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Chinese Herbs by Oren at NESA > Internal Med 1 Test 3 - Stroke > Flashcards

Internal Med 1 Test 3 - Stroke Flashcards

0
Q

What is basic pathology of YIN closed syndrome organ stroke?

A

Internal Wind with Cold-Phlegm or Cold-Damp-Phlegm sealed in body, obstructing internal organs.

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1
Q

What is basic pathology of YANG closed syndrome organ stroke?

A

Internal Wind with Heat-Phlegm or Phlegm-Fire sealed in body, obstructing internal organs.

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2
Q

List all possible ETIOLOGY (causes) of Wind-Stroke.

A

external wind; excessive emotional strain/upset; over-indulging in ruch fatty food; excessivealcohol consumption; overwork; constitutional tendency toward Phlegm/LIV yang excess; advanced age; excessive sexual activities

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3
Q

List possible PATHOLOGY (patterns) of Wind-Stroke.

A

LIV yang rising, with Wind and Fire surging upwards. Deficient LIV & KID yin unable to anchor & restrain yang, causing internal movement of Wind. Heat-Phlegm/Wind-Phlegm/Damp-Phlegm disturbing organs & head. Depleted channels leading to external Wind lodging in channels. Qi deficiency with blood stasis.

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4
Q

Wind-Stroke has 4 crucial points for making dx.

A
  1. Identify character of disease. 2. Distinguish organ vs. channel stroke. 3. Differentiate closed vs flaccid collapse syndromes if organ stroke. 4. Determine likely progression, assess prognosis.
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5
Q

Channel Stroke - Depleted Channels with Wind Invasion - indications?

A

No loss of consciousness. Sudden facial paralysis, dysphasia, maybe fever and chills, arthralgia. T: normal, twc. P: floating&wiry / wiry&thready

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6
Q

Channel Stroke - Depleted Channels with Wind Invasion - tx?

A

Expel Wind, nourish blood, unblock channels

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7
Q

Channel Stroke - Depleted Channels with Wind Invasion - Formula?

A

Da Qin Jiao Tang (Major Large Gentiana Decoction) IF early/middle stage with internal heat. Use Xiao Xu Ming Tang (Minor Extend Life Decoction) if yang qi deficient with W-C-D invading channels.

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8
Q

Channel Stroke - LIV and KD Yin Deficiency with Rising LIV Yang and Wind - indications?

A

Progressive unilateral motor dysfunction, weakness, paralysis/numbness of extremities, facial paralysis, dysphasia, may develop over hours/days. Dizziness/vertigo, tinnitus, HA (often temporal/vertical), pressure behind eyes, blurring vision, sudden loss of vision in one eye, facial flushing, irritability and restlessness, insomnia or restless dream-disturbed sleep, lower back ache, hypertension. T: red with little/no coat. P: thready, wiry and rapid.

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9
Q

Channel Stroke - LIV and KD Yin Deficiency with Rising LIV Yang and Wind - tx strategy?

A

Sedate LIV, extinguish wind, nourish yin, anchor yang

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10
Q

Main difference in organ vs channel stroke sx?

A

Loss of consciousness vs none

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11
Q

Organ Stroke - CLOSED syndrome sx?

A

Loss of consciousness, eyes may be open, mouth clenched shut, hands clenched shut, limbs in rigid spasm, wheezing, no sweat (pores closed), urine retained, constipation, tongue stiff/deviated/greasy, pulse slippery

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11
Q

Organ Stroke - flaccid collapse syndrome sx?

A

Sudden loss of conscioussness, eyes closed, mouth may be open, hands relaxed, limbs in flaccidd paralysis, snoring/shallow breathing, sweating is copious/persistent (pores open), incontinence of urine and stool, tongue is flaccid and pale, pulse is thready, faint, barely palpable

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12
Q

Organ Stroke - what is pathology of closed vs flaccid collapse syndrome?

A

Closed is sealing of evil qi (Heat/Cold/Phlegm + internal Wind) within the body. Flaccid collapse is outward escape of yang qi.

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13
Q

What is basic pathology of YANG closed syndrome organ stroke?

A

Internal Wind with Heat-Phlegm or Phlegm-Fire sealed in body, obstructing internal organs.

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14
Q

What is basic pathology of YIN closed syndrome organ stroke?

A

Internal Wind with Cold-Phlegm or Cold-Damp-Phlegm sealed in body, obstructing internal organs.

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15
Q

Sequelea of Wind-Stroke: Hemiplegia may be due to?

A

Qi Deficiency with Blood Stasis or Ascendant LIV Yang with Obsruction of Channels

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16
Q

Hemiplegia due to Qi Deficiency with Blood Stasis - indications?

