Stroke Flashcards
What is the difference between severe and mild stroke?
Severe is unconsciousness (attacking zang-fu) and mild is clear mind (attacking jing-luo).
What does FAST stand for?
Face, arms, speech, and time.
What is the difference between excessive and deficient type severe stroke?
Excessive is referred to as tense syndrome, deficient is referred to as flaccid syndrome.
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?
Attacking the jing-luo.
What is the mechanism for attacking the jing-luo stroke?
Liver-wind/yang with phlegm stagnated in the channels and collaterals.
What is the tx principle for attacking the jing-luo stroke?
Calm LV-wind/yang, eliminate phlegm and regulate channels.
What is the formula for attacking the jing-luo stroke?
Da qin jiao tang.
What are some points for attacking the jing-luo stroke?
DU20, 16 UB7.
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.
Tense syndrome attacking zang-fu.
What is the mechanism for tense syndrome?
LV-yang/wind together with phlegm and fire going upwards and disturb the brain.
What is the tx principle for tense syndrome?
Calm wind, clear fire, eliminate phlegm and gives resuscitation.
What is the formula for tense syndrome?
Ling yang jiao tang and an gong niu huang wan.
What are some points for tense syndrome?
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.
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?
Flaccid syndrome.
What is the mechanism of flaccid syndrome?
The anti-pathogenic qi is unable to fight against the pathogenic qi leading to the dying of yin and yang (real bad way).
What is the tx principle for flaccid syndrome?
Bring back yang and consolidate the collapse.
What is the formula for flaccid syndrome?
Shen fu tang.
What are some points for flaccid syndrome?
Ren 4, 6, 8 (Moxa).
What are the four patterns of the recovery stage stroke?
LV-yang rising, upward disturbing of phlegm-heat, qi deficiency with blood stasis, and yin deficiency with internal wind.
What are the three major manifestations of the recovery stage?
Hemiplagia, aphasia, or slurred speech and facial paralysis.
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?
LV-yang rising.
What is the tx principle for LV-yang rising?
Soothe LV, suppress yang, and regulate channels.
What is the formula for LV-yang rising?
Tian ma you teng yin.
What are some points for LV-yang rising?
GB-20 v, Lv-3 v, K-3^, Sp-6^.
