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【China Times Electronic News】
Chen Junming (Supervisor of the National Union of Chinese Medicine Doctors Associations of the Republic of China) Editorial Note: In December last year, the Taipei City Chinese Medicine Doctors Association held a seminar on the clinical experiences of senior Chinese medicine practitioners. Among them, Huang Zhengchang, Chairman of the Chinese Medicine Liver Disease Medical Association of the Republic of China, who had suffered a stroke three years ago, personally testified to the effectiveness of Chinese medicine in treating stroke (news, website).
Three years ago, Huang Zhengchang suffered a stroke due to bleeding in the basal ganglia of his brain. After being in a coma for eight days with persistent high fever, his family prepared for the worst. However, a Chinese medicine practitioner familiar with Huang persuaded the attending physician to treat him with Chinese medicine.
After a Chinese medicine consultation, through treatments such as acupuncture, massage, and bloodletting, Huang Zhengchang, who had been in a coma for eighteen days, woke up. Subsequently, he did not experience the feared side effects of aphasia or hemiplegia that Western medicine had worried about. After four months of recuperation, Dr. Huang Zhengchang was able to see patients normally again. Now, apart from a slight limp when walking, it is almost impossible to tell that he had suffered a stroke. Among them, Dr. Chen Junming, Supervisor of the National Union of Chinese Medicine Doctors Associations of the Republic of China, was one of the consulting physicians for Huang Zhengchang.
In addition to seizing the 72-hour golden treatment period after a stroke, if combined with the auxiliary therapy of Chinese medicine, the recovery of patients can be further enhanced under the joint treatment of Chinese and Western medicine.
A stroke occurs when the blood vessels in the brain are "blocked" or "ruptured," preventing the brain tissue from receiving adequate blood supply, leading to the necrosis of brain cells, also known as a cerebrovascular accident or brain attack.
Chinese medicine therapy for stroke targets different syndromes with different treatments. Below are introductions to five different syndrome types.
Qi Deficiency and Blood Stasis Syndrome
Symptoms include hemiplegia, crooked mouth and tongue, slurred speech or inability to speak, numbness on one side of the body, pale complexion, shortness of breath, fatigue, palpitations, spontaneous sweating, swelling of hands and feet, dark and pale tongue, thin white or white greasy coating, and fine slow or fine choppy pulse. The treatment should focus on replenishing qi, activating blood circulation, resolving stasis, and dredging collaterals.
The prescription is "Modified Buyang Huanwu Decoction" – Astragalus, Safflower, Red Peony Root, Chinese Angelica, Chuanxiong Rhizome, Peach Kernel, Earthworm, and Pseudostellaria Root.
If the affected limb is swollen, Poria and Alisma can be added to promote diuresis and drain dampness; for speech difficulties, Acorus and Polygala can be added to dispel phlegm and open orifices; Eucommia, Dipsacus, and Achyranthes can also be added to tonify the liver and kidneys and strengthen bones and muscles; for constipation, Cistanche and Polygonum Multiflorum can be added to moisten the intestines and promote bowel movements.
Liver Yang Hyperactivity Syndrome
Symptoms include hemiplegia, stiff tongue with slurred speech or inability to speak, crooked mouth, dizziness, headache, red face and eyes, irritability, bitter taste and dry throat, dry stool, yellow urine, red or deep red tongue, yellow coating, and wiry forceful pulse. The treatment should focus on calming the liver and subduing yang, purging fire, and dredging collaterals.
The prescription is "Modified Tianma Gouteng Decoction" – Gastrodia, Uncaria, Chrysanthemum, Prunella, Raw Concha Ostreae (decocted first), Scutellaria, Gardenia, Earthworm, and Cyathula.
For dizziness and headache, Mulberry Leaf can be added; for constipation, Raw Rhubarb can be added; for excessive phlegm, Arisaema and Trichosanthes can be added; for irritability, Moutan and White Peony Root can be added.
Phlegm-Heat and Fu-Organ Excess Syndrome
Main symptoms include hemiplegia, stiff tongue with slurred speech or inability to speak, crooked mouth and tongue, numbness on one side of the body, sticky mouth with excessive phlegm, abdominal distension, constipation, dizziness, red tongue with yellow greasy coating, and wiry slippery pulse or wiry slippery and large pulse on the paralyzed side. The treatment should focus on resolving phlegm and dredging the fu organs, activating blood circulation, and dredging collaterals.
