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[Classic Theory]
The Yellow Emperor asked: How can diseases of the five zang organs lead to flaccidity syndromes (Wei Syndrome)? Qi Bo replied: The Lung governs the skin and hair of the body; the Heart governs the blood vessels; the Liver governs the sinews and fascia; the Spleen governs the muscles; and the Kidney governs the bones and marrow. Therefore, if there is heat in the Lung, the lung leaves become scorched and dry, leading to weakness, tightness, and thinning of the skin and hair; if this condition persists, it develops into Wei Syndrome. If there is heat in the Heart Qi, the lower vessels rebel and move upward, causing the upper vessels to be full and the lower vessels to be empty; emptiness in the lower part leads to Mai Wei (Vessel Flaccidity), characterized by a collapse of the joint pivot, with the calves being lax and unable to support the body's weight. If there is heat in the Liver Qi, bile leaks causing bitter taste in the mouth, the fascia becomes dry, leading to tightness and contraction of the sinews, developing into Jin Wei (Sinew Flaccidity). If there is heat in the Spleen Qi, the stomach becomes dry causing thirst, and the muscles become numb, developing into Rou Wei (Muscle Flaccidity). If there is heat in the Kidney Qi, the waist and spine cannot be lifted, the bones become withered, and the marrow decreases, developing into Gu Wei (Bone Flaccidity).

The Yellow Emperor asked: Medical discussions state that treating Wei Syndrome requires focusing solely on the Yangming channel. What is the reason for this? Qi Bo replied: The Yangming channel is the sea of the five zang and six fu organs, primarily moistening the Zong Jin (major sinews converging at the genital region); the Zong Jin binds the bones and facilitates joint movement. The Chong vessel is the sea of the twelve regular channels, primarily seeping and irrigating the muscle valleys. It combines with the Yangming at the Zong Jin. All yin and yang channels converge at the Zong Jin, meeting at the Qichuan point, with the Yangming acting as their leader. They all connect to the Dai Mai (Girdle Vessel) and link to the Du Mai (Governor Vessel). Therefore, if the Yangming is deficient, the Zong Jin becomes lax, and the Dai Mai fails to draw them in, resulting in lower limb flaccidity and inability to use them. The Yellow Emperor asked: How should it be treated? Qi Bo replied: Tonify the Ying (Nutrient) Qi of each respective channel, unblock their Shu (Transport) points, regulate deficiency and excess, and harmonize the reversal and smooth flow of Qi. If the sinews, vessels, bones, and muscles receive Qi at their appropriate times, the disease will resolve. ○ When affected by dampness, the head feels as if wrapped. If damp-heat is not cleared, the large sinews shorten and the small sinews lengthen and relax; shortening causes spasm (Ju Luan), while lengthening and relaxation cause flaccidity (Wei). (From *Su Wen*)

[Masters' Opinions]
Wei Syndrome belongs to the dry transformation of Lung Metal. Just as in late autumn when dryness is severe, grass and trees wither and fall without recovering, this is the image of the disease. Hands can grasp when nourished by blood, and feet can walk when nourished by blood. Disease caused by dryness occurs because blood is deficient and circulation is obstructed. However, some say: Sinew spasm with strength indicates excess heat, while sinew laxity indicates deficiency cold. Others say: Cold causes contraction, while heat causes relaxation. To classify sinew spasm as cold and sinew laxity as heat are both errors. Although sinew spasm appears severe, it is easy to cure; sinew laxity is difficult to recover from. (From Liu Wansu's *Yuan Bing Shi*)

The manifestation of Wei Syndrome is flaccid weakness in both legs, making walking impossible. This is due to Kidney Water failing to control Heart Fire; Heart Fire flares up and scorches Lung Metal. Lung Metal, controlled by fire, has its six leaves scorched, leading to weak, tight skin and hair, which eventually results in Wei Syndrome. The *Classic* states: "All Wei syndromes accompanied by panting and vomiting belong to the Upper Jiao." The Upper Jiao refers to the region of Lung Metal. Wei Syndrome involves no cold patterns; its treatment differs from Bi Syndrome (Painful Obstruction). Wei Syndrome itself is not fatal; death usually results from medication errors. (From Zhang Congzheng's *Ru Men Shi Qin*)

