Wind Stroke- Zhong Feng

Question 0

Wind Stroke E & P: Pathology

Answer 0

SHI patterns
-LV Yang rising w/ fire and wind rising upwards
-LV and KD Yin Xu, yin unable to anchor and restrain the yang, causing internal movm’t of wind
-Heat-phlegm, wind-phlegm, or damp-phlegm disturbing the organs and the head
XU patterns
-Depleted channels leading to external wind lodging in the channels
-Qi Xu w/ blood stasis

Question 1

Wind Stroke E & P: Etiology

Answer 1

External wind
Excessive emotional strain and upset
Over-indulging in rich, fatty food, excessive alcohol consumption
constitutional tendency toward Phlegm or LV Yang excess
advanced age
excessive sexual activity

Question 2

Wind Stoke: Channel Stroke- Depleted Channels w/ external wind invasion

Answer 2

*early & middle stage of channel stroke w/ internal heat: DA QIN JIAO TANG
*yang qi xu w/ wind cold invading the channels: XIAO XU MING TANG (Minor extend life decoction)
wind-phlegm obstructing the facial channels: QIAN ZHENG SAN

Question 3

Wind Stroke: Channel Stroke- LV and KD Yin Xu w/ Rising LV yang and wind TX AND FX

Answer 3

Sedate the LV, extinguish wind, nourish yin, and anchor yang
ZHEN GAN XI FENG TANG
for ascendant LV yang w/ internal movm’t of wind- TIAN MA GOU TENG YIN (TANG)

Question 4

Wind Stroke: Organ Stroke: Closed Syndrome symptoms

Answer 4

sudden loss of consciousness, eyes may open, clenched hands, limbs have spasm or rigidity, wheezing, no sweating (pores are closed), retention of urine, constipation, stiff, deviated, greasy, slippery, sealing of qi within the body

Question 5

Wind Stroke: Organ Stroke- Flaccid Collapse syndrome

Answer 5

Sudden loss of consciousness, closed, open mouth, relaxed hands, flaccid paralysis of limbs, snoring, shallow, copious persistent sweat, incontinence of urine and stools, flaccid pale tongue, thready, faint, barely there pulse, OUTWARD ESCAPE OF YANG QI

Question 6

Closed syndrome- YANG closed Tx & Fx

Answer 6

Tx: Restore consciousness, clear heat, and extinguish wind
Fx: ZHI BAO DAN
or AN GONG NIU HANG WAN or/plus LING JIAO GOU TENG TANG
Sxs: flushed face, fever, heavy breathing, halitosis, agitation, restlessness, red lips
T: red, yellow greasy t.c.
P: wiry, slippery and rapid
Pathology: Internal wind w/ phlegm-fire obstructing interior organs

Question 7

Closed Syndrome- YIN closed Tx & Fx, Sxs, Pathology

Answer 7

Tx: Restore consciousness, warm and aromatically open orifices, eliminate phlegm, and extinguish wind
Fx: SU HE XIANG WAN plus DI TAN TANG
Sxs: COLD-PHLEGM- Pale face, greyish lips, copious phlegm and saliva, tranquil state w/out restlessness, cold limbs
T: white, greasy
P: deep, slippery, moderate
Pathology: Internal wind w/ cold-damp phlegm blocking interior organs

Question 8

Flaccid Collapse- Tx and Fx

Answer 8

Tx: Rescue and resuscitate the yang
Fx: SHEN FU TANG

Question 9

Sequelae: Hemiplegia- Qi Xu w/ Blood Stasis

Answer 9

Tx: Tonify qi, invigorate blood, and unblock channels
Fx: BU YANG HUAN WU TANG (Tonify the Yang to Restore the 5/10 decoction

Question 10

Sequelae: Hemiplegia- Ascendant LV Yang w/ Obstruction of Channels

Answer 10

Tx: Settle the LV, subdue yang, extinguish wind, unblock channels
Fx: ZHEN GAN XI FENG TANG or TIAN MA GOU TENG YIN

Question 11

Sequelae: Slurred Speech- Wind-Phlegm

Answer 11

Tx: Extinguish wind, eliminate phlegm, open the orifices
Fx: JIE YU DAN (Relax the Tongue Special Pill) “Gee you don’t speak well”

Question 12

Sequelae: LV and KD Yin and Yang Xu

Answer 12

Fx: Nourish and Tonify KD yin and yang, transform phlegm, and open orifices
Fx: DI HUANG YIN ZI