Stroke

Question 1

What is the difference between severe and mild stroke?

Answer 1

Severe is unconsciousness (attacking zang-fu) and mild is clear mind (attacking jing-luo).

Question 2

What does FAST stand for?

Answer 2

Face, arms, speech, and time.

Question 3

What is the difference between excessive and deficient type severe stroke?

Answer 3

Excessive is referred to as tense syndrome, deficient is referred to as flaccid syndrome.

Question 4

Which pattern includes dizziness or vertigo before the onset of the stroke, sudden appearance of hemiplegia, numbness of one side of the body, deviated mouth, slurred speech, sometimes with dizziness, headache, lethargy, sticky and profuse sputum, chest stuffiness, the mind is clear. Red tongue, white/yellow greasy tongue coating, wiry pulse?

Answer 4

Attacking the jing-luo.

Question 5

What is the mechanism for attacking the jing-luo stroke?

Answer 5

Liver-wind/yang with phlegm stagnated in the channels and collaterals.

Question 6

What is the tx principle for attacking the jing-luo stroke?

Answer 6

Calm LV-wind/yang, eliminate phlegm and regulate channels.

Question 7

What is the formula for attacking the jing-luo stroke?

Answer 7

Da qin jiao tang.

Question 8

What are some points for attacking the jing-luo stroke?

Answer 8

DU20, 16 UB7.

Question 9

Which pattern includes sudden fainting, unconsciousness, flourished face and red eyes, bruxisms and foul breath, hot sensation all over the body, coarse breath, sputum sound in the throat, clenched fists, constipation and retention of urine, red tongue, yellow greasy tongue coating, rapid and slippery pulse.

Answer 9

Tense syndrome attacking zang-fu.

Question 10

What is the mechanism for tense syndrome?

Answer 10

LV-yang/wind together with phlegm and fire going upwards and disturb the brain.

Question 11

What is the tx principle for tense syndrome?

Answer 11

Calm wind, clear fire, eliminate phlegm and gives resuscitation.

Question 12

What is the formula for tense syndrome?

Answer 12

Ling yang jiao tang and an gong niu huang wan.

Question 13

What are some points for tense syndrome?

Answer 13

Du-20, 26, St-40, Lv-3, Ki-1, Finger Well pts. Clenched Jaw + St-7, 6, Li-4. Stiff Tongue + Du 15, Ren 23, H-5.

Question 14

Which pattern includes deep coma, eye closed and mouth opened, pale complexion, relaxed hand, enuresis, profuse sweating, faint breathing, cold limbs, weak and floating pulse, or weak and dying pulse?

Answer 14

Flaccid syndrome.

Question 15

What is the mechanism of flaccid syndrome?

Answer 15

The anti-pathogenic qi is unable to fight against the pathogenic qi leading to the dying of yin and yang (real bad way).

Question 16

What is the tx principle for flaccid syndrome?

Answer 16

Bring back yang and consolidate the collapse.

Question 17

What is the formula for flaccid syndrome?

Answer 17

Shen fu tang.

Question 18

What are some points for flaccid syndrome?

Answer 18

Ren 4, 6, 8 (Moxa).

Question 19

What are the four patterns of the recovery stage stroke?

Answer 19

LV-yang rising, upward disturbing of phlegm-heat, qi deficiency with blood stasis, and yin deficiency with internal wind.

Question 20

What are the three major manifestations of the recovery stage?

Answer 20

Hemiplagia, aphasia, or slurred speech and facial paralysis.

Question 21

Which pattern includes hemiplegia, rigidity of the tongue, slurred speech or aphasia, deviated mouth and tongue, dizziness, vertigo, headache, red face, red eyes, bitter taste in the mouth, thirst, irritability, dark urine, dry stools, red tongue, thin yellow coating, wiry pulse?

Answer 21

LV-yang rising.

Question 22

What is the tx principle for LV-yang rising?

Answer 22

Soothe LV, suppress yang, and regulate channels.

Question 23

What is the formula for LV-yang rising?

Answer 23

Tian ma you teng yin.

Question 24

What are some points for LV-yang rising?

Answer 24

GB-20 v, Lv-3 v, K-3^, Sp-6^.

Question 25

Which pattern includes hemiplegia, deviated mouth and tongue, slurred speech or aphasia, numbness in one side of the body, dry stools or constipation, vertigo, profuse sputum, dark red tongue, yellow and greasy tongue coating, wiry and slippery pulse?

Answer 25

Upward disturbing of phlegm-heat.

Question 26

What is the tx principle of upward disturbing of phlegm-heat?

Answer 26

Eliminate phlegm and clear heat.

Question 27

What is the formula for upward disturbing of phlegm-heat?

Answer 27

Huang lian wen dan tang.

Question 28

Which pattern includes hemiplegia, deviated mouth and tongue, slurred speech or aphasia, numbness in one side of the body, pale complexion, shortness of breath, fatigue, salivation, spontaneous sweating, palpitation, lose stools, swelling in hands and feet, dark tongue, thin white or greasy coating, deep thready or thready wiry pulse?

Answer 28

Qi deficiency with blood stasis.

Question 29

What is the tx principle for qi deficiency with blood stasis?

Answer 29

Nourish qi and promote blood circulation.

Question 30

What is the formula for qi deficiency with blood stasis?

Answer 30

Bu yang huan wu tang.

Question 31

Which pattern includes hemiplegia, deviated mouth and tongue, slurred speech or aphasia, numbness in one side of the body, irritability, insomnia, vertigo, dizziness, tinnitus, feverish sensation in hands and feet, red tongue, or dark red tongue, less coating or no coating, thready, wiry and rapid pulse?

Answer 31

Yin deficiency with internal wind.

Question 32

What is the tx principle for yin deficiency with internal wind?

Answer 32

Nourish yin and suppress wind.

Question 33

What is the formula for yin deficiency with internal wind?

Answer 33

Zhen gan xi feng tang.

Question 34

What are some points for stroke prevention?

Answer 34

Moxa St-36 & Gb-39.

Question 35

What are some upper points for post stroke mobility?

Answer 35

LI11, 15, 4, SJ5.

Question 36

What are some points for lower body post stroke mobility?

Answer 36

GB30, 34, ST36, 41.