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Acute stroke is often accompanied by setting gas impassability, constipation, therefore, the brain begin setting FuWei stroke early treatment is a very important link

 

 

The rule of brain heart-sweetening acute stroke

 

 

WangWeiFeng Shanxi institute of traditional Chinese medicine hospital of the third

 

 

China's traditional Chinese medicine reported

 

 

 

        Stroke is the head of the traditional Chinese medicine for curing, its sudden onset of illness, sudden onset, change quickly, there is a high incidence, mortality and morbidity high, high recurrence rate high and recovery rate is low, the characteristics of symptoms mainly for mouth eyes askew, words, partial body adverse numb, half-paralyzed, he ran out, and what unconscious, and saw a headache, vomiting, be agitated, convulsions, much sputum, hiccups, ErBian incontinence or couldn't wait for a symptom. Stroke is extremely dangerous, move off for the safety of life and death, it was key in treatment, especially the acute phase (within two weeks of treatment. In stroke the acute phase, because the brain dysfunction, often appear gastric bowel peristalsis to slow, western medicine called it "gastrointestinal attack", plus a lot of often cause dehydration drug use in patients with constipation, setting gas couldn't get through. Traditional Chinese medicine thinks, "big small intestinal all belong to the stomach", setting gas couldn't stomach gas is weak, and lost in the fall be caused by, "have the stomach is born, no stomach gas gas die", so the setting is FuWei stroke early treatment is very important in the process of a link. In clinical practice, because a lot of western medicine treatment intervention, traditional dialectical theory in stroke treatment early by certain limitations, and for the treatment of gastrointestinal paralysis appear, such lack of special effective means. The author summarized according to many years clinical practice, think TCM treatment has the originality, stroke patients with early gastrointestinal paralysis often presents with tianjin kui setting real, phlegmy heat setting real and power loss and take off of TCM syndrome, and then summed up "brain the setting three parties", the setting of the formulas to promote recovery god wake, respectively, apply to tianjin XieKui virtual, phlegmy heat setting real, take off the card type with vigour.

 

        Stroke setting empirical pathogenesis

 

        Stroke for the virtual table empirical, this virtual for kidney Yin deficiency, blood shortage, standard real reflect wind, fire, phlegm, stasis. Stroke are liver and kidney Yin kui, water is not han wood, Yin not system Yang, the wind liver Yang, qi and inverse disorderly, up in the opening; Or because the debility blood stasis, context block; Or phlegmy wet internal resistance, have closed the opening, etc. But no matter what for, can be caused by setting gas couldn't get through. Clinical reports about "40% ~ 65% of stroke patients with acute period heart-sweetening symptoms of gas impassability," or even "about 80% patients appear constipation symptoms". Stroke have grown old and frail, liver and kidney deficiency, tianjin blood deficiency, the intestinal lost in this embellish; Or have ever eat fat glycol wine, good little work escape, long-term mental tension, cause injury spleen qi stagnant, endogenous, close your upper resistance, angry machine lost drop; Or had a five volunteers biaoben huanji burning tianjin into phlegm, fluid deficient, the intestinal lost RunHua fire; After much of lie in bed, and upper resistance, stomach spirit not drop, warm sluggish intestinal; And the early clinical repeatedly with dehydrant treatment, cause the body fluid loss, the stool stem node. Stroke incidence after eating a lost, or the disease and increase of setting. Setting gas impassability, turbidity and making, may also be closed qing qiao, make illness.

 

        In addition, western medicine as is the use of medicine of dehydration constipation is one of important factors, modern medicine thinks, move bowels impassability, intestinal toxins tend to enter the bloodstream, which added to the influence of brain function.

 

        Treatment principle

 

        Stroke in brain lesion site no doubt, stroke patients have faint flapping, god knows a darkened, unconscious wait for a symptom, so in treatment using the method of setting a brain disease stop the evil change, make evil to are the answer, dispelling the evil that is AnZheng; Can also auxiliary regulating zang-fu function, centralizer evil to; Stroke is not only of setting available, setting gas not rain also can not apply appropriately. For stroke urgent severe, as long as the patient is not very empty to take off, the setting is under attack application and the appropriate early shoulds not be late, abdominal distension, constipation, pulse real is will use syndrome.

 

        Points type differentiation

 

        Tianjin XieKui virtual

 

        Symptom: disease see body fluid deficiency and setting gas impassability, constipation, flawed god know not clear and so on patients, and red tongue, moss is little and dry, pulse count.

 

        Treatment: Yin clear heat, the setting up of god, with the party brain setting number one party.