Internal heat causing Wei Syndrome discusses the root of the disease. If there are triggering factors, they must be due to accompanying pathogens. There are cases of damp-heat, damp-phlegm, Qi deficiency, Blood deficiency, Yin deficiency, static blood, and food stagnation obstructing the pathway of ascending and descending Qi; these must be clearly distinguished. ○ For Wei Syndrome caused by damp-heat: Due to immersion in rain and dampness, pathogenic factors steam the Spleen and flow to the four limbs. Patients feel heat rising from the feet or experience soreness in the limbs or numbness in the toes, with dark, scanty urine and a pulse that is deep, soggy, and rapid. This is due to damp-heat in the lower jiao. This corresponds to the saying: "If damp-heat is not cleared, large sinews shorten and small sinews lengthen; shortening causes spasm, lengthening causes flaccidity." ○ For Wei Syndrome caused by damp-phlegm: Common in obese individuals where Qi and Blood cannot move phlegm, leading to internal accumulation of damp-phlegm lodging in the channels. Symptoms include numbness in the waist and knees, flaccid weakness in the limbs, and a slippery pulse. This is due to rich food and alcohol generating dampness. This corresponds to: "Excess Earth causes inability to lift the limbs." ○ For Wei Syndrome caused by Qi deficiency: Due to hunger and overwork, leading to Spleen-Stomach Qi deficiency. The entire body loses nourishment, causing the Zong Jin to relax. Post-illness flaccidity of hands and feet always belongs to Qi deficiency. This corresponds to: "Spleen disease prevents the transmission of fluids from the Stomach; the four limbs do not receive grain Qi, hence they are unusable." ○ For Wei Syndrome caused by Blood deficiency: Common after childbirth or various hemorrhages, presenting with sallow complexion, weak hands and feet, and inability to move. ○ For Wei Syndrome caused by Yin deficiency: Due to excessive sexual activity and drinking, causing Yin fire in the Lower Jiao to scorch the sinews and bones, leading to flaccid knees and legs, difficulty walking, a choppy and weak pulse, or a large but forceless left pulse. ○ For Wei Syndrome caused by Blood stasis: Such as lochia flowing into the waist and knees postpartum, or traumatic injury with unresolved blood stasis, causing immobility of the limbs and a choppy, knotted pulse. ○ For Wei Syndrome caused by Food stagnation: Due to overeating, obstructing pathways, disrupting ascending and descending functions, preventing Spleen Qi from reaching the limbs. Symptoms include flaccid hands and feet, abdominal distension and pain, nausea, belching, and a deep-slippery right pulse. (From Li Chan's *Zheng Zhi Hui Bu*)

The meaning of Wei Syndrome is detailed in the *Nei Jing*. Observing the listed five zang syndromes, all mention heat. Ultimately, the five zang syndromes are summarized by Lung Heat scorching the leaves, leading to Dry Metal and Deficient Water, forming Wei Syndrome. Zhu Danxi's theory of treatment indeed grasps the essence. However, careful examination of the classic text also states: "Excessive grief cuts off the Pericardium vessel, transmitting to Mai Wei"; "Endless thinking with unfulfilled desires leads to Jin Wei"; "Gradual exposure to dampness, working with water, leads to Rou Wei," etc. Thus, it is not entirely a Fire syndrome. There are nuances here. Therefore, some generate fire from this, and some damage Yuan Qi (Primal Qi). Damaged Yuan Qi leads to Essence deficiency failing to irrigate and Blood deficiency failing to nourish, which is quite common. If one generally treats from the perspective of Fire, those with damaged True Yang and depleted Earth/Water may not tolerate it. Therefore, one must weigh the depth of cold and heat, assess the urgency of deficiency and excess, and apply treatment accordingly to fully master the treatment of Wei Syndrome. (From Zhang Jiebin's *Jing Yue Quan Shu*)

The human body has skin/hair, blood vessels, sinews/fascia, muscles, and bones to form its shape, governed internally by the Liver, Heart, Spleen, Lung, and Kidney. If anger, joy, or fatigue deplete internal Essence and Blood, the vessels, sinews, bones, and muscles become flaccid and weak, leading to Wei Syndrome. Its appearance resembles Rou Feng (Soft Wind) or Hong Kong Foot (Gout/Charcot foot). However, Rou Feng and Hong Kong Foot are caused by external Wind-Cold, where healthy Qi battles pathogenic Qi, causing swelling and pain, representing an Excess pattern of pathogens. Wei Syndrome arises from internal insufficiency of the five zang organs; the feet simply cannot support the body, without pain, representing a Deficiency pattern of Qi and Blood. (From Chen Wuzhe)

