The diagnosis and treatment of post-stroke lower limb edema is based on edema; it can be divided into spleen yang deficiency (deficiency of yang qi in the spleen), strengthening the spleen and warming yang to facilitate water circulation (replenishing yang qi in the body to promote the circulation of water and fluid), and adding or subtracting the Real Spleen Drink.
In the case of kidney yang deficiency, warming the kidney and assisting yang (warming and tonifying kidney yang qi), transforming qi and promoting water circulation (promoting gas circulation, thus promoting water circulation), adding and subtracting Jisheng Kidney Qigong Pill and Zhenwu Tang; in the case of stagnant water and stagnant water interconnections, activating blood circulation and removing blood stasis (promoting blood circulation and eliminating blood stasis), transforming qi and promoting water circulation, adding and subtracting Taohong Si Wu Wu Tang and Wuling San.
The diagnosis and treatment of post-stroke lower limb edema is generally in accordance with edema disease. Edema disease should first distinguish yin and yang and differentiate pathological attributes. Post-stroke lower limb edema belongs to yin-water which is caused by deficiency of spleen and kidney, and qi does not transform water.
1. Spleen-Yang deficiency and decline: lower limb edema is not easy to recover by pressing, distention and stuffiness in the stomach and abdomen, loss of appetite, scanty stools, fatigue (lack of spirit), weakness (mental exhaustion, physical weakness), and tiredness of the limbs. Use the method of strengthening the spleen, warming the yang and inducing diuresis to treat the patient with the addition or subtraction of the Solid Spleen Drink.
2. Kidney-Yang Weakening and Weakness Certificate: recurrent edema, accompanied by decreased or increased urine output, lumbar soreness and cold pain, tightness and coldness of the limbs, fear of cold and fatigue of the spirit. Warming the kidneys to help yang, transforming qi to move water, using Jisheng Kidney Qi Pill and Zhenwu Tang with additions and subtractions.
3. Evidence of stasis and water stagnation: edema that does not subside for a long time, severe edema of the lower limbs, ecchymosis of the skin, tingling in the waist. Use activating blood circulation to dispel blood stasis, transforming Qi and promoting water circulation, and use Tao Hong Si Wu Tang combined with Wu Ling San plus or minus to treat.
Post-stroke lower limb edema treatment, need to go to the regular hospital to identify the evidence of treatment, pay attention to with dietary regimen, regulate the mood, to avoid prolonged treatment or recurrence of the disease.