Chinese Medicine Rehabilitation of Stroke

  The rehabilitation treatment of stroke disease enables people with stroke disabilities to improve the patients’ ability to live, achieve functional rehabilitation and return to society. Stroke is caused by Qi and blood disorder, paralysis of the brain veins or blood overflow in the brain. The main manifestations of stroke are fainting, paralysis, numbness of the limbs and incoherence of the tongue. Stroke disease can be divided into hemorrhagic stroke and ischemic stroke.  1, massage therapy Massage can promote local blood circulation, improve muscle and nerve nutrition, prevent muscle atrophy, and promote its functional recovery, massage methods generally use rolling, pressing, kneading, pinching. Massage should pay attention to the selection of acupuncture points, the use of appropriate techniques. The general order of operation, for the first chest and abdomen, followed by the back and waist, then the limbs, after the head and neck, in accordance with the order of each part of the operation. Clinically, according to the patient’s age, gender, physical condition, disease, with different techniques to achieve the purpose of treatment of disease. When the muscles adapt to the massage stimulation, and then gradually increase the manipulation, can effectively activate the blood circulation of the limbs, stretch the shortened tendons and ligaments, relax the spastic muscles, restore joint mobility. Massage parts are generally based on the affected limb.  Massage treatment of the affected limb: pressure points: upper limbs to take inside and outside the Guan, Quchi, shoulder bone yu; lower limbs according to the leg patient to take a prone position, the doctor with the palm of the hand from the lower arm to the ankle, pushing, holding, pressing, moisturizing each three times. Move the knee bin, Shun N fossa, and press Cheng Fu, Yin Men, Wei Zhong, Cheng Shan and other points. Pluck the internal femoralis major and calf major muscles, pinch the Achilles tendon, etc. Followed by pounding from top to bottom six times, then pressing three times, holding three times, pushing three times and rolling three times. Then take the supine position, push and massage each three times, point the foot three li, three yin jiao, etc., lightly push three times to end. Mo foot patients to take the prone position, the doctor from the heel rubbing to the heart of the foot, to the tip of the toes, repeated six times. Followed by cutting vegetables with the big finger pinch the palm of the foot, six times in a row. Then take the supine position. Rub from the Xiexi Department to the toe joints, and so on for six times, then twist and knead each toe six times, followed by point pressure on the Yongquan, Taixi, Kunlun and Taichong points. Pinch the foot tendon, pound the heel, hold the tip of the foot, shake the ankle, and then lightly push the end of the three times slowly mo. Rolling method: from the upper and lower extremities to massage in turn, the pressure should be uniform, coordinated with rhythm, each time 10 ~ 15 min. kneading method: using the palm root from the distal end of the limb to the proximal end of the press, each time 10 ~ 15 min, the wrist action to lightly knead and slowly swing. Massage up and down along the solar meridian of the back of both sides: mainly using one finger dusting and pushing method until the skin is red. Strengthen functional training: regardless of whether the patient regains consciousness or not, the correct functional bed position must be maintained and the patient’s passive and active activities must be trained in a timely manner.  2.Exercise rehabilitation is mainly to promote the circulation of the body’s qi and blood through body movement, so as to achieve the purpose of metabolism, dispel diseases and prolong life. As an auxiliary method, sports therapy is very beneficial to the rehabilitation of stroke disease. The most important thing is to keep the joints of the body in a functional position. There are generally three positions: supine, lateral and prone. These positions should be constantly turned over and changed, and the time spent in one position should never be too long, usually about two hours. The main purpose is to stretch and flex the paralyzed muscles to prevent complications such as atrophy, spasticity, deformity and bed sores. Limb movements can be divided into two categories: passive and active movements. Passive exercises can be used. The main purpose is to pass through the meridians and channels, to ease the joints, to improve the circulation of qi and blood, and to increase the nutrition of the limbs. Passive exercise is done entirely by nursing staff to help the patient move the paralyzed limbs. However, it is important to start with gentle and mild activities and avoid excessive pulling too fast to avoid muscle damage. Active exercise, in the case of paralyzed limbs that cannot be moved, is mainly the active activity of the healthy limbs, which not only drives the physiological function of paralysis, but also improves the functional activities of the whole body. The active exercises of head raising, chest lifting, arm raising, leg crossing and deep breathing are often performed, especially the extension and rotation of shoulder, elbow, wrist, finger, hip, knee, ankle and toe joints on the paralyzed side, but never overexerting. In the process of limb movement, limb spasms often occur, mainly manifested as tendon detention, muscle twitching, hand and foot contracture, joint S and other symptoms.  Stroke disease limb paralysis long-term bedridden, practice sitting up is an important means of rehabilitation medical treatment. Clinically, it is often divided into three aspects of functional training, such as preparation for sitting, sitting up movement, and sitting balance. Stroke patients standing and walking must maintain the correct position of physiological function. Caregivers supporting patients should follow their joint range of motion, do more weight-bearing exercises, and gradually increase the time and weight.  The best rehabilitation time for stroke patients Modern rehabilitation medicine agrees that: on the basis of stable vital signs, the earlier the rehabilitation intervention for stroke hemiplegia, the better. Rehabilitation therapy can be carried out on the day of onset for cerebral infarction patients, and 24h for cerebral hemorrhage patients with stable vital signs. Tui Na therapy is suitable for hemiplegia during the recovery period of stroke. Exercise exercise for stroke disease should be started as early as possible, and its main purpose is to prevent contracture and deformation of limb joints and the occurrence of infection and decubitus ulcers. Therefore, during the period of bed rest after the onset of stroke, attention should be paid to maintaining the functional position of the limbs and strengthening passive exercises to prevent muscle atrophy. One week after ischemic stroke, hemorrhagic stroke should be followed by functional exercise activities as early as possible according to the specific situation.