Wei Syndrome is like plants lacking cultivation; branches and leaves wither, but the roots are not severely damaged. Because there is no coughing, hemoptysis, or chills/fever, it differs from Xu Lao (Consumption). Thus, even if bedridden for a long time, the physical appearance shows no illness, nor pain or numbness. Generally, Bi Syndrome is caused by external invasion of the three pathogens (Wind, Cold, Damp), affecting meridians and vessels, causing Qi and Blood obstruction; it can be treated as an Excess pattern. Wei Syndrome is caused by insufficient Qi and Blood, affecting the five zang and six fu organs, failing to fill and consolidate; it should be treated purely as a Deficiency pattern. (From Feng Zhaozu's *Feng Shi Jin Nang*)

Wei Syndrome is Lung Heat scorching the leaves, causing soft feet unable to bear weight, without soreness or redness/swelling, differing from Bi Syndrome. Lung Heat affects the Yangming channel; Yangming governs the Zong Jin, binding bones and facilitating joints. If Yangming is scorched by heat, sinews and vessels become lax. The onset of Wei Syndrome is due to Yangming heat, implicated by Lung Heat. The lower part belongs to Liver and Kidney, rooted in Yin deficiency and Empty Marrow. Fire rebels against the Lung, scorching Lung leaves, Metal fails to generate Water, Water becomes more deficient, Fire becomes more blazing. Sinews scorched by heat inevitably become flaccid. Danxi proposed "Draining South and Tonifying North" (clearing Heart Fire and tonifying Kidney Water). By strengthening the Master of Water to suppress Solar Fire, Fire returns to its dwelling, Lung Metal is not punished, and Yangming is free from Lung Heat. The Zong Jin becomes soft, and joints function well. It is like a bow losing tension in summer and gaining it in winter; human sinew flaccidity is similar. Few people have hand flaccidity; many have foot flaccidity. Flaccidity without cough allows survival for years; flaccidity with cough indicates impending consumptive disease and death. I further argue that Wei Syndrome originates in the sinews and vessels. "Lung Heat scorching leaves" refers to the scorching of lung collaterals, not the lung organ itself. If the lung organ were truly scorched, how could there be lower limb flaccidity without lung cough? Could anyone survive ten years without coughing? The *Nan Jing* states: "First degree damage affects skin and hair; skin gathers and hair falls." If Wei Syndrome were true Lung leaf withering, all body hair would fall out. Why is current Wei Syndrome different? (From *Hui Xin Lu*)

[Supplement]
Lung Metal is dry, resides in the upper jiao, governs Qi, and fears Fire; Spleen Earth is damp, resides in the middle jiao, governs the four limbs, and fears Wood. Fire flares upward; if desires are unregulated, Water loses nourishment, Fire lacks restraint and insults its conquered element (Metal), causing Lung Heat. Wood is rigid and urgent; if Lung suffers Heat, Metal loses nourishment, Wood lacks restraint and insults its conquered element (Earth), injuring the Spleen. Lung Heat cannot control the body; Spleen injury prevents limb usage, causing various Wei Syndromes. Draining the South (Heart Fire) clears Lung Metal and prevents East (Liver Wood) from becoming excessive, sparing the Spleen. Tonifying the North (Kidney Water) lowers Heart Fire and prevents West (Lung Metal) from becoming deficient, sparing the Lung. When Yangming is full, Zong Jin is moist, binding bones and facilitating joints. The method for treating Wei Syndrome lies herein. ○ Wei Syndrome has no cold patterns; do not use hot medicines to scorch Yin. Wei Syndrome belongs to damp-heat; do not treat as Wind, as wind medicines are drying and injure Blood. Focus on clearing Metal, tonifying Essence, and nourishing Blood. (From Zhu Zhenheng)

Although Wei Syndrome etiology varies, it mostly originates in the Yangming channel. Internal damp-heat causes Lung to be attacked by Heat and wither daily, and Spleen to be invaded by Damp and swell daily, resulting in upper dryness and lower dampness. The world focuses only on Kidney deficiency, ignoring Yangming damp-heat. Some ask: If Wei is damp-heat, why do ancient formulas often use acrid-hot herbs to cure it? They do not realize that long-standing damp-heat requires acrid-hot power to open meridians; it was not originally set for Kidney deficiency-cold. If True Yang is not declined, indiscriminate warming and tonification without clearing heat and draining dampness will surely aggravate damp-heat. (From Zhang Lu)

