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Syndrome
(a)
Channel
and collaterals being attacked
(i)
Wind -evil attacking the channels
Numbness, heaviness and inflexible movement of the limbs (arms,
legs), or sudden distortion of the face, difficulty with speech
and hemiplegia, or accompanied with chill and fever, thin and white
coating of the tongue, floating and wiry pulse.
To treat by Herbal medicine
Therapeutic principle: Expel wind and remove obstruction
in the collaterals (small channels with the main vessels).
Prescription/Formula: Variation of Major Gentian Decoction
Root of large-leaf gentian 12g, Licorice root 6g, Chuanxiong rhizome
6g; Chinese angelica root 6g; White peony root 6g; Wild ginger 1.5g;
Notopterygium root 6g; Ledebouriella root 9g; Skullcap root 9g;
Gypsum 15g; Dahurian angelica root 10g; Large-headed atractylodes
rhizome 12g; Dried root of rehmannia 15g; Prepared rehmannia root
12g; Tuchahoe 12g; Pubescent angelica root 12g.

To treat by Acupuncture and Moxibustion
(ii) Deficiency
of liver-yin and kidney-liver, wind stirring inside due to excess
of yang
Dizziness, headache, tinnitus (ringing in ears), soreness and weakness
of the loin and knees. Sudden numbness and heaviness of the limbs,
distortion of the face, hemiplegia, and rigid tongue, slurred speech,
a red tongue, thready and thin pulse.
To treat by Herbal medicine
Therapeutic principle: Tonify the liver and kidney, tranquilizing
the liver to calm endogenous wind.
Prescription/Formula: Pacifying the Liver and Subduing Wind
Decoction Achyranthes root 30g; Red ochre 30g; Gragon’s bone 15g;
Oyster shell 15g; Tortoise plastron 15g; White peony root 15g; Scrophularia
root 15g; Lucis asparagus root 15g; Sichuan chinaberry 6g; Germinated
barley 6g; Oriental wormwood 6g; Licorice root 4g.

To treat by Acupuncture and Moxibustion

(iii) Obstruction
of collaterals by wind-phlegm
Sudden numbness of the limbs, distortion of the face, hemiplegia,
constipation, rigid tongue, thick and sticky coating of the tongue,
wiry and rolling pulse.
Therapeutic principle: Resolve phlegm and relax the bowels
To treat by Herbal medicine
Prescription/Formula: Decoction for Expelling Phlegm Pinellia
tuber 6g, Bamboo shavings 6g, Fruit of immature citron 6g, Tangerine
peel 9g, Licorice root 5g, Tuckahoe 5g, Fresh ginger 5 pieces, Arisaema
with bile 9g, Rhizoma acori graminei 9g.

To treat by Acupuncture and Moxibustion
Prescription: Baihui (Du 20), Fengfu (Du 16), and Tainchuang
(SI 16).
Supplementary points: For paralysis of the upper limbs, Jianyu
(LI 15), Quchi (LI 11), Waiguan (SJ 5), and Hegu (LI 4), are added;
for paralysis of the low limbs, Huantiao(G 30), Yanglingquan (G
34), Zusanli (S 36), and Juegu (G 39); for deviation of the mouth
and eye, Dicang (S 4), and Jiache (S 6).
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Syndrome
(b)
Zang-Fu
organs being attacked
(i)
Tense syndrome ( Phlegm-Fire clouding the mind)
Clenched fists, contracture or spasm of the limbs and body, lockjaw,
heavy breathing, profuse sputum, flushed face, feverish sensation
in the body, absence of sweating, constipation, a yellow sticky
tongue coating, and a wiry forceful pulse.
Therapeutic principle: Calm wind, clear fire, resolve phlegm,
and promote mental resuscitation.
To treat by Herbal
medicine
Prescription/Formula: Decoction of Horn and Uncaria Ramulus
uncariae cum uncis ( Gou Teng) 15g, Rhizoma pinelliae (Ban Xia)
10g, Rhizoma ariaematis cum felle bovis ( Dan Nan Xing) 6g, Rhizoma
acori gramminei (Chang Pu) 6g, Tuber curcumae (Yu Jin) 10g, Concretio
silicea bambusae (Tian Zhu Huang) 10g, Rhizoma coptidis (Huang Lian)
2.5g
To treat by Acupuncture and Moxibustion
Prescription:
Renzhong (Ren 26), 12 Jing-well points, Taichong (Liv 3), Laogong
(Pc 8), Fenglong (St 40).
(ii) Flaccid
syndrome
Closed eyes, an open mouth, snoring, relaxed hands, and enuresis (increased
urination at night), shortness of breath, profuse sweating, warm limbs,
a red and glossy tongue, increased sweating, a cold sensation in the
body, cold limbs, and a weak pulse.
Therapeutic principle: Promote the antipathogenic (against
disease) qi of the body.
To treat by Herbal medicine
Prescription/Formula: Generate the Pulse Powder with additional
herbs Radix ginseng (Ren Shen) 10g, Radix ophiopogonis (Mai Dong)
10g, Fructus schizandrae (Wu Wei Zi) 6g. Ginseng-Aconitum Decoction
Radix ginseng (Ren Shen) 10g, Radix aconiti carmichaeli praeparata
(Fu Zi) 9g.

