A 67 year old man with inclusion body myocytis (IBM) destroys muscles. Western meds not helped so far. From waist down severe weakness in muscles and arms are emaciated. What herbs will help?

Assuming there is no heat signs, I would use Astra 8 (3 TID/QID) and Cordy Seng (1/2 tsp TID). If heat signs, I would go with Mobility 2 and Clear Heat until there is no heat. If digestive weakness, start at a reduced dosage. Feel free to call back in a few weeks.