 

        Drug composition: raw land 15 grams, dwarf lilyturf 10 grams, the xuan and 15 grams, altogether 10 grams, of frutus 15 g, one of the 10 grams, rhubarb 10 grams, ligustici chuanxiong rhizoma 12 grams, broomrape 15 grams, danshen 15 grams, the donkey-hide gelatine 10 grams, born licorice 6 grams, etc.

 

        Phlegmy heat setting real

 

        Symptom: disease see half-paralyzed, your breath skewed, words Jian astringent or remained silent, feel drops or disappear, headache dizzy, cough up phlegm or much sputum, abdominal distension and it dried constipation, dark red tongue quality, moss yellow greasy, pulse string slide or hemiplegia side slip and strings; Further sudden onset, god knows a darkened, nose to snore phlegm Ming, half-paralyzed, body strong limit spasm, nasty, build a hot, historically bad breath, about ibs restless, further brothers jue cold, frequent twitching and an occasional hematemesis and red tongue quality drop and moss brown and greasy, pulse string slippery number.

 

        Treatment: phlegm clear heat, the setting up of god, with the party brain setting number two parties.

 

        Drug composition: this 10 grams, dried tangerine or orange peel to 10 grams, the melon 30 grams of semen, lignad 10 grams, zhejiang bei 10 grams, radix scutellariae 10 grams, of frutus 15 g, one of the 10 grams, rhubarb 10 grams, betelnut 10 grams, MangXiao 9 g, its 20 grams, bamboo 9 g radha, born licorice 10 grams, etc.

 

        Losing power off

 

        Symptom: disease see offers stunning to know, shut eyes open, his limbs lax collapse, limb cold sweat, move bowels impassability, tongue was huddled up, tongue qualitative dark purple, moss white greasy, pulse micro desire unique.

 

        Treatment: back to Yang solid take off, the setting up of god, with the party brain setting number three parties.

 

        Drug composition: red ginseng 15 grams, dwarf lilyturf 15 grams, fructus schisandrae 15 grams, cassia twig 10 grams, system of lateral 10 grams, sweet 10 grams, dry ginger 9 g, dried tangerine or orange peel to 10 grams, Fried semen raphani 15 grams, of frutus 15 g, one of the 10 grams, rhubarb 10 grams, ligustici chuanxiong rhizoma 12 grams, roasted liquorice 6 g, etc.

 

        experience

 

        Stroke the acute phase, is in the zang-fu organs and meridians dysfunction, qi and Yin and Yang partial partial failure, and on the basis of produce fire, phlegm, blood stasis, and virtual, lead to NaFeng, setting real, opening the occurrence of closed card. The wind refers to BingShi speaking, and fire, phlegm, blood stasis, and the source of a virtual wind, also cause setting real, opening in the main cause of closed. Setting gas impassability, is hot, qi stagnant, blood stasis of the evil, without the beaten road, make real and what more rampant, sudden occurrence of major of warm big like; Or the original Yin deficiency for setting gas impassability, and further depletion of the evil hot really cloudy, thus aggravating illness. At this time only by flat out the wind variable, liver sputum tongluo, blood circulation, nourish Yin out the wind, and begin to wake up the law of god is HuanBuJiJi. Only the setting method is for inverse diarrhea down to buy.

 

        But the setting purgation, not just the next. Must choose the syndrome differentiation method can achieve the ideal setting the effect. The setting method in stroke treatment of acute stage effects are as follows:

 

        A HuangTong drop by tanner, yangming setting in reality, and lead blood descending, straight BaoKang fold the liver Yang. Make KangYang descend and "gas return".

 

        Two is to borrow, HuangTong setting of nitrate purging fire spilled hot purposes, FuDeChouXin namely, make hot from out of the evil under.

 

        Three is to clear the block in gastrointestinal phlegmy heat stagnant, make phlegmy heat or phlegm polluted evil shall not cross the gods, to prevent shut off or the purpose of opening and closing begin.

 

        Four is unobstructed setting gas, remove stasis of collaterals, compress qi and blood, the blood of the evil that heat from below, except, not about the gods.

 

        Five is urgent XiaCun cloudy, make hot Fried burning will exhaust is Yin preserved, in case of Yin "within, Yang to take off at outside.

 

        Therefore, in the acute phase of the stroke treatment, no matter whether BiJie shit, all emphasize the setting method using the syndrome differentiation and early treatment. Setting gas unobstructed, and have a way, disease will changes for the better. Clinical use, can a method is given priority to, and with the disease, using a "brain the setting three party".