From the perspective of traditional Chinese medicine, the pathogenesis of restless legs syndrome is complex, and it is related to the heart, liver, spleen, phlegm and other viscera and diseases.
"All winds and dizziness belong to the liver", the symptoms such as wavering and uncertain are more pathogenic to the liver, and the internal movement of liver wind can be the cause or the result, where the liver qi is uncomfortable, the qi and blood are not running smoothly, resulting in the dystrophy of the muscles and veins, can produce abnormal sensations in the lower limbs, unstable, liver wind disturbs the mind, and patients often have symptoms such as restlessness, upset, poor sleep, etc., therefore, flattening the liver and quenching the wind can improve the symptoms.
Phlegm and heat disturb the heart, but also one of the pathogenesis of restless legs syndrome, phlegm dampness is endogenous, phlegm heat disturbs the mind, easy to produce unbearable mental symptoms, including discomfort in the lower limbs, at this time, the treatment needs to take into account the reconciliation of the spleen and stomach, soothing the liver and relieving depression, and using heat to dissolve phlegm and stabilize the mind.
For the above pathogenesis, for example, it can be treated with addition and subtraction of peony licorice decoction and warm gallbladder decoction; Peony licorice soup has the function of nourishing blood and softening the liver, relaxing tendons and activating the nerves; Warm bile decoction is suitable for the symptoms of restlessness caused by phlegm and heat, relieves phlegm obstruction of meridians and heart tricks, and helps to improve mental restlessness through comprehensive treatment such as soothing muscles and softening the liver, dissolving phlegm and clearing heat, and calming the nerves.
In clinical practice, in order to enhance the effect, keel oysters and other soothing nerves are often added as appropriate according to the patient's condition; Or add papaya, lovage, oxknee, etc. to introduce menstruation into the lower limbs, so that the therapeutic effect is more accurate and useful.