Stroke Flashcards by Aimee Movold

what are the three stages?

1) acute
2) recovering
3) sequelae

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What are the teo kinds of acute stage patterns?

1) attack on the meridians and collaterals

2) attack on the zang-fu organs

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what are the attack on meridians/collaterals patterns (ACUTE STAGE)

1) attack by wind

2) upraising of wind yang

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what are the attack on the Z-F patterns? (ACUTE STAGE)

1) Yang tense syndrome
2) Yin tense syndrome
3) flaccid syndrome

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What are the two kinds of recovering stage pattens types?

1) hemiplasia

2) aphasia

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What are the hemiplegia patterns? (RECOVERING STAGE)

1) Qi xu with blood stg

2) LIV/KID xu

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What are the aphasia patterns? (RECOVERING STAGE)

1) W-PH blocking collaterals

2) KID ess xu

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flaccid limbs, numb limbs, aphasia, dizziness, tinnitus, restlessness, insomnia, flushed face, red lips

LIV/KID xu

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Shortened and rigid tongue, aphasia, drooling, numb limbs

W-PH blocking collaterals (APHASIA- recovering stage)

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W-PH blocking collaterals pp

RN-23, HT-5, jinjin, yuye

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sudden loss of consciousness with mouth agape and eyes closed, snoring but feeble breathing, flaccid paralysis of limbs, incontinence of stool and urine

Flaccid syndrome (attack of the Z-F)

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flaccid syndrome pp

RN-4/6/8

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flaccid limbs, numb limbs, aphasia, drooling, deviation of mouth, sallow complexion, frequent urination, incontinence of urine

Qi xu with blood stg (HEMIPLAGIA-recovering stage)

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numb limbs, sudden deviation of mouth, slurred speech, drilling, hemiplagia, chills, fever, stiffness of body, joints ache

Attck by wind (ATTACK ON MERIDIANS/COLLATERALS- acute stage)

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Sudden loss of consciousness, tightly closed hands and clenched jaw, rigidity of the body, constipation, retention of urine, flushed face, coarse breathing, halitosis, irritability

Yang tense syndrome (ATTACK ON Z-F)

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thin flaccid tongue, aphasia, sore/weak lumbar/knee, hemiplagia, palpitations, SOB

Kid ess xu (APHASIA- recovering stage)

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KID ess xu pp

RN-23, HT-5, UB-23/52, K-3

Sudden loss of consciousness, tightly closed hands, clenched jaw, rigidity of body, constipation, retention of urine, pale dark face, listlessness, sleepiness, cold limbs, rattling in throat

Yin tense syndrome (ATTACK ON Z-F)

Sudden deviation of mouth, slurring speech, heaviness of body, hemiplagia, headache, dizziness, blurred vision, tinnitus, insomnia, dream sleep

Upraising W-yang (ATTACK ON MERIDIANS/COLLATERALS- acute stage)

Attack on the meridians and collaterals pp

LI-15/11/4, SJ-5, GB-30/34, ST-36/42, UB-60

Tense syndrome (attack on Z-F) pp

DU-26/12, jingwell points, LIV-3, PC-8, ST-40

hemiplagia pp

similar to attack on meridians and collaterals

LI-15/11/4, SJ-5, GB-30/34, ST-36/42, UB-60

definition

CVA (cerebral vascular accident)
very common, very serious. Impairment in one or more vessels in the cerebral circulation. Interrupts blood supply and results in ischemia of brain tissue

causes

thrombosis, hemorrhage, high blood pressure, HT dz

symptoms

paralysis in one half of the body, blurred vision, slurred speech, loss of consciousness, coma, sudden onset

stages

1) Acute (2 weeks-1 month): western medicine is best 2) Recovering (2 weeks-6 months): acupuncture best 3) Sequelae (>6 months): acupuncture best

Where do the majority of clots come from?

HT (embolism)

how do you determine severity

1) location | 2) size

What are the 2 kinds

1) Ischemic | 2) Hemorrhagic

Differentiate Ischemic/Hemorrhagic

I H -Thrombosis -broken blood vessel -happens during rest -happens during activity -build up, block blow, -small artery, aneurism, lack blood supply weak/broken blood vessel cerebral/subarachnoid hemorrhage

Differentiate attack on meridians/collaterals and attack on Z-F

- meridians/collaterals: failure to nourish= dev mouth, slurred speech - Z-F: severe. yang raising+fire+W block orfices= coma/loss of consciousness

Differentiate stroke/Jue syndrome/epilepsy

Stroke JUE Epilepsy ->40yrs,history h-BP -any age -any age -long duration, dev -short duration, -short duration, mouth pale complexion convulsions, mania -sequelae -no sequelae -no sequelae -bad prognosis -ok prognosis -repeated attacks

Differentiate stroke/Bi-syndrome/Wei-syndrome

Stroke Bi-syn Wei syn -no pain, mm -joint pain, no -no pain, mm atrophy mm atrophy atrophy -acute -slow onset -slow onset -high: BP/sugar/ -arteritis -neurologic dz, MS cholesterol, HT dz MVA

Chinese name

Zong Feng "hit by wind"

general POT

nourish KID/LIV yin, extinguish wind, clear fire, transform PH, move blood, circulate channels

which meridians to use

primary: yangming/DU secondary: taiyang/shaoyang

ALT

1) scalp acu (motor,sensory, tremor, speech) 2) electro (low freq, 20-30min) 3) auricular (KID, brain, shenmen, subcortex, HT, LIV +affected areas) 4) plumblossom (jiaji, yanming meridian) 5) cupping 6) herbs 7) moxa (ST-36, GB-39/31)

slurred speech pp

jinjin, yeyu, HT-5, neck points, RN-23

EDU

1) prevent high BP 2) reg. exercise (prevent obesity) 3) reg. stress 4) reg. emotions 5) reg. diet 6) reg. bowel movements 7) tx underlying dz

etiology

1) emotions 2) constitution 3) elderly/poor lifestyle 4) diet 5) zheng Qi xu/Xie Qi invasion

What is the biggest risk to get stroke?

high BP, HT dz