A. The relationship between stroke and physique
1. Physical factors are related to susceptibility to stroke
Any disease has its own internal basis, external factors are through the internal factors to play a role. The occurrence of stroke is also built on the basis of internal injuries and accumulated losses, of which “constitution” is an important part of the internal factors. The following body types have susceptibility to disease.
Qi deficiency: shortage of breath and lazy speech, easy fatigue of the limbs, easy sweating, low gaze, light mouth, low color of lips, no hair, dizziness, forgetfulness, normal stools. The tongue is light red, fat with tooth marks on the side, and the pulse is weak and slow.
Yin deficiency: thinness, flushed face, dry mouth and throat, irritability in the heart, heat in the hands and feet, little sleep, dry stool, yellow urine, intolerance of spring and summer, preference for cold drinks, fine pulse, red tongue with little coating.
Phlegm-damp quality: tiredness of the limbs, aching and heavy joints, or diffuse swelling of the legs and knees, unfavorable rotation, swelling of the lower limbs, white smooth or white greasy coating, moist and slow pulse.
2, physical factors have a certain influence on the development and transmission of stroke
Patients who have already had a stroke may be susceptible to certain external evils due to differences in body constitution, which may lead to exacerbation or transmission of the disease; on the contrary, as the body constitution improves and the body’s resistance increases, the disease may develop slowly or stabilize. People with Qi deficiency have weak blood circulation and slow blood flow, so they are prone to blood stasis. In people with Yin deficiency, Yang Qi is easy to open, Yang moves and turns into wind, which disturbs the wind, blood follows the Qi and runs across the meridians, so it can obscure the clear orifices and appear to collapse and ignorance, forming a critical condition where Yin and Yang do not maintain each other; in people with phlegm and dampness, phlegm and dampness are strong, easily blocking the meridians, resulting in blockage of the meridians.
3, the body has a certain influence on the regression of stroke
When the human body suffers from stroke, the brain circulation function will gradually decline, and depending on the location and size of the lesion, some patients will be left with serious disabilities such as paralysis and aphasia, causing a heavy burden to the society and family, or even death in more serious cases; some patients will recover brain function faster, leaving less sequelae, and can basically return to self-care, or even return to society. The degree and speed of recovery of brain function varies greatly, and the physique also plays a role in this. If the patient’s qi, blood, yin and yang are sufficient and harmonious, the disease cannot be invaded, and the function of the internal organs is basically stable, so even if the stroke progresses, it will be relatively slow and the prognosis is relatively good; if the body is deficient in qi, blood, yin and yang, or cannot be harmonized, and the pathological products accumulate in the body, such as qi deficiency, yin deficiency, phlegm and dampness, the body characteristics will definitely affect the operation of qi and blood, the tendons and veins are not moistened, yin and yang are not maintained each other, causing critical symptoms, and the prognosis is The prognosis is poor.
Second, the relationship between stroke and internal organs
There are various reasons for the formation of stroke, but the disease is located in the heart and brain, and is also closely related to the liver and kidney of the five viscera. The Su Wen? In the book “The head is the house of the essence”, and in the book “The Compendium of Materia Medica”, it is also pointed out that the brain is the “house of the spirit”. That is to say, the mind is the master of the heart and brain. It is discussed in the Nei Jing, Su Wen? In the Nei Jing, it is said that “blood in the qi, and go up, it is a big syncope”, and “great anger is the form of qi is extinguished blood vapor in the upper, it is thin syncope”. Another example is the “Ling Shu? Five chaos” said: “clear and turbid phase dry …… chaos in the head, it is the syncope. The head is heavy outside the brain”. Clearly suggests that the location of the stroke is in the brain. Because the brain is the house of the Yuan Shen, the sea of marrow. The human body’s “three hundred and sixty-five complexes. Its blood and qi are all injected into the eyes …… on belongs to the brain” “Nei Jing”. And the brain is closely related to the liver and kidneys. The kidney is the master of bone and marrow, and the kidney qi passes through the brain. The kidney is also directly connected to the brain through the meridians, “Ling Shu? The meridians said: “bladder foot sun veins, from the eye inner canthus on the frontal intersection of the top …… its straight from the top of the brain complex, but also out of the other under the item …… end kidney belongs to the bladder”. And also related to the liver, Suwen ‘yin and Yang should