B: Stroke Flashcards
(50 cards)
Western Cause of Stroke
thrombosis, embolism, stenosis or hemorrhage interrupting the blood supply to brain (Ischemia of brain tissue)
In Chinese they call it “Hit by Wind” (because it’s fast)
Stoke
Etiology and Pathology:
Causes?
Emotional frustration Yin Xu Constitution Elderly and Poor lifestyle Improper Diet Liver Excess Constitution Zheng Qi Xu and Xie Qi invasion
Onset of stroke - sudden or slow?
Sudden
Sx of Stroke?
sudden paralysis, slurred speech, impaired brain fx
3 stages of Stroke?
Acute
Recovery
Sequelae (long lasting Sx)
Where are the two places that a stroke can hit (in TCM)?
Meridians
Zang-Fu
What is the length of time for the acute stage of a stroke?
2 weeks to 1 month
What is the length of time for recovery stage of a stroke?
2 weeks to 6 months
How long do the sequelae of a stroke last?
often last a lifetime, and have stabilized after about 6 months
At which stages does acupuncture help?
Recovery and Sequelae - western medicine is best for the acute stage
Hemiplegia and Deviation of the mouth are a sign that the stroke is in which TCM location?
Meridians
Falling down in a fit, or sudden loss of consciousness are a sign that a stroke is in which TCM location?
Zang-Fu
What are the two types of Western strokes?
Ischemic
Hemorrhagic
What are the two types of TCM ACUTE STROKE that can happen as an attack on the meridians and collaterals?
Attack by wind, Uprising of Wind Yang
What are the three types of TCM ACUTE STROKE that attack the Zang-Fu?
Tense Syndrome- Yin or Yang
Flaccid Syndrome
What are the 5 types of ACUTE STROKE in terms of TCM?
Attack by WIND UPrising of WIND YANG YANG Tense Syndrome YIN Tense Syndrome FLACCID Syndrome
Numbness of the limbs, sudden deviation of the mouth, slurring of speech, drooling or hemiplegia, chills, fever, stiffness of the body, joint aches. Thin white coating on a normal tongue, floating rapid and weak pulse.
Dx?
Attack By WIND (Meridians and Collaterals) type of Stroke, Acute stage
Sudden deviation of the mouth, slurring of the speech, heaviness of the body or hemiplegia, headache, dizziness, blurred vision, tinnitus, insomnia or dream disturbed sleep. Red tongue with greasy coating, wiry, thready and rapid or wiry and slippery pulse.
Dx?
Uprising of Wind Yang (Meridians and Collaterals) - Acute Stage Stroke
Sudden loss of consciousness, tightly closed hands and clenched jaws, rigidity of the body, constipation, retention of urine. Flushed face, coarse breathing, halitosis, irritability. Yellow and greasy coating, wiry, slippery and rapid pulse.
Dx?
Yang Tense Syndrome type Acute Stage Stroke (Zang-Fu)
Sudden loss of consciousness, tightly closed hands and clenched jaw, rigidity of the body, constipation, retention of urine. Pale and dark face, listlessness, sleepiness, cold limbs, rattling in the throat. White and greasy tongue coating, deep, slippery and moderate pulse.
Dx?
Acute Stroke - Yang Tense Syndrome (Attack on Zang-Fu)
Sudden loss of consciousness with mouth agape and eyes closed, snoring but feeble breathing, flaccid paralysis of the limbs, incontinence of stool and urine. Profuse sweating, flaccid tongue, thready and weak or fading pulse.
Dx?
Acute Stroke - Flaccid Syndrome - Attack on the Zhang-Fu
What is the Chief Pathology for Stroke? (TCM)
Liver-Kidney-Yin Xu=> Yang Rising=> Wind Flares Up
What are the six TCM things that can mix together to cause stroke? Not all six are needed - 2 or three will sometimes do it…..
Xu (yin/ Qi+Bl) Fire (Liv/Ht/Ph) Qi (Sinking/Reverse) Blood (Stasis) Wind (LIVER/External) Phlegm (Wind-Ph/Damp-Ph)
What is the root/branch doing with Stroke?
Root = Xu Branch = Shi