Damp-heat causing Wei Syndrome is "excess within deficiency," suitable for leaching and draining. If Essence and Blood depletion causes Wei Syndrome, it is "deficiency within deficiency," requiring vigorous tonification. (From Li Shizhen/Li Binhu)

Although Wei Syndrome is divided among five zang organs, its root is in the Kidney, and its branch is in the Lung. The *Classic* says: "Five zang organs develop Wei Syndrome due to Lung Heat scorching leaves." It also says: "Yang Qi invades internally, Heat lodges in the Kidney; Water cannot overcome Fire, bones wither and marrow empties, so feet cannot support the body, developing into Gu Wei." Gu Wei arises from great heat. If viewed as deficiency-cold and treated with Fu Zi (Aconite) and Gui Zhi (Cinnamon Twig), it often leads to untreatable conditions. (From Ye Zhongjian)

Zhen Qi is received from Heaven and combined with Grain Qi to fill the body. Food enters the Stomach; its Qi is distributed by the Spleen to the Three Yang channels, then to the Three Yin channels. Thus, the five zang and six fu organs all receive Qi from the Stomach, and the four limbs, sinews, bones, and muscles rely on it for nourishment. If Yangming Stomach Qi is deficient, organs lack reception, limbs lack nourishment, joints become unfavorable, and Wei Syndrome forms. The *Nei Jing*'s statement that treating Wei Syndrome focuses solely on Yangming is profound. Danxi adopted the *Nan Jing*'s method of Draining South and Tonifying North as a formula for Wei Syndrome, merely giving an example. If appetite is poor and food intake is low, one should not stick rigidly to this example. (From Zhang Sanxi)

Lin said: The *Nei Jing* divides skin, muscle, sinew, bone, and vessel Wei Syndromes among the five zang organs. Therefore, "focusing solely on Yangming" only treats Spleen and Lung (skin and muscle) Wei Syndromes. If Liver Sinew Wei, Heart Vessel Wei, or Kidney Bone Wei are involved, the pathology differs; can one only take Yangming? Thus, treating Sinew Wei should nourish the Liver; Vessel Wei should benefit the Heart; Bone Wei should nourish the Kidney. One cannot adhere to a single approach. The *Classic* says: "Tonify Ying and unblock Shu points, regulate deficiency and excess..." This shows that treating Wei Syndrome is not exclusive to Yangming. (From Sun Yiqui's *Chi Shui Xuan Zhu*)

The *Classic* says "treat Wei Syndrome focusing solely on Yangming," not implying that Yangming deficiency should be tonified. Rather, if Fire Pathogen lurks in the Stomach, Yangming becomes Excess. Yangming Excess leads to increased eating and obesity, yet feet become useless. Is it that Yangming Qi is strong enough to accept food but not strengthen sinews and bones? No. It is because Fire Pathogen lurks in the Stomach, capable only of digesting grain but not transforming fine essences to generate fluids and irrigate the body—this is "Strong Fire consumes Qi." Stomach Heat digests grain and causes hunger. Thus, the *Nei Jing* says "take" (qu) rather than "tonify" (bu): "Take" means removing the lurking Fire Pathogen from Yangming. Then damp-heat clears, sinews and bones strengthen, and Wei Syndrome rises. These arguments are based on Excess pathogens. Although the disease name is the same, deficiency and excess differ greatly. Know that deficiency is Zheng Qi (Upright Qi) deficiency, and excess is Xie Qi (Pathogenic Qi) excess. Can there be abundant Qi and Blood yet unused sinews and bones? (From *Feng Shi Jin Nang*)

Wei-Bi, with short and tense sinews/vessels, involves internal constraint of Liver Qi. One must urgently discuss "Metal conquering Wood to flourish Wood." By using Metal to conquer Wood, Wood flourishes, and sinews relax. However, if Metal does not self-congest, Wood would obey commands and not resist. Only when Metal loses rigidity and becomes soft does Wood lose restraint and become rigid. Thus, treating this requires clearing Metal as the first principle. Clearing Metal requires clearing the Stomach as the first principle. If the Stomach is not cleared, alcohol transmits heat to the Lung, and rich flavors transmit turbidity to the Lung. How can medicine succeed in clearing Metal? If Metal is not cleared, it is like a weak general facing a great enemy; success is impossible. How much worse to abandon clearing Metal and add fire to scorch Metal, acting counterproductively? (From Xu Dacun's *Yu Yi Cao*)