To treat by Acupuncture and Moxibustion
Prescription: Guanyuan (Ren 4), Shenquem(Ren 8) (moxibustion
with salt insulation)
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Syndrome
(c)
Stroke
sequelae
(i)
Hemiplegia (Blood Stasis due to Deficiency of qi )
Deviation of the eye and mouth towards one side, inability to speak
properly, hemiplegia, dark purple tongue with thin and white fur,
thready and weak pulse.
Therapeutic principle: Supplementing qi and nourishing blood,
promoting blood circulation to remove obstruction in the channels.
To treat by Herbal
medicine
Prescription/Formula: Modified Decoction Invigorating yang
for Recuperation. Astragalus root (Huang Qi) 12g, Chinese angelica
(Dang Guo) 10g, Red peony root (Chi Sao) 10g, Peach kernel (Tao
Ren) 10g, Safflower (Hong Hua) 6g, Earthworm (Di Long) 10g, Cinnamon
twig ( Gui Zhi) 10g, Chuanxiong rhizome (Chuan Xiong) 12g.
To treat by Acupuncture and Moxibustion
Prescription:
Baihui (Du 20), Fengfu (Du 16), and Tainchuang (SI 16).
Supplementary points: For paralysis of the upper limbs, Jianyu
(LI 15), Quchi (LI 11), Waiguan (SJ 5), and Hegu (LI 4), are added;
for paralysis of the low limbs, Huantiao(G 30), Yanglingquan (G
34), Zusanli (S 36), and Juegu (G 39)
(ii) Aphasia
(or Slurred speech)
Rigid tongue, slurred speech or aphasia, or accompanied with hemiplegia,
sticky coating of the tongue, rolling pulse.
Therapeutic principle: Subdue wind, resolve phlegm and open
the orifices.
To treat by Herbal medicine
Prescription/Formula: Relaxing Speech Pill Gastrodia tuber
(Tian Ma) 6g, Scorpion (Quan Xie) 1.5g, Arisaema with bile (Dan Nan
Xing) 6g, Giant typhonium tuber (Bai Fu Zi) 3g, Polygala root (Yuan
Zhi) 6g, Rhizoma acori graminei (Chang Pu) 6g, Aucklandia (Mu Xiang)
4g, Notopterygium root (Qiang Huo) 3g.

To treat by Acupuncture and Moxibustion
Prescription: Lianquan (Ren 23), Tongli (HE 5), Zhaohai (KI
6).

(iii) Facial
paralysis
Deviation of eye and mouth, the eye on the paralysed side will not
close completely, the mouth will deviate (move) towards the unaffected
side, and the lips on the paralysed side will not move on attempting
to grin, thin and white coating of the tongue, floating and wiry pulse.
Therapeutic principle: Expel wind from the channels, resolve
phlegm and resolve paralysis.
To treat by Herbal medicine
Prescription/Formula: Pulling the Upright Powder Giant typhonium
tuber (Bai Fu Zi) 6g, Batryticated silkworm (Jiang Can) 6g, Scorpion
(Quan Xie) 1.5g.

To treat by Acupuncture and Moxibustion
Distal points: Hegu (LI 4), Waiguan (TB 5), and Taichong
(LIV 3).
Local points: Yangbai (GB 14), Zanzhu (BL 2), Yuyao (BL 2),
Sizhukong (TB 23), Tongziliao (GB 1), Sibai (ST 2), Quanliao (SI
18); Yingxiang (LI 20), Xiaguan (ST 7), Jiache (ST 6), Dicang (ST
4), Heliao (LI 19), Chengjiang (Ren 24), Renzhong (Du 26).
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