A

Motor impairment, paralysis, numbness or complete loss of sensation on oneside of body. Deviation of eyes and mouth. Frequent urination/incontinence. BP normal or slightly elevated. T: white coat. P: moderate.

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17
Q

Hemiplegia due to Qi Deficiency with Blood Stasis - tx strategy?

A

Tonify qi, invigorate blood, unblock channels

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18
Q

Hemiplegia due to Qi Deficiency with Blood Stasis - basic Formiula?

A

Bu Yang Huan Wu Tang

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19
Q

Hemiplegia due to Ascendant LIV Yang with Obsruction of Channels - indications?

A

Motor impairment, paralysis, numbness or complete loss of sensation on one side of body. HA, dizziness, tinnitus, facial flushing, irritability, hypertension. T: red with little/no coat OR red and stiff OR quivering. P: wiry and slippery OR wiry, thready and rapid.

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20
Q

Hemiplegia due to Ascendant LIV Yang with Obsruction of Channels - tx strategy?

A

Settle the LIV, subdue yang, extinguish Wind, unblock channels

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22
Q

Sequelea of Wind-Stroke: Slurred Speech may be due to?

A

Wind-Phlegm or LIV & KID Yin & Yang Deficiency

23
Q

Zhen Gan Xi Feng Tang (Sedate LIV Yang and Extinguish Wind Decoction) or Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink) can treat . . .

A

Hemiplegia due to Ascendant LIV Yang with Obsruction of Channels. Channel Stroke - LIV and KD Yin Deficiency with Rising LIV Yang and Wind.

24
Q

Slurred Speech due to Wind-Phlegm - indications?

A

Stiffness of tongue, slurred speech, numbness of extremities. T: greasy white coat. P: wiry and slippery.

25
Q

Slurred Speech due to Wind-Phlegm - tx strategy?

A

Extinguish Wind, eliminate Phlegm, open orifices

26
Q

Slurred Speech due to LIV & KID Yin & Yang Deficiency - indications?

A

Slurred speech, stiffness or deviation of the tongue. Weakness, numbness or paralysis of lower limbs. Weak, sore lower back and knees. Palpitations. SOB. T: pale OR red. P: thready and weak OR deep, slow and thready.

27
Q

Slurred Speech due to LIV & KID Yin & Yang Deficiency - tx strategy?

A

Nourish and tonify KID yin and yang, transform Phlegm, open orifices

28
Q

Slurred Speech due to LIV & KID Yin & Yang Deficiency - basic Formula?

A

Di Huang Yin Zi (Rehmannia Decoction)

29
Q

List possible PATHOLOGY (patterns) of Wind-Stroke.

A

LIV yang rising, with Wind and Fire surging upwards. Deficient LIV & KID yin unable to anchor & restrain yang, causing internal movement of Wind. Heat-Phlegm/Wind-Phlegm/Damp-Phlegm disturbing organs & head. Depleted channels leading to external Wind lodging in channels. Qi deficiency with blood stasis.

30
Q

Wind-Stroke has 4 crucial points for making dx.

A
  1. Identify character of disease. 2. Distinguish organ vs. channel stroke. 3. Differentiate closed vs flaccid collapse syndromes if organ stroke. 4. Determine likely progression, assess prognosis.
31
Q

Channel Stroke - Depleted Channels with Wind Invasion - indications?

A

No loss of consciousness. Sudden facial paralysis, dysphasia, maybe fever and chills, arthralgia. T: normal, twc. P: floating&wiry / wiry&thready

32
Q

Channel Stroke - Depleted Channels with Wind Invasion - tx?

A

Expel Wind, nourish blood, unblock channels

33
Q

Channel Stroke - LIV and KD Yin Deficiency with Rising LIV Yang and Wind - indications?

A

Progressive unilateral motor dysfunction, weakness, paralysis/numbness of extremities, facial paralysis, dysphasia, may develop over hours/days. Dizziness/vertigo, tinnitus, HA (often temporal/vertical), pressure behind eyes, blurring vision, sudden loss of vision in one eye, facial flushing, irritability and restlessness, insomnia or restless dream-disturbed sleep, lower back ache, hypertension. T: red with little/no coat. P: thready, wiry and rapid.

34
Q

Channel Stroke - LIV and KD Yin Deficiency with Rising LIV Yang and Wind - tx strategy?

A

Sedate LIV, extinguish wind, nourish yin, anchor yang

35
Q

Channel Stroke - Depleted Channels with Wind Invasion - Formula?

A

Da Qin Jiao Tang (Major Large Gentiana Decoction) IF early/middle stage with internal heat. Use Xiao Xu Ming Tang (Minor Extend Life Decoction) if yang qi deficient with W-C-D invading channels.

