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Internal Medicine

All the 35 patients had cerebric CT examination, there are 29 patients have suffered from cerebral thrombosis, 6 patients suffered from lacunar infarction. All the cases are apoplexy involving meridians and collaterals. They have been divided to 5 types in TCM differentiation: 3 cases of hyperactivity of liver yang with wind-fire disturbing upwards, 2 cases of phlegm heat and excess of Fu with wind phlegm disturbing upwards, 9 cases of wind phlegm and blood stagnation with blockage obstructing collaterals, 13 cases of Qi deficiency and blood stagnation, 8 cases of yin deficiency and hyperactivity of wind. Therapeutic methods: self made Jie Tan Tang: Huang Qi, Chi Shao Yao, Di Long, Chuan Xiong, Dan Shen, Niu Xi, Wu Gong, Quan Xie, Jiang Can. Adding Gou Teng, Ling Yang Jiao if there are dizziness, headache; adding Tian Zhu Huang, Ban Xia if there is excessive of phlegm; adding Cheng Qi Tang if there is excessive Fu; adding Huang Qi 100g if there is obvious Qi deficiency. Acupuncture main points: Baihui (GV20), Quchi (LI11) He-Sea Point, Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon, Hegu (LI4) Yuan-Source Point, Taixi(KI3) Shu-Stream, Yuan-Source Point; accompanying points: (1) Chize (LU5)He-Sea Point, Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point, Yinlingquan (SP9) He-Sea Point, Sanyinjiao (SP6), Fuliu(KI7) Jing-River Point; (2) Zusanli (ST36) He-Sea Point, Xuanzhong (GB39) Influential Point of the Marrow, Kunlun (BL60) Jing-River Point, Waiguan (TE5) Luo-Connecting Point the Eight Confluent Point and Jianyu (LI15). Choosing 2-3 main points, alternatively using first and second groups of accompanying points, choosing 2-4 points every time.

Therapeutic result: total effective rate is 97.1%.

Key words: Combination of acupuncture and herbs, acute ischemic stroke

Writer: Li Liu, Xilong Lu
Economic and Technological Development Zone hospital, Guangzhou (510730)

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