Type 1: Hemiplegia:
Symptoms:
The course of disease is gradual and mild, manifestations are hemiplegia, numbness, stiff tongue, inarticulateness, remaining of consciousness, scrupulosity, irritability, yellow and greasy fur, taut and strength pulse or slow and slippery pulse.
Principle of treatment:
Dredging the Meridianss and collaterals, regulating the function between Qi and blood. Select the points mainly from the Large Intestine Meridian of Hand-Yangming, the stomach Meridian of Foot-Yangming, and subsidiarily select the points from the other Yang Meridianss. At first stage, only puncture the points of the affected side. In chronic cases acupuncture bilaterally. Reinforcing method should be used.
Prescription:
Jianyu (LI15) [3] (Jianyu (LI15) [4])Quchi (LI11) He-Sea Point [5] (Quchi (LI11) He-Sea Point [6]),Hegu (LI4) Yuan-Source Point [7] (Hegu (LI4) Yuan-Source Point [8]), Waiguan (TE5) Luo-Connecting Point the Eight Confluent Point [9] (SJ5), Huantiao (GB30 ) [10] (Huantiao (GB30 ) [11]),Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon [12] (Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon [13]),Zusanli (ST36) He-Sea Point [14] (Zusanli (ST36) He-Sea Point [15]),Jiexi (ST41) Jing-River Point [16] (Jiexi (ST41) Jing-River Point [17]), Kunlun (BL60) Jing-River Point [18] (Kunlun (BL60) Jing-River Point [19])
Modification according to symptoms:
For upper limbs, Jianyu (LI15), Yangchi (TE4) Yuan-Source Point [20] (SJ4), Houxi (SI3) Shu-Stream Point, The Eight Confluent Point [21] (Houxi (SI3) Shu-Stream Point, The Eight Confluent Point [22]) are selected alternately. For lower limbs, Fengshi (GB31) [23] (Fengshi (GB31) [24]), Yinshi (ST33) [25] (Yinshi (ST33) [26]) Xuanzhong (GB39) Influential Point of the Marrow [27] (Xuanzhong (GB39) Influential Point of the Marrow [28]), etc. are selected alternately. In chronic cases, for upper limbs, Dazhui (GV14) [29] (DU14), Jianwaishu (SI14) [30] (Jianwaishu (SI14) [31]) are used as adjuvant ones; for lower limbs, Yaoyangguan (GV3) [32] (DU3), Baihuanshu (BL30) [33] (Baihuanshu (BL30) [34]); for stiffness of the elbow, Quze (PC3) He-Sea Point [35](Quze (PC3) He-Sea Point [36]) is added; for the wrist, Daling (PC7) Shu-Stream, Yuan-Source Point [37] (Daling (PC7) Shu-Stream, Yuan-Source Point [38]) is added; for the knee, Ququan (LR8) He-Sea Point [39] (Ququan (LR8) He-Sea Point [40]) is added; for the ankle, Taixi(KI3) Shu-Stream, Yuan-Source Point [41] (Taixi(KI3) Shu-Stream, Yuan-Source Point [42]) is added; for the finger, Baxie (EX-UE9) is added; for the toe, Bafeng (EX-LE10) is added. For inarticulateness, Lianquan (CV23) [43] (RN23), Tongli (HT5) Luo-Connecting Point [44] (Tongli (HT5) Luo-Connecting Point [45]) are added.
Type 2: Deviated mouth and eye:
Symptoms:
Gradual and mild onset, manifestations are deviation of mouth and eye, stiff tongue, inarticulateness, remaining of consciousness, yellow and greasy tongue fur, taut and strength pulse or slow and slippery pulse.
Principle of treatment:
Select the points from the Large Intestine Meridian of Hand-Yangming, the Stomach Meridian of Foot-Yangming, the Small Intestine Meridian of Hand-Taiyang,the Urinary Bladder Meridian of Foot-Taiyang. In beginning cases, only select the points of the affected side. In chronic cases, select bilateral side. Puncturing first and then moxibusting the points.
Prescription:
Dicang (ST4) [46] (Dicang (ST4) [47]),Jiache (ST6) [48] (Jiache (ST6) [49]),Hegu (LI4), Neiting (ST44) Ying-Spring Point [50] (Neiting (ST44) Ying-Spring Point [51]), Chengqi (ST1) [52] (Chengqi (ST1) [53]), Yangbai (GB14) [54] (Yangbai (GB14) [55]), Cuanzhu (BL2) [56] (Cuanzhu (BL2) [57]), Kunlun (BL60), and Yanglao (SI6) Xi-Cleft Point [58] (Yanglao (SI6) Xi-Cleft Point [59]).
