How is essential tremor and hand tremor dialectical?

Often in a state of nervousness and excitement, it is very unfavorable to the recovery of idiopathic normality, so patients should pay attention to psychological adjustment, correctly understand the disease, enhance their confidence in the disease, do not have negative emotions, and do not have psychological pressure because of the disease. Necessary.

The most basic thing in traditional Chinese medicine is to look and hear, and it can be recovered in time.

It is recommended to be conservative**, and pure Chinese medicine is OK**.

If you are dialectical, it depends on how much you tremble.

TCM is based on the patient's symptoms, tongue coating, facial appearance, and the doctor's years of experience to confirm the diagnosis, and how long the patient has been sick now.

That depends on your condition.

Go to the hospital for a check-up.

The only symptom of essential tremor is tremor, which has occasionally been reported to be accompanied by anomalies in intonation and gait. Patients usually start with the upper extremities and mainly affect the upper limbs, but can also affect the head, legs, trunk, voice, and facial muscles. Presents with postural tremor and may contain both motor, intentional, or resting tremor components.

Tremor may be worse with movement toward the purpose. The frequency of tremor is 4 8Hz. The frequency at the onset of the disease is 8 12 Hz, and the frequency gradually decreases and the amplitude gradually increases with the increase of the course of the disease and age.

Essential tremor, also known as familial or benign essential tremor, is an autosomal dominant disorder, the most common extrapyramidal disease, and the most common tremor condition, with about 60% of patients having a family history. Postural tremor is the only clinical manifestation of the disease. Tremor is common in the hands, followed by head tremor, and tremor of the lower extremities is rare in patients.

Tremor worsens with concentration, nervousness, fatigue, hunger, and in most cases disappears temporarily after alcohol consumption and worsens the next day.

Traditional Chinese medicine Shufeng Pingshu decoction as soon as possible**.

Based on the patient's tongue coating and facial aspects and years of diagnostic experience, TCM recommends TCM as soon as possible**.

It is recommended to use traditional Chinese medicine**.

Cao Cao defeated the Yellow Turban Army and won the Battle of Wancheng in Yanzhou.

Hand tremor is one of the typical manifestations of essential tremor.

In patients with essential tremor, the tremor location (head, arms, lower limbs, voice, jaw, symmetry, etc.), the mode of seizures (resting, postural, motoric), frequency and amplitude (fine or coarse). Isolated head tremor suggests essential tremor and dystonic tremor, but palatal and facial tremor is more common in Parkinson's disease; Asymmetric upper extremity tremor is common in Parkinson's disease but may also be essential tremor and dystonic tremor; Tremor in the legs or hand tremors when walking suggests Parkinson's disease; Fine tremor is common in essential tremor, hyperthyroidism, and physiologic tremor and is often difficult to detect; Cerebellar tremor is characterized by high-amplitude oscillations, and tremor in Parkinson's disease falls somewhere in between.

Differentiation of various causes of tremor requires a comprehensive analysis of the history, observation of tremor characteristics, and physical examination

1. Typical essential tremor can be found in children, adolescents, middle-aged and elderly people.

There are two views on the peak age of onset. One view is that the age of onset is bimodal, i.e., in the age groups of 20 to 30 and 50 to 60 years; Another view is that essential tremor rarely occurs in adolescents and increases with age, with an average age of onset of 37 to 47 years.

2. The only symptom of essential tremor is tremor, which is occasionally reported to be accompanied by abnormal intonation and gait.

Patients usually start with the upper extremities and mainly affect the upper extremities, with a symmetrical onset in both upper extremities or unilateral upper extremities. Once the upper limbs are affected, it often progresses upward to the head, face, tongue, and jaw. Involvement of the trunk and bilateral lower extremities is rare, occurs only late in the course of the disease, and is less severe than the upper extremities.

With the course of the disease and age, the frequency gradually decreases and the amplitude gradually increases.

Typical symptoms are rhythmic abduction of the hand, adduction and flexion-extension tremor, and pronation and supination tremor (similar to Parkinson's disease) are rare. The written word may be distorted, but it will not appear to be too small. Another area that is commonly affected is the craniocervical muscles.

The head, tongue, or vocal muscles can be involved and manifest as severe postural tremor and head tremor of the patient's hands, including vertical "nodding" movements and horizontal "shaking the head" movements. Tremors of the soft palate and tongue can cause dysphonia.

3. Tremor affects activity 10 20 years after the onset of the disease, and the severity increases with age, so that the ability to complete fine activities is impaired, and reaches a peak in the 6th 10 years after the onset of the disease. Eighty-six percent of patients by the age of 60 to 70 years have an impact on social activities and living skills, including writing, drinking, eating, dressing, speech, and manipulation. The greater the tremor, the greater the impact on mobility.

There was no difference in the effect of tremor on gender.

Hand tremor is common in Parkinson's disease, hyperthyroidism, or essential tremor. If Parkinson's disease is causing hand tremors, oral medopa preparations may be used to relieve symptoms; However, if it is caused by hyperthyroidism, the symptoms of hand tremor will generally be relieved only when the hyperthyroidism is well controlled; If the tremor is caused by essential tremor, oral propranolol is generally recommended to relieve symptoms.

First of all, if it is anxiety, depression, excessive tension, overwork caused by hand tremor, you can adjust the mentality, divert attention, massage, acupuncture, physiotherapy, hot compress, symptomatic **, if necessary, you can give anti-anxiety, anti-depression**, can well control the symptoms of hand tremor. Secondly, if it is caused by Parkinson's disease, the symptoms can be improved by drugs that supplement dopamine. Again, if it is Wilson's disease and hepatic encephalopathy, it can be further active ** primary disease.

Hepatic encephalopathy generally requires aggressive hepatoprotection**. Finally, if it is a disease caused by hyperthyroidism, it is necessary to further check the five items of thyroid function to actively control hyperthyroidism.

In addition to essential tremor, there may also be diseases such as Parkinson's and hyperthyroidism. If you want to distinguish between them, you have to look at their performance.