Stroke
AliasPost-stroke sequelae
Traditional Chinese Medicine Definition
In traditional Chinese medicine,Stroke, 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," Stroke 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 Stroke 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
Wind-Phlegm Obstruction Syndrome
Main Manifestations: Hemiplegia, facial and eye deviation, speech difficulties
Management Approach: Expel wind and resolve phlegm, activate blood and unblock the meridians
Qi Deficiency and Blood Stasis Syndrome
Main Manifestations: Limb paralysis, weakness, and pale, yellowish complexion
Management Approach: Tonify Qi and activate blood circulation, resolve blood stasis and unblock meridians
Deficiency of liver and kidney
Main Manifestations: Hemiplegia, soreness in the lower back and knees, dizziness and tinnitus
Management Approach: Nourish the liver and kidneys, strengthen the tendons and bones
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.
— Wang Zhengxiang Traditional Chinese Medicine Practitioner
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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.
This article has been reviewed by licensed TCM physicians at Hangzhou Kezhentang TCM Clinic. It is for TCM popular science reference only and does not involve specific treatment plan recommendations.
References: Internal Medicine of TCM (13th Five-Year Plan Textbook), Diagnostic and Therapeutic Effectiveness Standards for TCM Diseases and Syndromes (ZY/T001.1-94), Classification and Codes of TCM Diseases and Syndromes (GB/T 15657-2021)