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WIND STROKE

NESA Int Med WIND STROKE

QuestionAnswer
Define wind stroke. A disease in which the brain vessel is blocked or ruptured
What are the main symptoms of wind stroke? Sudden loss of consciousness; facial paralysis; slurred speech; hemiplegia; numbness on half of the body
What are the secondary symptoms of wind stroke? Headache; dizziness; vertigo; vomiting; incontinence or urine or stools; constipation; retention of urine; irritability; twitch; profuse sputum; hiccups; difficulty swallowing; stiff, deviated tongue
What are the warning signs of impending stroke? A temporal episode of slurred speech or numbness in the extremities, blurred or double vision or sudden loss of balance
What are the 3 general categories of wind stroke? Channel stroke; organ stroke; sequelae of wind stroke
What is channel stroke? A mild condition that affects the channel without an initial loss of consciousness but with facial paralysis, slurred speech, hemiplegia and numbness.
What is organ stroke? A serious condition that damages the internal organs with sudden loss of consciousness, hemiplegia, dysphasia and facial paralysis.
What is sequelae of wind stroke? Hemiplegia, numbness, slurred speech and facial paralysis
What are the causes (etiology) of wind stroke? External wind; excessive emotional strain and upset; overindulgence in rich, fatty food; excessive alcohol consumption; overwork; constitutional tendency toward phlegm or Liver yang excess; old age; excessive sexual activity
Which pathologies are involved in wind stroke? Liver yang rising with wind and fire surging upwards; deficient Liver and Kidney yin unable to restrain yang causing internal movement of wind; heat-phlegm, wind-phlegm or damp-phlegm disturbing the organs and the head; depleted channels leading to extern
What are 4 crucial points in diagnosing wind stroke? Identify the character of disease; distinguish between channel stroke and organ stroke; differentiate closed syndrome from flaccid collapse syndrome of organ stroke; determine the likely progression of disease and assess the prognosis
What are the general treatment strategies in the acute phase of wind stroke? Expel evil qi, relieve manifestations. If closed syndrome then expel evil qi, open the orifices and restore consciousness. If flaccid collapse syndrome then strongly tonify qi and rescue yang.
What are the general treatment strategies in the chronic phase of wind stroke? Tonify the right qi, expel evil qi
What are the 3 patterns associated with channel stroke? Depeleted channels with wind invasion; Liver and Kidney yin xu with Liver yang rising and wind; Heat-phlegm with heat accumulating in the Large Intestine and wind-phlegm disturbing upwards
What is the treatment principle for channel stroke due to depleted channels with wind invasion? Expel wind, nourish the blood, unblock the channels
Which formula is best for the early and middle stages of channel stroke with internal heat? (Depleted channels with wind invasion) Da Qin Jiao Tang
Which formula is best for yang qi xu with wind-cold-dampness invading the channels? (Depleted channels with wind invasion) Xiao Xu Ming Tang
Which formula is best for wind-phlegm obstructing the facial channels? (Depleted channels with wind invasion) Qian Zheng San
What is the treatment principle and formula for channel stroke due to Liver and Kidney yin xu with Liver yang and wind? Sedate the Liver, extinguish wind, nourish yin and anchor yang with Zhen Gan Xi Feng Tang
What is the treatment principle and formula for channel stroke due to Heat-phlegm with heat accumulating in the Large Intestine and wind-phlegm disturbing upwards? Clear heat, expel phlegm, open the bowels and purge heat-phlegm downward with Xing Lou Cheng Qi Tang
List the things to consider when differentiating Closed and Flaccid Collapse Syndrome Organ Stroke. Consciousness, eyes, mouth, hands, limbs, breathing, sweating, urine, stools, tongue and pulse