The prescription is "Modified Xinglou Chengqi Decoction" – Trichosanthes, Arisaema, Salvia, Raw Rhubarb (added later), Mirabilite (taken with water), Bamboo Shavings, Spatholobus, and Earthworm.
For obvious heat signs, Scutellaria and Gardenia can be added; for fluid deficiency, Rehmannia and Ophiopogon can be added; for inability to speak, Curcuma and Acorus can be added.
Wind-Phlegm Obstructing Collaterals Syndrome
Symptoms include hemiplegia, crooked mouth, stiff tongue with slurred speech, numbness or spasm of limbs, dizziness, dark and pale tongue with white greasy coating, and wiry slippery pulse. The treatment should focus on resolving phlegm and dredging collaterals, dispelling wind, and activating blood circulation.The prescription is "Hua Tan Tong Luo Tang Jia Jian" - Pinellia ternata, Atractylodes macrocephala, Gastrodia elata, Arisaema erubescens, Salvia miltiorrhiza, Cyperus rotundus, Poria cocos, Rhubarb, Bamboo shavings, Gentiana macrophylla, and Pueraria lobata. If the tongue is purplish-dark or has ecchymosis, add peach kernel, safflower, and red peony root; if the tongue coating is yellow and there is irritability, add Scutellaria baicalensis and Gardenia jasminoides; for severe headache, add Prunella vulgaris and chrysanthemum; in the prescription, add Spatholobus suberectus and scorpion to unblock the collaterals.
Yin deficiency with wind stirring pattern
Hemiplegia, deviated mouth and tongue, stiff tongue with difficulty in speaking or aphasia, numbness of the body, vexation and insomnia (news, websites), dizziness and tinnitus, spasm or twitching of hands and feet, red or pale tongue, scanty or peeled coating, thready and rapid or thready and wiry pulse. The treatment should be to nourish yin and extinguish wind.
The prescription is "Da Ding Feng Zhu Jia Jian" - Rehmannia glutinosa, Scrophularia ningpoensis, Ligustrum lucidum, Paeonia lactiflora, Taxillus chinensis, Salvia miltiorrhiza, Spatholobus suberectus, and raw oyster shell.
If the tongue is purplish-dark, add Cyathula officinalis and Ligusticum chuanxiong; for severe internal heat, add Lycium chinense and Picrorhiza scrophulariiflora; for aphasia, add Acorus tatarinowii and Polygala tenuifolia; for concomitant qi deficiency, add Pseudostellaria heterophylla and Polygonatum sibiricum.
Common Chinese herbal prescriptions for stroke
Wind-extinguishing and spasm-stopping herbs: Antelope horn, scorpion, silkworm, earthworm, Uncaria rhynchophylla, and Gastrodia elata.
Aromatic orifice-opening herbs: Musk, bezoar, borneol, and Acorus tatarinowii.
Blood-activating and stasis-resolving herbs: Notoginseng, peach kernel, safflower, leech, Salvia miltiorrhiza, red peony root, and Ligusticum chuanxiong.
Heavy sedative and tranquilizing herbs: Dragon bone, oyster shell, and mother of pearl.
Heart-nourishing and tranquilizing herbs: Ziziphus jujuba, Platycladus orientalis, Polygala tenuifolia, Albizia julibrissin, and Polygonum multiflorum.
Purgative herbs: Rhubarb.
Cooling blood herbs: Rhinoceros horn, Rehmannia glutinosa, Moutan bark, raw Paeonia lactiflora, and Scrophularia ningpoensis.
Blood-tonifying herbs: Angelica sinensis, cooked Rehmannia glutinosa, Paeonia lactiflora, and Polygonum multiflorum.
Qi-tonifying herbs: Astragalus membranaceus and ginseng.
Phlegm-resolving herbs: Pinellia ternata and Arisaema erubescens.
Tendon-strengthening and bone-fortifying herbs: Eucommia ulmoides and Taxillus chinensis. (For severe upper limb disease, use mulberry twig and cinnamon twig; for severe lower limb disease, use Achyranthes bidentata and Angelica pubescens)
Others: Pueraria lobata and Ginkgo biloba.
