Treating the ischemic stroke according to the syndrome differentiation:
1. Hyperactive liver-Yang causing syndrome of liver-wind: the treatment focuses on calming liver and suppressing liver Yang, activating blood circulation and promoting blood vessels. The prescription is Tian Ma [3] Gou Teng [4] decoction with modification:
Tian Ma 10g, Gou Teng 15g, Shi Jue Ming [5] 20g, Chuan Niu Xi [6] 10g, Du Zhong [7] 10g, Zhi Zi [8] 12g, raw Di Huang 20g, Sang Ji Sheng [9] 15g, Xu Duan [10] 15g, Da Huang [11] 10g, Zhi Shi [12] 10g, Shui Zhi [13] 10g, Di Long [14] 10g, Ling Yang Gu 15g, ji Xue Teng [15] 15g, Dang Gui [16] 12g, Shi Chang Pu [17] 10g, Yu Jin [18] 15g, Xia Ku Cao [19] 10g etc. Da Huang can be applied later regarding to the disease condition. The intravenous drip may also be employed, the medicine includes Xing Nao Jing and Qing Kai Ling etc are used, An Gong Niu Huang [20] Wan Pills or Xin Xue Dan need to be taken for severe cases.
2. Phlegm blocks the brain: for the mild cases, Hua Tan Tong Luo Xing Nao decoction is used, the ingredients include Zhi Ban Xia [21] 12g, Dan Nan Xing 10g, Ze Xie [22] 12g, Zhu Ru [23] 6g, Ju Hong or Chen Pi [24] 10g, Dang Gui 10g, Fu Ling [25] 15g, Bai Zhu [26] 10g, Dan Shen [27] 15g, Quan Xie [28] 10g, Huang Qi [29] 30g, Di Long 10g, Zhi Zi 12g, Xu Duan 15g, Da Huang 10g, Shui Zhi 10g, Ling Yang Gu 15g, Ji Xue Teng 15g, Shi Chang Pu 10g, Yu Jin 15g etc. If there is severe stagnation, the herbs with function of activating blood circulation and promoting blood vessels are used, including Ru Xiang [30], Mo Yao [31], Chuan Shan Jia [32], San Leng [33], E Zhu [34], Bai Hua She She Cao, Tu Bie Chong etc. The intravenous drip may also be employed, the medicine includes Xing Nao Jing and Qing Kai Ling etc are used, the An Gong Niu Huang Wan Pills and Su He Xiang [35] Wan Pills can be combined.
3. Qi weakness and blood stagnation: the treatment measures are promoting Qi and activating blood circulation, resolving stagnation and promoting meridians. The prescription is Yi Qi Tong Mai Huo Xue Decoction with modification: Huang Qi 30-100g, Dang Shen [36] 15g, Tian Ma 10g, Quan Xie 10g, Chuan Xiong [37] 10g, Dan Shen 15g, Dang Gui 10g, Ji Xue Teng 15g, Di Long 10g, Shi Chang Pu 10g, Yu Jin 15g, Du Zhong 10g, Xu Duan 15g etc. If there is Qi stagnation, we need to remove Dang Shen and Huang Qi that have function of reinforcing Qi, and add Mu Xiang [38], Zhi Qiao, Lu Lu Tong, Chen Xiang [39] which have function of regulating Qi. Regarding to the severe cases, the herbs with activating blood circulation and promoting meridians are employed, such as Ru Xiang, Mo Yao, Chuan Shan Jia, San Leng, E Zhu, Bai Hua She She Cao, Tu Bie Chong etc.
Key words: Ischemic Stroke, new theory
Writer: Yanzhou Yao
Mao Ming City TCM Hospital, Guangdong province (525000)
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