Etiology and pathogenesis of stroke
1. The common causes of stroke are: ① internal injuries; ② Excessive fatigue; ③ improper diet; ④ Emotional damage; ⑤ Qi deficiency and evil.
2. The imbalance of Yin and Yang is the main pathogenesis of stroke. Qi and blood are in disorder, which is committed in the brain. Deficiency (yin deficiency and qi deficiency), fire (liver fire and heart fire), wind (wind outside liver wind), phlegm (wind-phlegm-dampness), qi (qi-deficiency) and blood stasis are its six major mechanisms.
treatment according to syndrome differentiation
1. The key points of stroke syndrome differentiation are as follows: First, distinguish the middle pulse or the middle zang-fu organs, and those with the middle zang-fu organs distinguish the closed syndrome from the detached syndrome, and the closed syndrome should distinguish the yang from the yin. At the same time, we should distinguish the current stage of the disease.
2. Differentiation and treatment of apoplexy meridian syndrome.
Syndrome and treatment of wind-phlegm stasis in meridians in stroke: calming wind and resolving phlegm. Activating blood circulation and dredging collaterals, prescription: Banxia Baizhu Tianma Decoction and Ren Tao Honghua Decoction.
Syndrome and treatment of wind-yang imbalance in apoplexy meridians: calming the liver and suppressing yang, promoting blood circulation and dredging collaterals, and the prescription: Tianma Gouteng Decoction.
Syndrome differentiation and treatment of apoplexy meridian yin deficiency and wind movement: nourishing yin and suppressing yang, calming wind and dredging collaterals, and the prescription: Zhengan Xifeng Decoction.
3. Syndrome differentiation and treatment of apoplexy involving zang-fu organs.
Treatment of apoplexy involving viscera (yang-blocking syndrome): clearing liver, calming wind, resolving phlegm and inducing resuscitation. Prescriptions: antelope horn decoction combined with Angong Niuhuang pill.
Treatment of apoplexy involving viscera (Yin-blocking syndrome): resolving phlegm and calming the wind, warming the heart and inducing resuscitation. Prescriptions: Ditan Decoction combined with Suhexiang Pill.
Treatment of apoplexy (syndrome of exhaustion of yin and death of yang) by zang-fu organs: restoring yang to save yin, benefiting qi and dispersing stagnation, and prescription: Shenfu decoction combined with Shengmai powder.
4. Syndrome differentiation and treatment of stroke recovery period plus sequela period.
Treatment of phlegm and blood stasis syndrome of middle wind (recovery period+sequela period): searching wind and resolving phlegm, removing blood stasis and dredging collaterals, and the prescription is Jieyu Dan.
Treatment of apoplexy with qi deficiency and blood stasis (recovery period+sequela period): supplementing qi and nourishing blood, removing blood stasis and dredging collaterals, and the prescription is Buyanghuanwu decoction.
Treatment of apoplexy due to deficiency of liver and kidney (recovery period+sequela period): nourishing liver and kidney, prescription: Zuogui Pill combined with Dihuang Yinzi.