Clinic cases

Mild restless legs, varicose veins and shoulder pain, cleared together

L.C. · Female, age 55

This case was written by Dr. Laura Cowburn, Doctor of TCM and Registered Acupuncturist in Alberta.

Other Conditions Circulation Pain Restless legs Sleep

At a glance

Restless legs calmed down and she can sleep through the night, with her varicose veins and shoulder pain clearing as well.

Presentation

A 55-year-old patient’s legs felt achy and throbbing, which kept her awake at night. She also had mild varicose veins and severe shoulder pain.

Diagnosis

In TCM, restless leg syndrome (RLS) is seen as a disorder of Qi and blood circulation, where the channels in the lower limbs become obstructed or under-nourished. When blood stasis (Xue Yu) and phlegm-dampness (Tan Shi) combine, they create a thick, turbid blockage that stops Qi and blood moving smoothly, leading to night-time leg discomfort, crawling sensations and the compulsive urge to move. This patient’s RLS was caused by mild phlegm dampness and blood stasis.

Treatment

  • Acupuncture — Dr. Tan’s [Jueyin, Yangming] I/IV meridian conversion, which can treat RLS: [LI-1 (Shangyang), LI-4 (Hegu), LR-1 (Dadun), LR-4 (Zhongfeng), PC-9 (Zhongchong), PC-6 (Neiguan), ST-45 (Lidui), ST-42 (Chongyang)]
  • Herbal medicine — Dr. Haixia Ni’s herbal mixture for RLS, varicose veins and shoulder pain, which addresses all three at once

Result

Her legs felt normal after two weeks. Then the shoulder pain went away, and then the varicose veins disappeared.

Even though the RLS was mild, it took time to clear the underlying problems and resolve all three conditions. Because the herbs cleared the root causes, phlegm dampness and blood stasis, the problems are not expected to come back.

Additional notes

Weekly at first, then every two weeks.

This reflects an individual patient experience, not clinical trial data.

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