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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

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