TCM Internal Medicine 2
Terms
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Stroke
The history of understanding the stroke -
Exogenous wind attack taking advantage of vacuum meridian
(real wind attack)
Internal wind attack (wind-like attack)
Closing Syndrome or Collapsing Syndrome -
Stroke
Aetiology -
Accumulation of Genuine Qi deficiency
Emotional change in long time
Rich food
Lack of physical movement
Congenital deficiency
Others: damage of meridians, wind-dampness attack
Inducing factors: strenuous labour, anger, frightening, over-eating, staying in one position for long -
Stroke
Pathology -
Wind, fire, phlegm, stasis—four key points
Deficiency and Qi stagnation are the basis of its development
Liver wind carrying phlegm blocks meridian or internal organ.
Qi and blood cannot reach some part of the body directly. -
Stroke
Diagnosis -
Main clinical manifestation:
Coma
Hemiplegia
Wry mouth and face
Slurred speech
Others: Sweating in half of the body, numbness of part of the body, loss of understanding, loss of vision field.
Medical examinations: CT, MRI
Ischemic stroke (cerebral thrombosis & cerebral embolism)
Hemorrhagic stroke (subarachnoid haemorrhage & cerebral haemorrhage) -
Stroke
Pre-stroke syndrome - Dizziness, headache, numbness in half body, blurred vision, weakness in half body, sweating in half of the body.
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Stroke
Acute stage of stroke -
Stroke in collateral—part of the body lost its function
Stroke in meridian—half of the body lost its function
Stroke in viscera—lost conciseness -
Stroke
Treatment on Syndrome Differentiation -
Treatment on Syndrome Differentiation
Wind-phlegm blockage in meridian
Hua Tan Tong Luo Tang
Ban Xia, Fu Ling, Bai Zhu, Dan Xing, Tian Ma, Tian Zhu Huang, Xiang Fu, Dan Shen, Da Huang
Liver wind due to liver Yang flaming up
Tian Ma Gou Teng Yin
Tian Ma, Gou Teng, Shi Jue Ming, Chuan Niu Xi, Huang Qin,
Zhi Zi, Sang Ji Sheng, Du Zhong, Yi Mu Cao, Ye Jiao Teng, Fu Shen.
Heat phlegm blocking the Fu organ
Xing Lou Cheng Qi Tang
Dan Xing, Gua Lou, Da Huang, Mang Xiao
Qi deficiency with blood stasis
Bu Yang Huan Wu Tang
Huang Qi, Dang Gui, Chuan Xiong, Chi Shao,
Tao Ren, Hong Hua, Di Long
Liver wind due to Yin deficiency
Zhen Gan Xi Feng Tang
Long Gu, Mu Li, Dai Zhe Shi, Gui Ban, Bai Shao, Xuan Shen,
Tian Men Dong, Xuan Shen, Niu Xi,
Chuan Lian Zi, Yin Chen, Mai Ya.
Heat phlegm blocking the heart
Ling Yang Jiao Tang & An Gong Niu Huang Wan
Phlegm blocking the heart
Su He Xiang Wan
Depletion of Genuine Qi
Shen Fu Tang -
Stroke
Wind-phlegm blockage in meridian -
Hua Tan Tong Luo Tang
Ban Xia, Fu Ling, Bai Zhu, Dan Xing, Tian Ma, Tian Zhu Huang, Xiang Fu, Dan Shen, Da Huang -
Stroke
Liver wind due to liver Yang flaming up -
Tian Ma Gou Teng Yin
Tian Ma, Gou Teng, Shi Jue Ming, Chuan Niu Xi, Huang Qin,
Zhi Zi, Sang Ji Sheng, Du Zhong, Yi Mu Cao, Ye Jiao Teng, Fu Shen. -
Stroke
Heat phlegm blocking the Fu organ -
Xing Lou Cheng Qi Tang
Dan Xing, Gua Lou, Da Huang, Mang Xiao -
Stroke
Qi deficiency with blood stasis -
Bu Yang Huan Wu Tang
Huang Qi, Dang Gui, Chuan Xiong, Chi Shao, Tao Ren, Hong Hua, Di Long -
Stroke
Liver wind due to Yin deficiency -
Zhen Gan Xi Feng Tang
Long Gu, Mu Li, Dai Zhe Shi, Gui Ban, Bai Shao, Xuan Shen,
Tian Men Dong, Xuan Shen, Niu Xi,
Chuan Lian Zi, Yin Chen, Mai Ya. -
Stroke
Heat phlegm blocking the heart -
Ling Yang Jiao Tang &
An Gong Niu Huang Wan
Niu Huang 3
Xi Jiao 3
She Xiang 7.5
Huang Lian 3
Huang Qin 3
Zhi Zi 3
Xiong Huang 3
Bing Pian 7.5
Yu Jin 3
Zhu Sha 3
Zhen Zhu 1.5 (with deficient pulse take with ren shen. With excessive pulse take with jin yin hua and bo he) -
Stroke
Phlegm blocking the heart -
Su He Xiang Wan
Su He Xiang 3
She Xiang 6
Bing Pian 3
An Xi Xiang 6
Mu Xiang 6
Tan Xiang 6
Chen Xiang 6
Ru Xiang 3
Ding Xiang 6
Xiang Fu 6
Bi Ba 6
Xi Jiao 6
Zhu Sha 6
Bai Zhu 6
He Zi 6 -
Stroke
Depletion of Genuine Qi -
Shen Fu Tang
Ren Shen 12
Fu Zi 9 -
Stroke
Recovery stage of stroke -
General rehabilitation
Language
Movement evaluation:
Muscular strength: grade 0—no controlled visible contraction
grade 1—controlled visible contraction
grade 2—level movement
grade 3—rising movement
grade 4—all around and accurate movement
muscular rigidity and joint flexibility
Sensation: pain, temperature, touching, movement and position -
Stroke
Care -
Passive movement of all joints
Preventing bed sore
Preventing suffocate
Keeping regular bowel movement