The Classic states: "Lung Heat scorching leaves generates Wei Syndrome." It also states: "Treat Wei Syndrome focusing solely on Yangming," along with discussions on Mai, Jin, Rou, and Gu Wei, which are detailed and precise. The essence of Wei Syndrome concerns the Liver, Kidney, Lung, and Stomach channels. The Liver governs sinews; Liver injury causes limb non-use and sinew/bone spasm. The Kidney stores Essence; Essence and Blood generate each other. Essence deficiency fails to irrigate extremities; Blood deficiency fails to nourish sinews and bones. The Lung governs Qi; Lung deficiency cuts off the high source, Water dries, and sinews/bones are not moistened. Yangming is the leader of Zong Jin; Yangming deficiency causes Zong Jin laxity, failing to bind bones and facilitate joints, leading to inability to walk and flaccid, shortened sinews. Treating Wei Syndrome has no fixed method; using formulas requires no dogmatic views. For Wei due to Chong and Ren deficiency-cold, use Yang-unblocking and Yin-collecting methods focusing on solidifying extraordinary vessels. For Wei due to damp-heat sinking in the lower jiao, use bitter-acrid-cold drying methods. For Wei due to Kidney Yang and extraordinary vessel deficiency, use methods to enter the eight extraordinary vessels and gather scattered Yin and Yang. For Wei due to Lower Jiao Yin deficiency and Liver/Kidney deficiency, use He Jian Yin Zi and Hu Qian Wan methods to fill the lower jiao, harmonize the Liver, and extinguish Wind. For Wei due to empty Yangming pulses and Jueyin Wind stirring, use collection methods. For Wei due to Liver/Kidney deficiency plus damp-heat steaming sinews/bones, tonify the lower and assist with circulating collaterals, clearing heat, and promoting dampness. For Wei due to Stomach deficiency obstruction and sinew/bone dysfunction, circulate Stomach Qi and unblock the Small Intestine Fire Fu. For Wei due to Stomach Yang and Kidney/Du deficiency, solidify the middle and lower jiao. For Wei due to Yangming deficiency, Ying collateral heat, and internal Wind stirring, clear Ying heat and extinguish internal Wind. For Wei due to Lung Heat scorching leaves, use sweet-cold to clear upper heat. For Wei due to Evil Wind entering collaterals, use detoxification and dissemination. For Wei due to internal deprivation of Essence/Blood and Qi deficiency in extraordinary vessels, use methods to fill Essence and Marrow. (From Ye Tianshi's *Lin Zheng Zhi Nan*)

[Pulse Diagnosis]
Wei Syndrome involves Lung Heat transmitting to the five zang organs. Pulses are mostly floating and large, or the Chi (Cun Kou) pulse is weak, or slow, choppy, and tight. (From *Zheng Zhi Hui Bu*)

[Selected Cases]
Zhu Xiuzhi suffered from flaccidity for eight years, seeing over a hundred doctors with no effect. I palpated six pulses that were forceful, and his diet was normal. This was Internal Steaming Excess Heat with solitary Hyperactivity of Heart Yang, diagnosed as Mai Wei (Vessel Flaccidity). I used Xiao Cheng Qi Tang. After six or seven bowel movements, his left foot could flex and extend. I then used Da Cheng Qi Tang. After another ten-plus bowel movements, his hands could hold objects. Next, I prepared pills of Huang Lian (Coptis Rhizome), Huang Qin (Scutellaria Root) each one jin, and Da Huang (Rhubarb Root) eight liang steamed in wine, taken daily with Ginseng Decoction. Within a month, countless accumulations were expelled, and all four limbs could stretch and relax. I said: Accumulations are exhausted. Now decoct San Gai Gao (Three Capabilities Paste) ten jin. After finishing it, he resumed his activities normally. ○ Mr. Ni Juntao could not get out of bed for four years. He had taken cooling herbs 60% of the time and Liver/Kidney tonics 30% of the time. His pulse was large but forceless, indicating simultaneous deficiency of Ying and Wei. In the morning, he took Shi Quan Da Bu Tang added with Qin Jiao (Magnolia Leaf Gentian Root) and Shu Fu Zi (Prepared Aconite Root). In the evening, he took Ba Wei Wan (Eight-Ingredient Pill) added with Niu Xi (Achyranthes Root), Du Zhong (Eucommia Bark), Bi Xie (Dioscorea Hypoglauca Rhizome), Hu Gu (Tiger Bone - note: banned/substituted in modern practice), Gui Ban (Tortoise Shell), and Huang Bai (Phellodendron Bark). After three months, his joints became flexible. (From Li Shicai)