Source: http://tw. news. yahoo. com/ 060107/ 19/ 2qghb. html
Stroke Survival: Integrating Chinese and Western Medicine
Chen Junming (Supervisor of the National Union of Chinese Medicine Doctors Associations of the Republic of China) Editorial Note: In December last year, the Taipei City Chinese Medicine Doctors Association held a seminar on the clinical experiences of senior Chinese medicine practitioners. Among them, Huang Zhengchang, Chairman of the Chinese Medicine Liver Disease Medical Association of the Republic of China, who had suffered a stroke three years ago, personally testified to the effectiveness of Chinese medicine in treating stroke (news, website).
Three years ago, Huang Zhengchang suffered a stroke due to bleeding in the basal ganglia of his brain. After being in a coma for eight days with persistent high fever, his family prepared for the worst. However, a Chinese medicine practitioner familiar with Huang persuaded the attending physician to treat him with Chinese medicine.
After a Chinese medicine consultation, through treatments such as acupuncture, massage, and bloodletting, Huang Zhengchang, who had been in a coma for eighteen days, woke up. Subsequently, he did not experience the feared side effects of aphasia or hemiplegia that Western medicine had worried about. After four months of recuperation, Dr. Huang Zhengchang was able to see patients normally again. Now, apart from a slight limp when walking, it is almost impossible to tell that he had suffered a stroke. Among them, Dr. Chen Junming, Supervisor of the National Union of Chinese Medicine Doctors Associations of the Republic of China, was one of the consulting physicians for Huang Zhengchang.
In addition to seizing the 72-hour golden treatment period after a stroke, if combined with the auxiliary therapy of Chinese medicine, the recovery of patients can be further enhanced under the joint treatment of Chinese and Western medicine.
A stroke occurs when the blood vessels in the brain are "blocked" or "ruptured," preventing the brain tissue from receiving adequate blood supply, leading to the necrosis of brain cells, also known as a cerebrovascular accident or brain attack.
Chinese medicine therapy for stroke targets different syndromes with different treatments. Below are introductions to five different syndrome types.
Qi Deficiency and Blood Stasis Syndrome
Symptoms include hemiplegia, crooked mouth and tongue, slurred speech or inability to speak, numbness on one side of the body, pale complexion, shortness of breath, fatigue, palpitations, spontaneous sweating, swelling of hands and feet, dark and pale tongue, thin white or white greasy coating, and fine slow or fine choppy pulse. The treatment should focus on replenishing qi, activating blood circulation, resolving stasis, and dredging collaterals.
The prescription is "Modified Buyang Huanwu Decoction" – Astragalus, Safflower, Red Peony Root, Chinese Angelica, Chuanxiong Rhizome, Peach Kernel, Earthworm, and Pseudostellaria Root.
If the affected limb is swollen, Poria and Alisma can be added to promote diuresis and drain dampness; for speech difficulties, Acorus and Polygala can be added to dispel phlegm and open orifices; Eucommia, Dipsacus, and Achyranthes can also be added to tonify the liver and kidneys and strengthen bones and muscles; for constipation, Cistanche and Polygonum Multiflorum can be added to moisten the intestines and promote bowel movements.
Liver Yang Hyperactivity Syndrome
Symptoms include hemiplegia, stiff tongue with slurred speech or inability to speak, crooked mouth, dizziness, headache, red face and eyes, irritability, bitter taste and dry throat, dry stool, yellow urine, red or deep red tongue, yellow coating, and wiry forceful pulse. The treatment should focus on calming the liver and subduing yang, purging fire, and dredging collaterals.
The prescription is "Modified Tianma Gouteng Decoction" – Gastrodia, Uncaria, Chrysanthemum, Prunella, Raw Concha Ostreae (decocted first), Scutellaria, Gardenia, Earthworm, and Cyathula.
For dizziness and headache, Mulberry Leaf can be added; for constipation, Raw Rhubarb can be added; for excessive phlegm, Arisaema and Trichosanthes can be added; for irritability, Moutan and White Peony Root can be added.
Phlegm-Heat and Fu-Organ Excess Syndrome
Main symptoms include hemiplegia, stiff tongue with slurred speech or inability to speak, crooked mouth and tongue, numbness on one side of the body, sticky mouth with excessive phlegm, abdominal distension, constipation, dizziness, red tongue with yellow greasy coating, and wiry slippery pulse or wiry slippery and large pulse on the paralyzed side. The treatment should focus on resolving phlegm and dredging the fu organs, activating blood circulation, and dredging collaterals.
