Stroke is the common name for cerebrovascular disease, mostly seen in the elderly. In recent decades, the incidence of stroke has been increasing with the increase of the aging population. Many patients suffer from paraplegia, numbness, blurred vision, speech problems, swallowing disorders, memory loss, and temperament changes. Therefore, the prevention and treatment of cerebrovascular diseases has been one of the focus of attention of the community. The development of Chinese medicine has a history of several thousand years in China, so what are the advantages of Chinese medicine in the prevention and treatment of stroke?
Reporter: Hello! Professor Wang, why is acute cerebrovascular disease also called stroke?
Professor Wang: In modern medicine, brain hemorrhage, subarachnoid hemorrhage, cerebral infarction, cerebral thrombosis, transient ischemic attack and other diseases. This kind of disease has a sudden onset, fierce, rapid changes in condition, and is consistent with the characteristics of nature’s “wind”, which starts in a moment, is good at several changes, changeable, and good at attacking the human head and top, so it is called “stroke”.
In fact, there are many names for stroke, and the disease has been recognized by traditional medicine and modern medicine, so many different names have emerged. The earliest record of stroke is found more than 2000 years ago in the book “Huangdi Neijing Suwen”, which describes the disease as “a sudden attack on one side of the limb that cannot move at will”. The official name of the disease as “stroke” was written by Zhang Zhongjing in the Eastern Han Dynasty, and the disease was divided into true stroke and stroke like stroke. These medical treatises fully illustrate that the ancient Chinese medical doctors, the stroke has been quite in-depth research. Other scholars call it “cerebrovascular accident” and “cerebral hemorrhage”. Japanese scholars follow our traditional medicine and call the disease “stroke”. The disease is called “hemiplegia” in folklore, and the abbreviation CVD is used in Western medicine based on the alphabet of the disease. Patients should not be confused by the wide range of names, which may lead to missed diagnosis or misdiagnosis.
Reporter: What are the main factors that cause stroke?
Professor Wang: Chinese medicine believes that stroke is based on the deficiency of liver and kidney, internal deficiency of qi and blood, in case of labor and weariness, internal injury, worry and annoyance, alcohol, wine, thick taste, inappropriate living, sudden changes in climate and other triggers, causing the internal organs of the yin and yang imbalance, qi and blood rebellion, resulting in cerebral vascular paralysis, or blood overflow in the brain and the onset. The sudden onset of wind, fire, phlegm and heat affecting each other is the most common direct pathogenic factor of stroke.
Reporter: What are “real stroke” and “stroke like”?
Prof. Wang: In Chinese medicine, the stroke disease caused by external wind evil is called true stroke, referred to as true stroke, Yuan Dynasty physician Wang Cui “medical strategy 13”: “true stroke, true wind evil in”, it includes facial nerve paralysis (commonly known as hanging wind). In addition, the stroke with fever, wind, sweating and slow pulse as the main symptom is also true stroke, which is opposite to “typhoid fever” and belongs to the evidence of deficiency of external sensation, which is different from the name of this disease and does not belong to the scope of this disease.
Stroke-like refers to the evidence of stroke in which the wind is generated from the inside rather than from the outside. Most of them are caused by kidney yin deficiency, heart fire, liver yang hyperactivity, internal movement of liver wind; or qi deficiency, qi reversal; or blood vessels paralysis; or dampness and phlegm congestion, heat and wind, rather than external wind evil. However, it can also be triggered by an external evil. This is what we call stroke.
Some people put various causes of hemiplegia (hemiplegia), mouth and eye boiling this Putu crab relieve fine gusset road to get together delicacies to move the locust non-mechanism leech cerebral palsy, cerebral parasitic disease, brain abscess, etc. can cause hemiplegia, facial nerve palsy (peripheral facial palsy, commonly known as hanging line wind, originally belonged to the stroke, now listed from the stroke) mainly manifested as mouth and eye boiling hipped government “disease Royal charm eh tee crab embolism hug
Reporter: How to determine the severity of the stroke, what is in the meridians, in the internal organs?
Prof. Wang: There are different severity of stroke, different treatment methods and different prognosis. Clinically, according to the presence or absence of changes in consciousness is divided into two categories: in the meridians and in the internal organs. In general, there is no change of consciousness in the middle meridians and the disease is mild; in the middle organs, there is often confusion and the disease is severe.
Reporter: What are the methods of treating stroke in Chinese medicine?
Prof. Wang: Since ancient times, Chinese medicine has had a certain understanding of stroke disease, which was recorded in detail in the first medical work “Huangdi Neijing”, and was gradually improved and enriched in the summaries of successive generations of doctors, forming a series of diagnosis and treatment plans for the whole process of stroke, from prevention, emergency treatment to rehabilitation.
First of all, in the first aid treatment of stroke, the internal organs are divided into closed evidence and off evidence. The closed evidence is based on the internal closure of the evil, accompanied by the closure of the teeth, the two hands clenched, closed urine and stool, etc., is a real evidence, it is urgent to dispel the evil to open the orifice. According to the presence or absence of heat signs, the closed evidence is further divided into Yang and Yin closed. Yang closed with heat signs, belongs to the liver wind phlegm heat internal closed, treatment can not be separated from the “cool open three treasures” (Angong Niuhuang Wan, Zixue Dan, bureau formula to Bao Dan), or use Qing Kai Ling injection static drip. If there is no heat sign in yin closed, it is phlegm and dampness obscuring the divine mechanism, then Suhexiang Pill should be given, and the three treasures should not be given again. The symptoms of desiccation are mainly Yang Qi wanting to desiccate, accompanied by opening of mouth, spreading of hands, closing of eyes, loss of urine, sound like snoring, or excessive sweating, etc. It is a deficiency disease, so it is urgent to support the righteousness and consolidate the desiccation, so we can use ginseng or raw pulse injection, etc. Closed evidence and detoxification are critical illnesses, and the treatments are different and must be clearly distinguished.
In the first aid treatment, acupuncture can also be used: for example, needling Renzhong, Yongquan, Taichong, Neiguan, etc.
Secondly, in stroke rehabilitation, TCM also has its unique advantages, such as acupuncture, tui-na, internal and external use of Chinese herbal medicine, which can be used for the purpose of conditioning and maintenance, and achieving functional rehabilitation.
Reporter: Can stroke be prevented?
Professor Wang: The occurrence of stroke is a process from quantitative change to qualitative change, and the signs shown in the process of quantitative change are called stroke aura, which is a clinical syndrome closely related to stroke. Therefore, it is said that stroke can be prevented.
The prevention of stroke in Chinese medicine is rich in content, including: prevention before the disease, to save the disease, both disease and change, after the disease to prevent the return, involving health, diet and exercise therapy; in addition, we must pay attention to physical and mental health, pay attention to the regulation of emotions, to achieve open-minded, happy and angry with moderation.
In short, whether in the first aid, rehabilitation and prevention of stroke, Chinese medicine has a unique advantage, because there is no clear boundary in the various stages of disease development and regression, so in the treatment can be flexible according to the condition, or one method alone, or multiple methods alternately with the application. To improve the efficacy of treatment.