中风
Alias脑卒中后遗症
Traditional Chinese Medicine Definition
In traditional Chinese medicine,中风, also known as cerebrovascular accident sequelae, falls under the category of "wind stroke disease." According to the records in "Internal Medicine of Traditional Chinese Medicine,"中风 is caused by the reversal of Qi and blood, obstruction of the brain vessels, or blood leakage outside the vessels, leading to damage of the brain's vital essence. The clinical manifestations are primarily characterized by sudden collapse, loss of consciousness, hemiplegia, facial deviation, and slurred speech.
In the clinical practice of traditional Chinese medicine, the core pathogenesis of中风 is the reversal of Qi and blood, obstruction of the brain vessels, or blood leakage outside the vessels. Common precipitating factors include emotional imbalance, irregular diet, and improper work and rest. During the differentiation of symptoms, attention should be paid to distinguishing between cold and heat, deficiency and excess, such as the wind-phlegm obstruction syndrome, characterized by hemiplegia, facial deviation, and slurred speech, with the treatment approach focusing on expelling wind and resolving phlegm, and promoting blood circulation and channel unblocking; the Qi deficiency and blood stasis syndrome, characterized by partial paralysis, weak limbs, and sallow complexion, with the treatment approach focusing on invigorating Qi and promoting blood circulation, and resolving blood stasis; and the liver and kidney deficiency syndrome, characterized by hemiplegia, soreness in the lower back and knees, dizziness, and tinnitus, with the treatment approach focusing on nourishing the liver and kidneys, and strengthening the tendons and bones. The overall direction of treatment suggests that attention should be paid to harmonizing Qi and blood, unblocking the meridians, and restoring the brain's vital essence.
Common Syndrome Types and Key Points of Differentiation
风痰阻络证
Main Manifestations：半身不遂，口眼歪斜，言语不利
Management Approach：祛风化痰，活血通络
气虚血瘀证
Main Manifestations：偏枯不用，肢软无力，面色萎黄
Management Approach：益气活血，化瘀通络
肝肾亏虚证
Main Manifestations：半身不遂，腰膝酸软，眩晕耳鸣
Management Approach：滋补肝肾，强筋壮骨
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
In the recovery process of patients with中风 sequelae, emphasis should be placed on overall nourishment, with significant individual differences.
— 王正香 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)