Today, let’s talk about stroke-related topics – stroke sequelae. The number of people with this disease is increasing now. In fact, after all In the case of spleen deficiency, phlegm-dampness, and blood stasis, the method of dredging collaterals is still chosen in clinical conditioning.
The disease is spleen deficiency, stagnation of phlegm and dampness, and blood stasis. The collaterals are the evidence, and it is treated by strengthening the spleen and removing phlegm, promoting blood circulation and removing blood stasis, and dredging the collaterals and opening the orifices.
Next, let’s talk about a case: Zhou, male, 59 years old, at first half of his body was numb, and his limbs were numb. Inflexible, not very neat when speaking.
Initial diagnosis: The patient suffered from hemiplegia after a stroke due to a period of poor mood, anger, palpitation, and abnormally high blood pressure. , After being in the hospital for a period of time, the condition improved, and he went home to rest. But because I can’t take care of myself in life, I can’t speak well, and I often get dizzy, so I found me. The patient had pale complexion, fat tongue, ecchymosis, white greasy fur, and thin pulse. It is a sign of spleen deficiency and internal stagnation of phlegm and blood stasis. Use the methods of invigorating the spleen and removing phlegm, promoting blood circulation and removing blood stasis for conditioning.
Astragalus, Atractylodes, Papaya, Alisma, Festival Calamus, Turmeric, Salvia, Chenpi, Pinellia, Poria, Coix Seed, Chuanxiong, Wushao Snake, Paoshanjia. It is the addition and subtraction of Fuba Decoction.
After a period of time, the patient’s numbness in the half of the patient is much better than before, and the dizziness is also less, and the speech and words begin to gradually Clear, and the tongue coating also recovered from greasy to thin white. These conditions all indicate that the phlegm-dampness in the patient’s body has begun to be eliminated, and the deficiency of spleen spleen has also improved a lot, but the previous ecchymosis on the tongue has not been completely improved, indicating that blood stasis and internal stagnation still exist. Dry Pinellia, Coix Seed, Poria, add Tuyuan, Chixueteng, promoting blood circulation and removing blood stasis, promoting Qi and nourishing blood.
When the patient came back, he was very upset and palpitated The ecchymosis on the tongue has also disappeared. The numbness of the limbs before is now relatively flexible, and the speech has begun to be clear, which means that the blood vessels have been dredged, but the dizziness before is still occasionally present, so I gave him gastrodia elata at home. , Prunella vulgaris, chrysanthemum, Achyranthes sichuanensis purify the anger, calm the liver and submerge the yang, hasn’t the white and greasy tongue coating improved, we will remove the two flavors of Alisma and papaya.
After a while, the patient called, and now the numbness of the limbs has completely disappeared, the movement is relatively flexible, and the speech and pronunciation are not Big problem, no communication, no dizziness. It’s just that I have just recovered, and I can’t have any major physical activities. After walking or exercising lightly for a long time, my limbs may become sore and weak. These are also the process of the body just recovering and need an adaptation process, and it will return to normal after a period of time. .
Let’s take a brief look, Scutellaria baicalensis, Atractylodes japonica, invigorating spleen, and dampness, with dried tangerine peel, Pinellia annua, Poria , Coix seed, Alisma increase the strength of strengthening the spleen and dampness; Coix seed, papaya, Sujin and activating collaterals also have the effect of strengthening the spleen and dampness; Besides, calamus, tulip clears the orifices and dispels phlegm; Good medicine, these flavors can be taken together to achieve the effect of invigorating the spleen and removing phlegm, invigorating Qi and removing dampness, promoting blood circulation and dredging collaterals. Well, that’s all for today. If you have any questions about stroke, you can leave a message.