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Int.Med-Wind Stroke
| Question | Answer |
|---|---|
| What are the main symptoms of wind-stroke? | Facial paralysis, slurred speech or hemiplegia, numbness on half of body; may or may not have sudden loss of consciousness |
| What are the secondary sx of wind stroke? | HA, dizziness, vertigo, vomiting, incontinence of urine or stools, constipation, retention of urine, irritability, twitch, profuse sputum, hiccup or trouble swallowing, stiff, deviated tongue |
| What are the warning signs of an impending stroke? | temporary episode of slurred speech or numbness in extremities, blurred vision in one eye or double vision, sudden loss of balance, dizzy spells |
| Describe the presentation of channel stroke. | mild, affects channel, no loss of consciousness; facial paralysis, slurred speech, hemiplegia, numbness |
| Describe the presentation of organ stroke. | Serious condition, damages internal organs, sudden loss of consciousness, hemiplegia, dysphasia, facial paralysis, possibly death |
| What are the causes/etiology of wind-stroke? | 1. External wind, 2. Excess emotional strain/upset, 3. Over-indulging in rich-fatty foods, 4. Excessive alcohol consuption, 5. Overwork, 6. Constitutional phlegm or Lv yang excess, 7. Advanced age, 8. Excessive sexual activities |
| What are 5 pathological presentations seen with Wind Stroke? | 1. Lv yang rising with wind & fire surging up, 2. Def Lv & Kd yin unable to anchor yang causing internal wind, 3. heat-phlegm, wind-phlegm, or damp-phlegm disturbing organs & head, 4. depleted channels w/ external wind lodging 5. Qi def w/ blood stasis |
| What are the crucual points for making a wind stroke dx? | 1. character of the diseas, 2., channel vs organ stroke, 3. closed vs flaccid collapse organ stroke, 4. likely progress of disease, prognosis |
| What is the general tx strategy for acute phase wind stroke? | expel the evil qi & relieve the manifestations |
| What is the general tx strategy for closed syndrome wind stroke? | expel the evil, open the orifices, restore consciosness |
| What is the general tx strategy for flaccid collapse syndrome? | strongly tonify qi, rescue the yang |
| What is the tx stragtegy for chronic phase wind-stroke? | tonify right qi, expel the evil, e.g. nourish yin & ext. wind, tonify qi, nourish blood |
| What are the 3 TCM patterns assoc. w/ channel stroke? | 1. Depleted channels with wind invasion, 2. Lv & Kd yin def w/ rising Lv yang & wind, 3. Heat-phlegm w/ heat accum in LI & wind-phlegm disturbing upwards |
| When treating Channel-stroke caused by depleted channels wind invasion, what is the tx strategy? | expel wind, nourish blood, unblock channels |
| What is the formula that treats early & middle stage depleted channels w/ wind-invasion channel-stroke w/ internal heat? | Da Qin Jiao Tang |
| What is the formula that treats depleted channels w/ wind-invasion channel-stroke w/ yang qi def, & wind-cold dampness invading channels? | Xiao Xu Ming Tang |
| What is the formula that treats depleted channels w/ wind-invasion channel-stroke w/ wind-cold phlegm obstructing facial channels? | Qian Zheng San |
| When treating Lv & Kd Yin def channel stroke with rising Lv yang & wind, what is the tx strategy? | Sedate the Lv, extinguish wind, nourish yin, anchor yang |
| When treating Lv & Kd Yin def channel stroke with rising Lv yang & wind, what is formula? | Zhen Gan Xi Feng Tang |
| When treating Lv & Kd Yin def channel stroke with ascendant Lv yang & internal mvmt of wind, what is formula? | Tian Ma Gou Teng Tang |
| When treating Heat-Phlegm w/ heat accum in LI & wind-phlegm disturbing upward, what is the tx strategy? | clear heat, expel phlegm, purge the heat phlegm downwards |
| When treating Heat-Phlegm w/ heat accum in LI & wind-phlegm disturbing upward, what is the formula? | Xing Lou Cheng Qi Tang |
| What is the difference in pathology between organ stroke closed syndrome & flaccid collapse? | closed syndrome -- evil qi is very strong & sealed within the body; flaccid collapse -- right qi is very weak and yang qi is escaping outwardly |
| Comparing organ-stroke closed syndrome & flaccid collapse, what is the state of consciousness? | Both have sudden loss of consciousness |
| Comparing organ-stroke closed syndrome & flaccid collapse, what is the state of eyes? | Closed syndrome -- eyes may open; Flaccid collapse -- eyes are closed |
| Comparing organ-stroke closed syndrome & flaccid collapse, what is the state of mouth, hands, limbs? | Closed syndrome -- mouth & hands are clenched, limbs are in spasm/rigidity; Flaccid collapse -- mouth is open, hands are relaxed, limbs are in flaccid paralysis |
| Comparing organ-stroke closed syndrome & flaccid collapse, what is the state of breathing & sweating? | Closed syndrome -- wheezing, no sweating; Flaccid collapse -- snoring, shallow breathing, and copious, persistent, cold sweat |
| Comparing organ-stroke closed syndrome & flaccid collapse, what is the state of the tongue & pulse? | Closed syndrome -- pulse is slippery, tongue is stiff, deviated greasy; Flaccid collapse -- tongue is flaccid & pale, pulse is thready, faint, barely palpable |
| When treating Organ-stroke Yang closed syndrome, what is the treatment strategy? | restore consciousness (open orifices), clear heat, extinguish wind |
| When treating Organ-stroke Yang closed syndrome, what are the preferred patent formulas? | Zhi Bao Dan OR/ An Gong Niu Huang Wan |
| When treating Organ-stroke Yang closed syndrome, what are the preferred decocted formula? | Ling Jiao Gou Teng Tang |
| When treating Organ-stroke Yin closed syndrome, what is the treatment strategy? | restore consciousness, warm & aromatically open the orifices, eliminate cold-phlegm, extinguish wind |
| When treating Organ-stroke Yin closed syndrome, what is the preferred patent formula? | Su He Xing Wan |
| When treating Organ-stroke Yin closed syndrome, what is the preferred decocted formula? | Di Tan Tang |
| Compare the tongue & pulse in Yang Closed Syndrome and Yin Closed Syndrome | Yang Closed -- tongue is red with yellow, greasy coating, pulse is wiry, slippery rapid; Yin Closed -- tongue has a white, greasy coating, pulse is deep, slippery, moderate |
| Compare the pathology of Yang Closed Syndrome and Yin Closed Syndrome | Yang Closed -- internal wind with phlegm-fire obstructing interior organs; Yin Closed -- Internal wind with cold-damp-phlegm blocked interior organs |
| Compare the differentiating symptoms ofn Yang Closed Syndrome and Yin Closed Syndrome | Yang Closed -- flushed face, fever, heavy breathing, halitosis, agitation, restlessness, red lips; Yin Closed -- pale face, grey lips, copious phlegm & saliva, no restlessness, cold limbs |
| When treating Organ-stroke Flaccid collapse syndrome, what is the tx strategy? | rescue & resuscitate yang, (and stop sweating) |
| When treating Organ-stroke Flaccid collapse syndrome, what is the preferred formula? | Shen Fu Tang |
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sralph
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