The prescription is "Modified Xinglou Chengqi Decoction" – Trichosanthes, Arisaema, Salvia, Raw Rhubarb (added later), Mirabilite (taken with water), Bamboo Shavings, Spatholobus, and Earthworm.
For obvious heat signs, Scutellaria and Gardenia can be added; for fluid deficiency, Rehmannia and Ophiopogon can be added; for inability to speak, Curcuma and Acorus can be added.
Wind-Phlegm Obstructing Collaterals Syndrome
Symptoms include hemiplegia, crooked mouth, stiff tongue with slurred speech, numbness or spasm of limbs, dizziness, dark and pale tongue with white greasy coating, and wiry slippery pulse. The treatment should focus on resolving phlegm and dredging collaterals, dispelling wind, and activating blood circulation.The prescription is "Hua Tan Tong Luo Tang Jia Jian" - Pinellia ternata, Atractylodes macrocephala, Gastrodia elata, Arisaema erubescens, Salvia miltiorrhiza, Cyperus rotundus, Poria cocos, Rhubarb, Bamboo shavings, Gentiana macrophylla, and Pueraria lobata. If the tongue is purplish-dark or has ecchymosis, add peach kernel, safflower, and red peony root; if the tongue coating is yellow and there is irritability, add Scutellaria baicalensis and Gardenia jasminoides; for severe headache, add Prunella vulgaris and chrysanthemum; in the prescription, add Spatholobus suberectus and scorpion to unblock the collaterals.
Yin deficiency with wind stirring pattern
Hemiplegia, deviated mouth and tongue, stiff tongue with difficulty in speaking or aphasia, numbness of the body, vexation and insomnia (news, websites), dizziness and tinnitus, spasm or twitching of hands and feet, red or pale tongue, scanty or peeled coating, thready and rapid or thready and wiry pulse. The treatment should be to nourish yin and extinguish wind.
The prescription is "Da Ding Feng Zhu Jia Jian" - Rehmannia glutinosa, Scrophularia ningpoensis, Ligustrum lucidum, Paeonia lactiflora, Taxillus chinensis, Salvia miltiorrhiza, Spatholobus suberectus, and raw oyster shell.
If the tongue is purplish-dark, add Cyathula officinalis and Ligusticum chuanxiong; for severe internal heat, add Lycium chinense and Picrorhiza scrophulariiflora; for aphasia, add Acorus tatarinowii and Polygala tenuifolia; for concomitant qi deficiency, add Pseudostellaria heterophylla and Polygonatum sibiricum.
Common Chinese herbal prescriptions for stroke
Wind-extinguishing and spasm-stopping herbs: Antelope horn, scorpion, silkworm, earthworm, Uncaria rhynchophylla, and Gastrodia elata.
Aromatic orifice-opening herbs: Musk, bezoar, borneol, and Acorus tatarinowii.
Blood-activating and stasis-resolving herbs: Notoginseng, peach kernel, safflower, leech, Salvia miltiorrhiza, red peony root, and Ligusticum chuanxiong.
Heavy sedative and tranquilizing herbs: Dragon bone, oyster shell, and mother of pearl.
Heart-nourishing and tranquilizing herbs: Ziziphus jujuba, Platycladus orientalis, Polygala tenuifolia, Albizia julibrissin, and Polygonum multiflorum.
Purgative herbs: Rhubarb.
Cooling blood herbs: Rhinoceros horn, Rehmannia glutinosa, Moutan bark, raw Paeonia lactiflora, and Scrophularia ningpoensis.
Blood-tonifying herbs: Angelica sinensis, cooked Rehmannia glutinosa, Paeonia lactiflora, and Polygonum multiflorum.
Qi-tonifying herbs: Astragalus membranaceus and ginseng.
Phlegm-resolving herbs: Pinellia ternata and Arisaema erubescens.
Tendon-strengthening and bone-fortifying herbs: Eucommia ulmoides and Taxillus chinensis. (For severe upper limb disease, use mulberry twig and cinnamon twig; for severe lower limb disease, use Achyranthes bidentata and Angelica pubescens)
Others: Pueraria lobata and Ginkgo biloba.
Source: http://tw. news. yahoo. com/ 060107/ 19/ 2qghb. html