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2012年02月20日
The effect of five Tang Zhi sequelae of ischemic stroke
China's traditional Chinese medicine reported
The effect of five party from the Qing Dynasty Wang Qingren Tangyuan" Lin medical error", is the treatment of stroke with Supplementing Qi and activating blood circulation on behalf of Astragalus, angelica, by Party, peony, earthworm, Rhizoma Chuanxiong, peach kernel, safflower. The author for many years on the basis of syndrome differentiation and treatment, with Bu Yang Huan five soup elininating thrombus treated by modified with Qi deficiency and blood stasis was the main pathogenesis of ischemic stroke ( meridians ) sequela patients, curative effect satisfaction. Cerebral infarction in the acute period after the majority of the patients have different degrees of hemiplegia, negative language, Kouyanwaixie sequelae. According to the relevant literature, combined with his more than 30 years of clinical observation, the disease sequela period in most of the patients with Qi deficiency and blood stasis syndrome as. Flexible and dialectical application of Bu Yang Huan five soup, the majority can be obtained more apparent effect.
Main disease: hemiplegia, Kouyanwaixie, slurred speech; symptom : exhausted, palpitation and shortness of breath, moving the sweating, pale yellow and white, muscular flaccidity, pale tongue petechia, ecchymosis of fat or white tongue.
Recipe: Jiawei Buyang Huan Five Decoction: red peony root, chuanxiong, earthworm, peach kernel, Salvia miltiorrhiza, ABPs each 10 grams, 90 grams Astragalus, angelica tail 15 grams, 6 grams of safflower, leech, centipede, scorpion 3 grams each. An agent, decocting two times take juice 800 ml, early, late two times before meals, 7 days for a course.
Pro: in addition and subtraction with Qi deficiency and blood stasis tongue a severe hemiplegia, Bo Bai, moss, pulse fine tart or chord fine astragalus on 120 to 300 grams, and obvious and dangshen or ginseng; constipation due to spleen deficiency combined with white atractylodes rhizome, Cistanche deserticola; splenasthenic Hygrosis greasy fur with herb, Yun Ling; deficiency of insomnia with Suanzaoren; virtual Yang floating head halo obvious and Gastrodia elata, Uncaria; and phlegm and blood stasis Kouyanwaixie, negative language or aphasia, the tongue is dim, white fur greasy, slippery pulse string, plus the stone calamus, tabasheer, Bombyx Batryticatus, bile star, white monkshood; and hyperactivity of yang due to yin deficiency, defecate is dry for several days no, tongue quality of red, yellow and greasy fur, pulse string effectively, increase yellow, mirabilite, ophiopogon root, figwort, purgative, Ziyin Runzao goods.
The medical record example: ran, male, 80 years old, August 24, 2005 newly diagnosed. Patients have a history of hypertension, 7 days before the sudden onset of left hemiplegia, spoken language is not clear, salivation. After the hospital CT examination combined with clinical manifestations diagnosis of cerebral infarction. Using conventional improve cerebral circulation of drugs and symptomatic treatment a week did not improve, requirement of TCM diagnosis and treatment. Moment the patient left upper extremity fail, limb soft faint, cannot walk alone, oral hard, pale complexion, pale tongue with fat, and purple tongue, thready pulse and weakness. Syndrome of qi deficiency and blood stasis, with Bu Yang Huan Five Decoction: 60 grams Astragalus, angelica, chuanxiong, radix paeoniae rubra, safflower, peach kernel, dragon each 9 grams, 30 grams of 9 grams of Salvia miltiorrhiza, Tianma Gouteng, 20 grams ( under ), wild jujube ( speculation) 12 grams, 20 grams of Achyranthes bidentata, white chrysanthemum 12 G. Continuous take after two courses of treatment to alleviate symptoms, continue to consolidate after two courses of treatment, muscle strength of lower limbs recovered to normal, action, speaking clearly, self-care, and engaged in the general physical labor, the follow-up showed no recurrence.
Experience: ischemic stroke ( meridians ) sequelae in acute period can now wind phlegm stasis, purging phlegm heat, liver yang hyperactivity disorders like. But its incidence is for the body healthy qi asthenia, so into the recovery period to appear as deficiency of qi. Because of deficiency of Qi and blood stasis to promote weak now, causing blockage of brain collateral, does not raise, sick for a long time difficult complex, the sequelae of cerebral infarction period appears much sign of qi deficiency and blood stasis; there are individual cases in recovery as initial manifestations of deficiency of Yin pneumatic or air cloudy two empty, but for a long time is often result in deficiency and blood stasis, reach the same goal by different routes. Combined with many years of clinical observation, sequelae of cerebral infarction patients with tongue to light fat with petechiae, thus made by supplementing qi and activating blood is the main treatment, and use of Bu Yang Huan five soup. The effect of five soup. Cerebral Infarction Disease with Qi deficiency and blood stasis syndrome pathogenesis of Astragalus on Invigorating Yang, as emperor, and blood activating drugs and insect drugs is supplemented. Combined with modern research, the party has to improve platelet function, improve patient abnormalities of platelet activation and fibrinolytic activity, improve patient bad blood circulation, regulate immune function, alleviate brain cell damage effects. ( Wang Yong )