be like the great theory of cloud: “kidney produces marrow, marrow produces liver”. The Book of Yin and Yang explains: “Water gives birth to wood, but the kidney water gas, nourishing the bone marrow, is born liver wood. The liver is the pivot of the qi, smooth the emotions. Together with the brain, the liver is the master of the spirit, because the liver is the main reservoir of blood, blood is the material basis of the body’s spiritual activities, “blood and qi, the god of man” (Su Wen? Only when the blood and blood vessels are in harmony, can the spirit live. And the liver and connected to the brain through the meridians, “the liver and the foot of the fermionic yin veins, starting at the foot of the great toe hair …… after following the throat, up into the fly down, even the day system on the forehead, and the Governor’s vein will be at the top” “Ling Shu? The liver vein is a vital link between the upper and lower parts of the body. The Liver Vessel is a meridian that runs up and down the body, and plays an important role in regulating the body’s qi and blood, emotions and spirit. Because of the close relationship between liver and kidney and brain in physiology, therefore, pathologically, when liver and kidney are deficient, it will definitely affect the brain ligament, and the essence will not transform blood, or the essence will not transform qi and cause siltation, so that the brain’s veins and ligaments will be blocked and stroke will occur, such as the aforementioned description of “Blood Court on the top” and “Qi and blood go together on the top” in Nei Jing. “etc., all indicate that blood stasis in the brain ligaments, the medical compendium of stroke said: “stroke are due to unfavorable pulse pathways, blood and gas occlusion also”. Another way of stroke pathogenesis is yin deficiency, hyperactivity of yang, yang into wind movement, holding phlegm and fire, up to cloud the clear orifices. For example, the “Clinical evidence guide? Stroke” said: “Liver, blood and kidney fluids within the dry Yang disturbing wind spinning multiplied orifices. Due to the deficiency of liver and kidney yin, water does not contain wood, liver yang turns into wind, and the clear orifices are clouded and stroke occurs. As for the mechanism of stroke caused by Qi deficiency and blood stasis, it is caused by Qi deficiency and the inability of blood vessels to push, which leads to blood stasis in the brain complex.
The pathological factors are mainly wind, fire, phlegm, qi and stasis, and their formation is related to the dysfunction of the internal organs.
Stroke and the heart: the heart is the official of the monarch, the division of the gods, the heart of the veins on the throat, the other veins are tied to the tongue. Fire attacking the heart can cause coma, and blood stasis blocking the heart veins or phlegm stasis obscuring the pericardium can also lead to mental faintness.
Stroke and liver: liver yin deficiency, liver yang hyperactivity, turning wind into fire, or violent anger injury to the liver, liver yang riot, leading to heart fire can be wind into fire, clear orifices are blinded and stroke. Therefore, the wind and fire evidence of internal injuries are mostly blamed on the liver.
Stroke and the kidney: the kidney is a water organ, the memory of the Yang, the essence of the main marrow, and the brain is the sea of marrow. In Chinese medicine, there is also the saying that the liver and kidneys fix the source. Insufficient kidney water to nourish the liver, hyperactive liver yang occurs, which turns into liver fire and drives qi and blood upward, attacking the heart and mind, resulting in coma and unconsciousness.
Stroke and the spleen: Chinese medicine theory has “dampness generates phlegm, phlegm generates heat, heat generates wind”, and the birth of phlegm and dampness is actually related to the function of the spleen. Fatty body or addicted to sweet and greasy, often have spleen spleen weakness can not transform the dampness of the disease, so said: “spleen for the source of phlegm”. The disease of stroke
In the recovery period of stroke or its sequelae, strengthening the spleen and removing dampness and phlegm is also a common rule of treatment.
Stroke and the lung: the lung is the lung, and all the lesions of the five viscera and six bowels can be smoked in the lung as disease. The lung is a delicate organ, and the dysfunction of other internal organs often involves the lung. Stroke evidence of heart fire and liver fire can injure the lungs and cause wheezing and coughing, hemoptysis. The spleen is the source of phlegm, the spleen is the storage of phlegm, phlegm fatigue in the heart orifice, flowing to the limbs, also has a certain relationship with the imbalance of lung qi. Insufficient lung qi makes it easy to feel wind and cold, coughing and shortness of breath, which induces blood and qi to go up in parallel, forming a causative factor for stroke.
In conclusion, the pathogenesis of stroke is intricate and complex, and belongs to the evidence of deficiency and mixed deficiency and actuality. It is closely related to the liver, heart, lung, spleen, kidney and other internal organs.