Yinyanghouse data on AP in Stroke

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Hi All,

 

Here are data on stroke, edited from

http://www.yinyanghouse.com/chinesetheory/treatments/treatment-

stroke.html#acutx

 

Traditional CM (TCM) Information [ ]

 

Summary of Pts used in stroke:

Return consciousness | A_01-Shixuan; GV26

Speech issues (aphasia) | CV23

Facial Paralysis | ST04, ST06, ST07, LI04, LI20, BL02

Arm | LI16, LI04, SJ03, SI03

Arm/Shoulder | LI15 to SJ14

Elbow/Forearm | LI11 to LI10 / LI11 to HT03

Forearm/Wrist/Hand | SJ05 to PC06

Leg | ST36 to ST37; GB29, GB30, GB31, ST32, ST41, BL23, BL40,

BL57, BL60

Leg/Knee | GB34 to SP09

Leg/Foot | GB39 to SP06

Calm Spasm/Free Channel | SP06 (maybe w moxa); PC06

Clear Heat | LI11; PC08

Clear Heat & Wind~Internal (bleed) | Jing-Well Pts

Clear LV Wind | LV03

Clear Mind / Shen | GV20

Clear Phlegm | ST40

Clear Shi in upper body/head | KI01

Clear Wind from head | GV20; BL07; LI04

Clear Wind~Internal | GB20; GV16

Tone KI Yin | KI03

Tone Qi (possibly w moxa) | ST36

Tone Qi/Yang (w moxa) | BL23 (KI Shu); GV04-Mingmen (Life Gate);

CV04; CV06; CV08

 

DETAILS: CM plays both a preventative & a rehabilitative role in stroke.

In prevention, CM can treat many common risk factors for stroke, like

hypertension & diabetes. In Rehab, CM can treat effects of stroke, like

paralysis, speech issues, muscle weakness/flaccidity, etc.

 

In CM theory, stroke relates to LV, SP & Kidney systems. Predisposing

factors for stroke may take years to develop & often are dt emotional &

physical strain, overwork, poor diet & lack of relaxation. These lifestyle

habits deplete body vitality, which often causes Internal factors of

Phlegm & / Wind Accumulation, which may culminate in a stroke.

 

Phlegm is dt SP Xu dt poor diet & / physical/mental strain. Phlegm

Accumulation may disrupt smooth Qi flow w symptoms, like poor

concentration/muddled thinking, & / limb numbness. In time, Phlegm

Stag may occur & transform into Phlegm Heat Rising to the head,

ultimately causing a stroke.

 

Wind is often dt emotional & mental strain + lack of relaxation & poor

dietary habits. Excess stress can deplete both KI Yin & LV Yin, which

can cause Wind Rising w a stroke or symptoms, like hypertension,

headaches, emotional issues, etc.

 

TCM Tx theories for stroke have two main categories:

(a) those affecting muscles/Channels (generally mild) &

(b) those affecting Internal organs (more serious).

Internal Channel differentiations are further subdivided into: (a) general

Xu & (b) general Shi Patterns. Often, patients have a mix of Xu & Shi

symptoms. Also, in Rehab of more severe strokes, patients are treated

according to the muscles/Channels differentiations which deal w side

effects of stroke.

 

TCM Diagnoses & AP Tx

• Differentiation:

o Zangfu (Internal Organs) Affection (more serious/acute stage):

Xu (Flaccid, Empty, Weak) Condition

Shi (Tense, Full) Condition

o Muscles/Channels Affection (less serious/Rehab stage):

Symptomatic Tx

• Internal Organs Xu (Flaccid, Empty, Weak) Condition

o S & Ss: Coma & unconsciousness~sudden w flaccid signs, like

closed eyes, open mouth, sweat~mild on forehead/face, loss of

bowel/urinary functions, limbs cold; Tongue: Swollen, maybe Pale;

Pulse: Minute

o Tx Pts:

Valaskatagis Pt Selection:

General Tx Pts - Return consciousness, Free Channels & Hypotensor:

GV26 - Return consciousness

LI04 - Clear Wind from head

PC06 - Calm Spasm/Free Channel

SP06 - Calm Spasm/Free Channel (possibly w/moxa)

LV03 - Clear LV Wind

ST36 - Tone Qi (possibly w/moxa)

LI11 - Clear Heat

KI03 - Tone KI Yin

 

Pts to Tone Xu (Flaccid) Condition:

CV04 - Tone Qi/Yang (w/moxa)

CV06 - Tone Qi/Yang (w/moxa)

CV08 - Tone Qi/Yang (w/moxa)

Maciocia Pt Additions:

GV04 (Mingmen, Life Gate) - Tone Qi/Yang (w/moxa)

BL23 (KI Shu) - Tone Qi/Yang (w/moxa)

 

Internal Organs Shi (Tense) Condition

o S & Ss: Coma & unconsciousness~sudden w tense signs, like

clenching of the mouth & / hands, redness of head/face, no loss of bowel

or urinary functions, breathing course; Tongue: Red w/sticky yellow

coat; Pulse: Slippery, possibly wiry

o Tx Pts:

Valaskatagis Pt Selection:

General Tx Pts to Revive consciousness, Open Channels &

Hypotensor:

GV26 - Return consciousness

LI04 - Clear Wind from head

PC06 - Calm Spasm/Free Channel

SP06 - Calm Spasm/Free Channel (possibly w/moxa)

LV03 - Clear LV Wind

ST36 - Strengthen Qi (possibly w/moxa)

LI11 - Clear Heat

KI03 - Tone KI Yin

 

Pts for Shi (Tense) Condition:

GV20 - Clear Mind / Shen

KI01 - Clear Shi in upper body/head

A_01-Shixuan - Return consciousness

May also bleed Jing-Well Pts to Clear Heat & Wind~Internal

Maciocia Pt Additions:

GV16 - Clear Wind~Internal

GB20 - Clear Wind~Internal

PC08 - Clear Heat

ST40 - Clear Phlegm

 

Symptomatic Tx - Muscles/Channels (Rehabilitative)

o S & Ss: Stroke may have various side effects; those often treated

w AP are: speech problems (aphasia), facial paralysis, & muscular

paralysis/weakness (hemiplagia, rigidity). In Rehab, Tx existing

underlying factors, like hypertension, Clear Wind & Aid smooth flow of

Qi & Xue & choose Pts for local issues.

o Tx Pts:

Valaskatagis Pt Selection (w modifications):

General Tx Pts - Clear Wind, Tone & smooth Qi & Xue Flow:

GV26 - Return consciousness

GV20 - Clear Wind from head

BL07 - Clear Wind from head

LV03 - Clear LV Wind

ST36 - Strengthen Qi (possibly w/moxa)

KI03 - Tone KI Yin

 

Pts for affected area: Choose appropriate Pts on the affected side/limb,

largely (but not exclusively) Yang Channel Pts. Needles often skewer 2

Pts for stronger sensation on the muscular/tendon level of the body.

 

Tx Pts Depending on Area Effected:

Arm/Shoulder: LI15 to SJ14

Elbow/Forearm: LI11 to LI10 / LI11 to HT03

Forearm/Wrist/Hand: SJ05 to PC06

Other Arm Pts: LI16, LI04, SJ03, SI03

Leg: ST36 to ST37

Leg/Knee: GB34 to SP09

Leg/Foot: GB39 to SP06

Other Leg Pts: GB29, GB30, GB31, ST32, ST41, BL23, BL40, BL57,

BL60

Facial Paralysis: ST04, ST06, ST07, LI04, LI20, BL02

Speech issues (aphasia): CV23

 

 

 

Best regards,

 

 

Tel: (H): +353-(0) or (M): +353-(0)

 

 

 

 

Ireland.

Tel: (W): +353-(0) or (M): +353-(0)

 

 

 

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