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Int.Med-Wind Stroke

QuestionAnswer
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
Created by: sralph