to treat the pattern 'Liver Blood Deficiency' of which tingling of limbs is a symptom.
Qi Ju Di Huang Wan
Source date: 1350 AD
Number of ingredients: 8 herbs
Key actions: Nourishes Kidney and Liver Yin. Improves vision.
Why might Qi Ju Di Huang Wan help with paresthesia?
Because it is a formula often recommended to treat the pattern 'Liver Yin Deficiency' of which tingling of limbs is a symptom.
Liu Wei Di Huang Wan
Source date: 1119 AD
Number of ingredients: 6 herbs
Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).
Why might Liu Wei Di Huang Wan help with paresthesia?
Because it is a formula often recommended to treat the pattern 'Kidney and Liver Yin Deficiency' of which tingling of limbs is a symptom.
E Jiao Ji Zi Huang Tang
Source date: the Qing dynasty
Number of ingredients: 10 herbs
Key actions: Nourishes Yin. Nourishes Blood. Calms the Liver. Extinguishes Wind.
Why might E Jiao Ji Zi Huang Tang help with paresthesia?
Because it is a formula often recommended to treat the pattern 'Liver Wind agitating Internally due to Liver Blood Deficiency' of which tingling of limbs is a symptom.
The five Chinese Medicinal herbs most likely to help treat paresthesia
Why might White Peony Root (Bai Shao) help with paresthesia?
Because White Peony Root is an ingredient in several formulas indicated to treat paresthesia as a symptom, like Si Wu Tang or Ren Shen Yang Rong Tang for instance.
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Why might Dong Quai (Dang Gui) help with paresthesia?
Because Dong Quai is an ingredient in several formulas indicated to treat paresthesia as a symptom, like Sheng Yu Tang or Si Wu Tang for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Why might Prepared Rehmannia (Shu Di Huang) help with paresthesia?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat paresthesia as a symptom, like Si Wu Tang or Bu Gan Tang for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Why might Liquorice (Gan Cao) help with paresthesia?
Because Liquorice is an ingredient in several formulas indicated to treat paresthesia as a symptom, like Bu Zhong Yi Qi Tang or Gui Pi Tang for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Szechuan Lovage Root (Chuan Xiong) help with paresthesia?
Because Szechuan Lovage Root is an ingredient in several formulas indicated to treat paresthesia as a symptom, like Si Wu Tang or Bu Gan Tang for instance.
Szechuan Lovage Roots is a Warm herb that tastes Pungent. It targets the Gallbladder, the Liver and the Pericardium.
Its main actions are: Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches.
Other symptoms often associated with paresthesia
Dizziness Insomnia Scanty periods Depression Blurred vision Dry skin Amenorrhea Poor memory Numbness in the limbs Night sweats