Modification according to symptoms:
Yingxiang (LI20) [60] (Yingxiang (LI20) [61]), Quanliao (SI18) [62] (Quanliao (SI18) [63]), Tongziliao (GB1) [64] (Tongziliao (GB1) [65]), Xiaguan (ST7) [66] (Xiaguan (ST7) [67]) can also be selected alternately. For slobbering, Chengjiang (CV24) [68] (RN24) is added. For irritability, Taichong (LR3) Shu-Stream, Yuan-Source Point [69] (Taichong (LR3) Shu-Stream, Yuan-Source Point [70]) is added. For scrupulosity, Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point [71] (Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point [72]) is added.
Type 3: Sthenic apoplexy involving the viscera:
Symptoms:
Mostly caused by the adverse flow of qi and fire, blood stasis in the upper position, liver-wind stirring internally, abundant accumulation of phlegm. Manifestations are sudden coma, unconsciousness, hemiplegia, slobbering, stiff tongue, aphasia, lock jaw, contraction of hands, flushed complexion, dyspnea, asthma due to phlegm in the throat with sound like sawing wood, aunria and consitipation, slippery and rapid pulse, or horizontal and taut pulse.
Principle of treatment:
Calming the liver fire and stopping the wind, lowering the fire-evil and relieving phlegm, resurrection by stimulating the sensory orifices. Mainly select the points from the Du Meridian, twelve Jing-Well points, and subsidiarily select the points from the Pericardium Meridian of Hand-Jueyin, the Liver Meridian of Foot-Jueyin and the Stomach Meridian of Foot-Yangming. Puncture with reducing method, and spot pricking the Jing points to bleeding with a three-edged needle.
Prescription:
Shuigou (GV26) [73] (DU26), the twelve Jing-Well points, Taichong (LR3) Fenglong (ST40) Luo-Connecting Point [74] (Fenglong (ST40) Luo-Connecting Point [75]), and Laogong (PC8) Ying-Spring Point [76] (Laogong (PC8) Ying-Spring Point [77]).
Modification according to symptoms:
If conscious cases gradually, the twelve Jing points and Shuigou (DU26) are excused so as to avoid injury of qi and blood. Add Baihui (GV20) [78] (DU20), Yintang (EX-HN3), Fengshi (GB31), Sanyinjiao (SP6) [79] (Sanyinjiao (SP6) [80]) according to conditions required. For lock jaws, Dicang (ST4), Jiache (ST6) are added. For aphasia, Tongli (HT5), Yamen (GV15) [81] (DU15) are added. For difficulty in swallowing, Zhaohai (KI6) The Eihgt Confluent Point [82] (Zhaohai (KI6) The Eihgt Confluent Point [83]), Tiantu (CV22) [84] (RN22) are added.
Type 4: Collapsed apoplexy involving the viscera:
Symptoms:
The genuine energy is feeble, impending exhaustion of original yang, condition is critical. Manifestations are: sudden coma, unconsciousness, hemiplegia, slobbering stiff tongue, aphasia, eyes closed and mouth opened, hands relaxed with enuresis, snoring and feeble breathing, cold limbs, tiny and weak pulse or deep and sinking pulse, oily clammy sweating, flushed face as if being made-up, barely palpable pulse or floating and rootless pulse. These indicate a critical condition of genuine yang escaping beyond the body.
Principle of treatment:
Recuperating the depleted yang to rescue the patient from collapse. Select the points from the Ren Meridian. Moxibustion with big moxa cones to the points in large numbers of moxibusting.
Prescription:
Guanyan (RN4),Shenjue (RN8) (Moxibustion with salt is used) .
Modification according to symptoms:
For profuse dribbling of sweat due to deficiency, Yinxi (HT6) Xi-Cleft Point [85] (Yinxi (HT6) Xi-Cleft Point [86]) is added. For snoring sleep, Shenmai (BL62) The Eight Confluent Point [87] (Shenmai (BL62) The Eight Confluent Point [88]) is added. For incontinenceof urine, Shuidao (Shuidao (ST28) [89]),Sanyinjiao (SP6), Zusanli (ST36) are added. For deficiency yang escaping off, a strong moxibustion may be added to Mingmen (GV4) [90] (DU4), Qihaishu (BL24) [91] (Qihaishu (BL24) [92]), Shenshu (BL23) [93] (Shenshu (BL23) [94]), Yongquan (KI1) Jing-Well Point [95] (Yongquan (KI1) Jing-Well Point [96]), etc. to replenish and restore the kidney-yin and consolidate floating yang.
Cautions and precautions:
At the beginning of this disease, if the condition is serious, the patient should be emergently treated on the spot as soon as possible. Avoid moving the patient, or the condition would be aggravated. For an obese aged person, deficient qi or sthenia and abnormal rising of liver yang, feeling dizziness, numbness of finger, occasional inarticulateness, may be the signs of wind stroke. The person should keep mentally calm with light food and lead a regular life. Acupuncture and moxibustion may be applied at Fengshi (GB31), Zusanli (ST36), etc. for preventing this disease.
Key Words: wind stroke, acupuncture
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