36
Q

Channel Stroke - LIV and KD Yin Deficiency with Rising LIV Yang and Wind - basic formula?

A

Zhen Gan Xi Feng Tang (Sedate LIV Yang and Extinguish Wind Decoction) or for fewer yin deficient signs, use Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink)

37
Q

Organ Stroke - CLOSED syndrome sx?

A

Loss of consciousness, eyes may be open, mouth clenched shut, hands clenched shut, limbs in rigid spasm, wheezing, no sweat (pores closed), urine retained, constipation, tongue stiff/deviated/greasy, pulse slippery

38
Q

Main difference in organ vs channel stroke sx?

A

Loss of consciousness vs none

39
Q

Organ Stroke - flaccid collapse syndrome sx?

A

Sudden loss of conscioussness, eyes closed, mouth may be open, hands relaxed, limbs in flaccidd paralysis, snoring/shallow breathing, sweating is copious/persistent (pores open), incontinence of urine and stool, tongue is flaccid and pale, pulse is thready, faint, barely palpable

40
Q

Organ Stroke - what is pathology of closed vs flaccid collapse syndrome?

A

Closed is sealing of evil qi (Heat/Cold/Phlegm + internal Wind) within the body. Flaccid collapse is outward escape of yang qi.

41
Q

Sequelea of Wind-Stroke: Hemiplegia may be due to?

A

Qi Deficiency with Blood Stasis or Ascendant LIV Yang with Obsruction of Channels

42
Q

Hemiplegia due to Qi Deficiency with Blood Stasis - indications?

A

Motor impairment, paralysis, numbness or complete loss of sensation on oneside of body. Deviation of eyes and mouth. Frequent urination/incontinence. BP normal or slightly elevated. T: white coat. P: moderate.

43
Q

Hemiplegia due to Qi Deficiency with Blood Stasis - tx strategy?

A

Tonify qi, invigorate blood, unblock channels

44
Q

Hemiplegia due to Ascendant LIV Yang with Obsruction of Channels - indications?

A

Motor impairment, paralysis, numbness or complete loss of sensation on one side of body. HA, dizziness, tinnitus, facial flushing, irritability, hypertension. T: red with little/no coat OR red and stiff OR quivering. P: wiry and slippery OR wiry, thready and rapid.

45
Q

Channel Stroke - LIV and KD Yin Deficiency with Rising LIV Yang and Wind - basic formula?

A

Zhen Gan Xi Feng Tang (Sedate LIV Yang and Extinguish Wind Decoction) or for fewer yin deficient signs, use Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink)

46
Q

Zhen Gan Xi Feng Tang (Sedate LIV Yang and Extinguish Wind Decoction) or Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink) can treat . . .

A

Hemiplegia due to Ascendant LIV Yang with Obsruction of Channels. Channel Stroke - LIV and KD Yin Deficiency with Rising LIV Yang and Wind.

47
Q

Hemiplegia due to Ascendant LIV Yang with Obsruction of Channels - tx strategy?

A

Settle the LIV, subdue yang, extinguish Wind, unblock channels

48
Q

Sequelea of Wind-Stroke: Slurred Speech may be due to?

A

Wind-Phlegm or LIV & KID Yin & Yang Deficiency

49
Q

Slurred Speech due to Wind-Phlegm - tx strategy?

A

Extinguish Wind, eliminate Phlegm, open orifices

50
Q

Slurred Speech due to Wind-Phlegm - indications?

A

Stiffness of tongue, slurred speech, numbness of extremities. T: greasy white coat. P: wiry and slippery.

51
Q

Slurred Speech due to LIV & KID Yin & Yang Deficiency - tx strategy?

A

Nourish and tonify KID yin and yang, transform Phlegm, open orifices

52
Q

Slurred Speech due to Wind-Phlegm - basic Formula?

A

Jie Yu Dan (Relax the Tongue Special Pill)

53
Q

Slurred Speech due to LIV & KID Yin & Yang Deficiency - indications?

A

Slurred speech, stiffness or deviation of the tongue. Weakness, numbness or paralysis of lower limbs. Weak, sore lower back and knees. Palpitations. SOB. T: pale OR red. P: thready and weak OR deep, slow and thready.

54
Q

Slurred Speech due to LIV & KID Yin & Yang Deficiency - basic Formula?

A

Di Huang Yin Zi (Rehmannia Decoction)

55
Q

Hemiplegia due to Ascendant LIV Yang with Obsruction of Channels - basic Formula?

A

Zhen Gan Xi Feng Tang (Sedate LIV Yang and Extinguish Wind Decoction) or Tian Ma Gou Teng Yin (Gastrodia and Uncaria Drink)

Chinese Herbs by Oren at NESA (13 decks)

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