Stroke non-drug therapy

ChangXueHui MengYi Henan institute of traditional Chinese medicine encephalopathy families

China's traditional Chinese medicine to

        Stroke is a middle-aged and old common disease, frequently-occurring disease, clinical to suddenly faint servant, hemiplegia, your breath skew, language and acerbity or aphasia, partial body numb for primary symptom, and has the onset acute and change fast, wind evil good number variable characteristics. Medicine is equivalent to the acute cerebrovascular disease. Now the stroke of non-drug therapy and nursing discussed below is as follows:

        Acupuncture therapy

        Generally in stroke patients condition after a relatively stable, can give acupuncture treatment. Using the ShiXueMin academician of consciousness-restoring obstruction-clearing needing method as the basic stitch of acupuncture triple method, supplemented by conventional method is provided with for filiform needle thorn, awake brain begin to understand, dredges the channels and collaterals, tonifying liver and kidney. Coma patients to promote wake of acupuncture and moxibustion, with 30 pin to sparrow pecking technique.

        Of consciousness-restoring obstruction-clearing needing method

        Main point: the close, people, three Yin chiao.

        Auxiliary hole: pole spring, the bilateral, chize.

        Operation method: first stab double side neiguan, straight thorn 0.5 ~ 1 inch, the twisting mention plug combined with catharsis, shi technique a minute; Among the thorns, the nasal septum direction oblique thorn 0.3 ~ 0.5 inches, with heavy sparrow pecking method, to the eye moist or tears for degree; Remise three Yin chiao, along the tibial medial border and the skin 45 degree Angle oblique thorn, into the needle 1 ~ 1.5 inches, with mention interpolation method, with a side lower extremity twitch 3 times for degrees. Pole spring, the original hole along down by 1 inch, avoid the armpit hair, straight thorn 1 ~ 1.5 inches, with mention plug catharsis, to suffer from lateral upper extremity twitch 3 times for degree; Scale ze, elbow flexion into 120 degree Angle, straight thorn 1 inch, with mention plug catharsis, so that patients forearm, finger twitch 3 times for degree; The bilateral, supine straight-leg raising acupoint selection, straight thorn 0.5 ~ 1 inch, shi mention plug catharsis, with a side lower extremity twitch 3 times for degrees. Main point auxiliary holes are not retaining needle.

        Limb function disorder treatment (conventional acupuncture needle stab method)

        Meridians in the

        Upper limb: Yu shoulder, arm Er, quchi, hand three mile, outside close, close valley, neiguan, eight evil, etc.

        Lower limbs: gb 30, chengfu, wind city, blood, LiangQiu, gb 34, sp9, taichong, weizhong, taichong, foot three mile, fung lung, etc.

        Operation: relaxation period technique to complement is given priority to, spasm stage technique flat filling-in diarrhea.

        If the patient muscle tension is low, muscle is 0 level, can cooperate back three acupuncture method. If there is any muscle tension or the patients increased the restless and optional awake brain begin to understand needle with scalp needle (scalp needle to take limb lateral movement area). Finger grip plus eight evil, houxi; Strephenopodia and high market, according to the sea.

        Zang-fu organs in

        To take off the card acupoint selection: close yuan, foot three mile, ShiDaYi column partition ginger moxibustion, shenque partition salt moxibustion.

        Closed card acupoint selection: ditch, twelve well, taichong, fung lung, laogong, etc.

        Language dysfunction treatment

        Awake brain begin to understand needle with scalp acupuncture, tongue needle. Scalp needle words were taken 1 area (motor aphasia), speech 2 area (anomic aphasia), speech 3 area (feel aphasia); Latch needle take JinJin, YuYe, yamen, ocean prick bloodletting, CV 23, clamp CV 23 (acusector).

        Swallowing dysfunction treatment

        Awake brain begin to understand needle with scalp acupuncture, scalp needle take balance; Another take wind pool, the bone, tianzhufeng, yifeng and prick pharynx posterior wall hemorrhage.

        The treatment of cognitive impairment

        Awake brain begin to understand stitch fit back three stitches. Back three stitch the Lord take du meridian to mans needle subcutaneous through thorn three groups of acupuncture point, long strong through gate of life, gate of life through to Yang, Yang to through big job, not retaining needle.

        Massage therapy

        Hemiplegia: acupoint selection: day Pope, liver shu, bravery shu, ke shu, shen shu, gb 30, YangLing, weizhong, bl 57, knee eye, st 41, chize, quchi, hand three mile, li4, etc. Methods: according to the method, rubbing method, rub method, brush method, etc.

        Shoulder hand syndrome: acupoint selection: li4, quchi, lack of basin, shoulder Yu, shoulder character, shoulder well, day Pope. Methods: a refers to zen pushing, point, press, take, switch, dial the stretch, shake, shake, rub.

        Cultivate nursing

        General care routine: hurry the person that weigh disease, should keep quiet, bed rest, avoid long distance move. Necessary when processing, the movement wants light, as far as possible to reduce or avoid vibration. Strictly control the visitation, forbid to disturb the patient. Coma patients take decubitus or head side turn, have dentures person must take out, at the same time release collar. Keep ErBian unobstructed, urinary retention or urinary incontinence of indwelling catheterization, need to be fashionable bladder douche. Constipation person with purge spirit capsule oral, or senna open blister clothing, or Chinese traditional medicine large bearing gas soup enema.

        To keep respiratory tract unobstructed: clear in time within the oral secretions and vomit, remove denture, the head turn to a side, prevent asphyxia and make ready to sputum suction. Much sputum and cough frequently take difficulty to blow back, the application of ultrasonic atomization for sputum discharge, belong to phlegm heat certificate can give fresh bamboo drain clearing heat and transforming phlegm; at the same time for tracheotomy bag, when necessary, trachea incision.

        Oral care: daily with yinhua liquorice liquid oral care 1 ~ 2 times. Have false teeth of the patients, the after meal and bedtime will take dentures, scrub clean in clean water after soaking. Take off the card ZhangZhe zang-fu organs in the mouth, with physiological saline gauze covering oral. I know not if mouth open available cutter with plum, south star at the end of the research wipe tongue. After a tongue drop can be applied tongue forceps.

        Skin care: to keep the bed clean, smooth, dry, no clastic, incontinence, vomiting and sweat out the circumstance such as more who should be scrubbed clean, clothing with wet with the change, urinary incontinence can be given indwelling catheterization, keep the perineum clean and dry. Patients in bed every 2 ~ 4 hours turn over, take back once, also can be used air cushion bed, compression part and bone juga place give safflower oil or gardenia wine local massage to removing promoting blood circulation, and promote the circulation of qi and blood.

        Diet nursing: diet should be light, difficulty swallowing or coma person, depending on the condition BiSi. Give low fat, low salt and sugar, high vitamin food, feed more bean products, tremella, black fungus, mushrooms, celery, onion, fish, strawberry, hawthorn, walnut and so on, smoking and fatness spicy wine quality. A water choke cough, swallowing difficulty, give liquid or semifluid small mouth slowly under feeding, when necessary, to give BiSi, prevent eating choke cough, induce hypostatic pneumonia.