Wind Stroke Flashcards
What is another name for stroke?
Also known as ‘apoplexy’.
What are the chief manifestations of Stroke in Western Med?
Sudden collapse and loss of consciousness accompanied by deviation of the mouth, slurred speech, and hemiplegia, or directly as a deviation of the mouth and hemiplegia without sudden collapse.
Stroke
What characterizes the onset of a stroke?
Abrupt onset with pathological changes varying quickly, which is why it is referred to as ‘wind stroke’.
What is the severity of stroke as a disease?
It is a severely life-threatening disease with a high incidence and death rate, often followed by sequelae and decreased quality of life.
What does Western medicine refer to stroke as?
Acute cerebrovascular diseases, such as cerebral infarction, cerebral hemorrhage, cerebral embolism, and subarachnoid hemorrhage.
What are the etiologies of Wind Stroke?
Emotions
KI Yin Xu
Poor Diet
Pathogenic Evils ie: Internal Wind, Fire, Phlegm + Blood Stasis
All creating an imbalance + disorders or Qi
Which Zang organs + which Extraordinary organs are affected by Wind Stroke?
Heart
Liver
Spleen
Kidney
Brain
The following is the pathogenesis of _________ causing Wind Stroke
Anger + agitation causes Hyperactivity of Yang –> causing Qi + Blood to go upwards along w/ turbid phlegm –> disturbing Brain
Emotions
The following S/sx are manifestations of Palpitations due to ________?
Consuming greasy, spicy foods + alcohol creates damp –> leading to phlegm —>transforms to heat
Poor Diet
The following is the pathogenesis of _____________ causing Windstroke
Internal wind stir up causing fire, phlegm to go upwards towards the brain
Internal Wind
In Windstroke, the S/sx manifest more _____while the root is ______
Excessive
Deficiency
4 pathogenic factors highly related to Wind Stroke to differentiate patterns?
Wind
Fire
Phlegm
Blood stasis
Can be combined as well
In the case of Wind Stroke, what organ is affected by slurred or no speech?
Heart
Wind Stoke can be divided into Mild and Severe cases. What is the difference?
Mild- attack channels
Severe- attacks channels + Zang-fu organs
Severe cases of Wind Stroke can be further divided into Tense + Flaccid types. What is the difference?
Tense- Excessive type
Results from disturbance of the mind by the phlegm heat, or excessive fire in HT + LR
Flaccid- Deficient type
Results from deficient of Yuan Qi or collapse of KI Yang
The following are _______ patterns of Wind Stroke attacking channels
Wind-Phlegm Obstructing Brain Collaterals
Liver Fire
Qi + Blood Stasis
Mild patterns attacking channels
The following are S/sx of Mild Wind Stroke due to _________?
Chief S/sx of hemiplegia (paralysis that affects only one side of your body) deviation of mouth, slurred speech due to stiff tongue
w/ numbness of limbs, dizziness, blurred vision
T: w/ white or yellow-greasy coating
P: Wiry + slippery
Wind-Phlegm Obstructing Brain Collaterals
The following are S/sx of Mild Wind Stroke due to _________?
Chief S/sx of hemiplegia (paralysis that affects only one side of your body) deviation of mouth, slurred speech due to stiff tongue
w/ red face, red eyes, vertigo, headache, restlessness, irritability, bitter taste in mouth, dry throat, constipation, dark urine
T: Red w/ yellow coating
P: Rapid (maybe Forceful) + Wiry
Liver Fire
The following are S/sx of Mild Wind Stroke due to _________?
Chief S/sx of hemiplegia (paralysis that affects only one side of your body) deviation of mouth, slurred speech due to stiff tongue
w/ feeble limbs, hemianesthesia, swelling + distension in limbs, pale complexion, SOB, lassitude
T: Purple w/ white coating
P: Thready + Choppy
Qi + Blood Stasis
The following are S/sx of ______ patterns of Wind Stroke attacking the Zang Fu
Falling down suddenly, loss of consciousness, tightly closed hands and clenched jaws, flushed face, coarse breathing, rattling in the throat (phlegm), retention of urine, constipation
T: Red w/ thick-yellow or gray coating
P: Slippery + Wiry + Forceful
Severe- Tense patterns attacking the Zang-Fu
The following is the pathogenesis of Severe Wind Stroke due to _______ pattern affecting Zang Fu organs
Internal wind is stirred up by an upsurge of LR Yang –> sending Qi + Blood –>
mixes together with accumulated (hidden) phlegm fire disturbs the mind
Tense
The following is the pathogenesis of Severe Wind Stroke due to _______ pattern affecting Zang Fu organs
Severe weakness of yuan Qi causes a separation of Yin + Yang –> Exhaustion of Zang organs Qi
Flaccid
The following are S/sx of ______ patterns of Wind Stroke attacking the Zang Fu
Falling down, sudden loss of consciousness with mouth agape and eyes closed, snoring but feeble breathing, flaccid paralysis of limbs, incontinence of urine
T: Flaccid
P: Weak + Thready
*In severe cases cold limbs, or flushing of face as rouged (False Yang floating out)
P: Feeble or Big + Floating
Severe- Flaccid patterns attacking the Zang-Fu
Principal treatment for Wind Stroke Attacking Channels?
Treat as ‘Bi Syndrome’
Upper limbs-
LI-15: Alleviates pain + Benefits shoulder
LI-11: Clears whole body’s heat Yangming Heat
LI-10: Invigorates + Regulate Qi + Blood circulation in the upper limb
SJ-5: Releases exterior
LI-4: Moves Qi + releases exterior + clears Heat
Lower limbs-
GB-30:
GB-34: Hui-meeting of Sinews
ST-36: Tonifies Qi + Blood
ST-41: Jing-river + Benefits lower legs
*pair w/ ST-31 + ST-36 for atophy
BL-60: Clears heat + lowers Yang
Essential points for limb function?
LI-10 + ST-36
Supplementary points for Wind Stroke Attacking Channel
Upper limb-
SJ-14 + SJ-4 + SI-3
Lower limbs-
ST-32 + GB-39 + ST-33
Deviation of mouth
ST-4 + ST-6 + REN-24 + 4 Gates
Speech
REN-23 + HT-5 + DU-15
Wind-phlegm
ST-40 + GB-20
LR Yang Rising
LR-3 + KI-3
Qi + Blood Stasis
REN-6 + SP-6 + SP-10 +BL-17
Main points for treating Wind Stroke Attacking Zang Fu (Tense or Flaccid)
Tense-
DU-26 + LR-3 + ST-40 + PC-8 + Jing-well
Flaccid-
REN-4 + REN-6 + REN-8
Supplementary points for treating Wind Stroke Attacking Zang Fu (Tense or Flaccid)
Clenched jaw-
ST-6 + ST-7
Slurred speech-
DU-15 + HT-5 + REN-23
Alternative treatment for Wind Stroke
E-stim by choosing 2 point o the upper and the lower limbs or sides of face
Tuina