[Attached Formulas]
Bu Bei Jian Xing Tang (Tonify North and Strengthen Movement Decoction): Treats Wei Syndrome where feet cannot bear weight, True Water is insufficient, and Yangming Heat scorches. Ingredients: Sheng Di Huang (Rehmannia Root), Shu Di Huang (Prepared Rehmannia Root), Fu Ling (Poria), Dan Pi (Moutan Cortex), Gui Ban (Tortoise Shell), Nu Zhen Zi (Ligustrum Fruit), Sheng Yi Yi Ren (Coix Seed), Dan Shen (Salvia Root), Sha Shen (Glehnia Root), E Jiao (Donkey-Hide Gelatin), Shan Yao (Dioscorea Rhizome).

[Attached: Spasm/Contracture]
Liver Heat causes fascia dryness, leading to sinew tightness and contracture. ○ Excess Cold causes sinew contracture and bone pain. (From *Su Wen*)
Shortening of large sinews is due to Heat injury; Blood cannot nourish sinews, causing contracture. Lengthening and relaxation of small sinews are due to Damp injury; sinews cannot bind bones, causing flaccidity. Contracture belongs to the Liver, as the Liver governs sinews. (From Zhu Danxi)
I observe: Contracture belongs to the Liver, which governs sinews. Ancient texts mention differences due to Wind, Cold, Damp, Heat, and Blood deficiency, but ultimately, it all comes down to Blood loss, leaving sinews without nourishment. When Yin Blood is injured, Blood becomes dry; dry Blood fails to nourish sinews, inevitably leading to contracture. Why wait for Wind, Cold, Damp, or Heat to attack? Moreover, if Essence and Blood are not depleted, even with pathogenic interference, there will definitely be no sinew/vessel cramping. If the disease reaches a state of rigidity, its withered nature is evident. Treatment must focus on Qi and Blood. If there are minor pathogens, they need not be specifically treated; once Qi and Blood recover and vessels flow, pathogens cannot remain. What is there to fear? The *Classic* says: "Essence nourishes Spirit; Softness nourishes Sinews." It also says: "Feet receive Blood to walk; palms receive Blood to grasp; fingers receive Blood to hold." This is what is meant. (From *Hui Xin Lu*)

Contracture involves more tension than relaxation, and more Cold than Heat. The *Classic* stating "Cold causes sinew contracture" is correct. Treatment is best achieved by nourishing Blood and warming the meridians, allowing Yang Qi to harmonize and soften, and Yin Fluids to irrigate. (From *Feng Shi Jin Nang*)

[Attached: Paralysis]
Smooth Qi and stagnant Blood result in Tan (Paralysis), characterized by sinew/vessel tension; Smooth Blood and deficient Qi result in Huan (Flaccid Paralysis), characterized by inability to move. "Tan" implies flatness/laxity; sinews and vessels relax, lying flat and unable to rise. "Huan" implies scattering; Qi and Blood scatter, failing to gather. Both originate from insufficient Qi and Blood. There is no need to distinguish left from right; instead, analyze based on Damp-Phlegm and Dead Blood. (From *Feng Shi Jin Nang*)
Although paralysis is distinguished left and right, it is fundamentally due to insufficient Essence and Blood failing to nourish the body. Although it is said that where pathogens gather, Qi must be deficient, when pathogens linger and do not depart, Damp, Phlegm, Wind, and Heat may remain as Excess. Between expelling pathogens and supporting upright Qi, there are branch and root aspects, which should be treated according to proper methods. (From Cheng Jiaoqian)
Inability to move the four limbs is commonly called Tan Huan (Paralysis). The *Classic* states: "Spleen Excess causes inability to move the four limbs." It also says: "Excess Earth leads to Dun Fu." Fu means high; Dun means thick/dense.