Stroke Flashcards

1
Q

what are the three stages?

A

1) acute
2) recovering
3) sequelae

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2
Q

What are the teo kinds of acute stage patterns?

A

1) attack on the meridians and collaterals

2) attack on the zang-fu organs

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3
Q

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

A

1) attack by wind

2) upraising of wind yang

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4
Q

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

A

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

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5
Q

What are the two kinds of recovering stage pattens types?

A

1) hemiplasia

2) aphasia

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6
Q

What are the hemiplegia patterns? (RECOVERING STAGE)

A

1) Qi xu with blood stg

2) LIV/KID xu

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7
Q

What are the aphasia patterns? (RECOVERING STAGE)

A

1) W-PH blocking collaterals

2) KID ess xu

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8
Q

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

A

LIV/KID xu

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9
Q

Shortened and rigid tongue, aphasia, drooling, numb limbs

A

W-PH blocking collaterals (APHASIA- recovering stage)

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10
Q

W-PH blocking collaterals pp

A

RN-23, HT-5, jinjin, yuye

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11
Q

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

A

Flaccid syndrome (attack of the Z-F)

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12
Q

flaccid syndrome pp

A

RN-4/6/8

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13
Q

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

A

Qi xu with blood stg (HEMIPLAGIA-recovering stage)

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14
Q

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

A

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

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15
Q

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

A

Yang tense syndrome (ATTACK ON Z-F)

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16
Q

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

A

Kid ess xu (APHASIA- recovering stage)

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17
Q

KID ess xu pp

A

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

18
Q

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

A

Yin tense syndrome (ATTACK ON Z-F)

19
Q

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

A

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

20
Q

Attack on the meridians and collaterals pp

A

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

21
Q

Tense syndrome (attack on Z-F) pp

A

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

22
Q

hemiplagia pp

A

similar to attack on meridians and collaterals

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

23
Q

definition

A

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

24
Q

causes

A

thrombosis, hemorrhage, high blood pressure, HT dz

25
Q

symptoms

A

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

26
Q

stages

A

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

27
Q

Where do the majority of clots come from?

A

HT (embolism)

28
Q

how do you determine severity

A

1) location

2) size

29
Q

What are the 2 kinds

A

1) Ischemic

2) Hemorrhagic

30
Q

Differentiate Ischemic/Hemorrhagic

A

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

31
Q

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

A
  • meridians/collaterals: failure to nourish= dev mouth, slurred speech
  • Z-F: severe. yang raising+fire+W block orfices= coma/loss of consciousness
32
Q

Differentiate stroke/Jue syndrome/epilepsy

A

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

33
Q

Differentiate stroke/Bi-syndrome/Wei-syndrome

A

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

34
Q

Chinese name

A

Zong Feng “hit by wind”

35
Q

general POT

A

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

36
Q

which meridians to use

A

primary: yangming/DU
secondary: taiyang/shaoyang

37
Q

ALT

A

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)

38
Q

slurred speech pp

A

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

39
Q

EDU

A

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

40
Q

etiology

A

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

41
Q

What is the biggest risk to get stroke?

A

high BP, HT dz