Chief Physician Yuan Haiguang’s Clinical Experience in Treating Restless Legs Syndrome Based on the Pattern of “Consumptive Disease with Acute Abdominal Discomfort”

Abstract

This article analyzes the diagnostic and therapeutic approach and clinical experience of Chief Physician Yuan Haiguang in treating Restless Legs Syndrome (RLS) based on the pattern of “consumptive disease with acute abdominal discomfort”. Centered on the characteristics of RLS, it analyzes its multi-layered location, combined with pattern identification, clarifying that the “root” of the disease lies in the Liver, Spleen, and Kidneys, while the “manifestation” is in the sinews and vessels. The core pathogenesis is identified as “essence and blood deficiency internally, sinews and vessels losing nourishment externally, with static blood and turbidity obstructing the collaterals.” The basic treatment principles are established as “benefiting Qi and enriching blood, soothing the Liver and relieving urgency, unblocking collaterals and nourishing the sinews.” Clinically, emphasis is placed on the comprehensive application of the four examinations combined with meridian and acupoint palpation to accurately identify the vacuity or repletion of the Liver, Spleen, and Kidneys, the strength or weakness of the sinews and vessels, and the excess or deficiency of Qi and blood. Treatment focuses on dual regulation: (1) regulating the Zang-Fu organs: selecting Ganshu (BL18), Pishu (BL20), and Shenshu (BL23) to nourish the Liver, Spleen, and Kidneys, thereby replenishing essence and blood; (2) regulating the sinews and vessels: selecting Yanglingquan (GB34), Sanyinjiao (SP6), and Zusanli (ST36) to soothe the sinews and nourish the limbs. It also emphasizes the synergistic application of modified herbal formulas and acupuncture techniques, skillfully using modified Huangqi Jianzhong Decoction combined with Shaoyao Gancao Decoction, along with a staged pattern differentiation approach. A diagnostic and treatment framework integrating “location stratification - pathogenesis correspondence - combined herbal and acupuncture therapy” is established, providing a standardized guidance for the clinical management of RLS.