How is Closed Syndrome Organ Stroke similar to Flaccid Collapse Syndrome Organ Stroke? Both syndromes involve a sudden loss of consciousness
List the manifestations of Closed Syndrome Organ Stroke. Sudden loss of consciousness; eyes open; clenched mouth; clenched hands; rigid, spastic limbs; wheezing; abscence of sweating; retention of urine; constipation; stiff, greasy, deviated tongue; slippery pulse
List the manifestations of Flaccid Collapse Syndrome Organ Stroke. Sudden loss of consciousness; eyes closed; mouth open; hands relaxed; flaccid paralysis of the limbs; snoring and shallow breathing; copious, persistent sweating; incontinence of urine and stools; flaccid, pale tongue; thready, faint, barely palpable puls
Describe the pathology of Closed Syndrome Organ Stroke. Evil qi is sealed within the body
Describe the pathology of Flaccid Collapse Syndrome Organ Stroke. Yang qi has escaped outwards
What are the two patterns of Closed Syndrome Organ Stroke? Yang Closed Syndrome and Yin Closed Syndrome
What are the treatment principles and formulas for Yang Closed Syndrome Organ Stroke? Restore consciousness, clear heat and extinguish wind with Zhi Bao Dan, An Gong Niu Huang Wan or Ling Jiao Gou Teng Tang
What is the treatment principle and formula for Yin Closed Syndrome Organ Stroke? Restore consciousness, warm and aromatically open the orifices, eliminate phlegm and extinguish wind with Su He Xiang Wan plus Di Tan Tang
What are the common symptoms of Yang Closed Syndrome and Yin Closed Syndrome Organ Stroke? Sudden loss of consciousness; closed mouth; lock jaw; clenched fists; retention of urine and stools; muscular spasm; rigidity of limbs; stiff, deviated tongue; slippery pulse
What are the differentiating symptoms for Yang Closed Syndrome Organ Stroke? Flushed face; fever; heavy breathing; halitosis; agitation; restlessness; red lips; red tongue with greasy, yellow coating; wiry, slippery, rapid pulse
What are the differentiating symptoms for Yin Closed Syndrome Organ Stroke? Pale face; greyish lips; copious phlegm and saliva; tranquil state without restlessness; cold limbs; greasy, white tongue coating; deep, slippery, moderate pulse
What is the underlying pathology of Yang Closed Syndrome Organ Stroke? Internal wind with phlegm-fire obstructing the interior organs
What is the underlying pathology of Yin Closed Syndrome Organ Stroke? Interal wind with cold-damp phlegm blocking the interior organs
What is the treatment principle and formula for Flaccid Collapse Syndrome Organ Stroke? Rescue and resuscitate yang with Shen Fu Tang
What are the 3 major symptoms of sequelae of wind stroke that can be treated with CHM? Hemiplegia, slurred speech, facial paralysis
What are the two patterns associated with hemiplegia? Qi xu with blood stasis; Ascendant Liver yang with obstruction of channels
What are the two pattens associated with slurred speech? Wind-phlegm; Liver and Kidney yin and yang xu
Which pattern is associated with facial paralysis? Wind-phlegm obstructing the channels
What is the treatment principle and formula for hemiplegia due to Qi xu with blood stasis? Tonify qi, invigorate blood and unblock the channels with Bu Yang Huan Wu Tang
What is the treatment principle and formula for hemiplegia due to Ascendant Liver yang with obstruction of channels? Settle the Liver, subdue yang, extinguish wind and unblock the channels with Zhen Gan Xi Feng Tang or Tian Ma Gou Teng Tang
What is the treatment principle and formula for slurred speech due to wind-phlegm? Extinguish wind, eliminate phlegm and open the orifices with Jie Yu Dan
What is the treatment principle and formula for slurred speech due to Liver and Kidney yin and yang xu? Nourish and tonify Kidney yin and yang, transform phlegm and open the orifices with Di Huang Yin Zi
What is the treatment principle and formula for facial paralysis due to Wind-phlegm obstructing the channels? Dispel wind, transform phlegm and unblock the channels with Qian Zheng San
Created by: rswain on 2008-10-28



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