Cerebrovacular tract disorder(wind-stroke)
Cerebrovascular Obstruction is comprised of cerebral hemorrage, cerebral thrombosis, cerebral embolism, subarachnoid space bleeding, cerebrovascular convulsion and their root causes are all different. Cerebral hemorragia is caused by hypertension along with arteriosclerosis. Cerebral thrombosis is caused by the narrowness of the intra-arterial cavity. Blood element transformation is caused by slow blood flow, cerebral embolism is caused by cerebrovascular activity blocked by elements in the form of solids, liquids, or gas. Subarachnoid space bleeding is caused by cerebroartery-vein malformation, congenitalaneurysm, hypertension, arteriosclerosis, and/or blood disease. Cerebrovascular convulsion is caused by small artery deformity caused by empty blood or swelling of the brain system.
These diseases in TCM are described as "wind-stroke" and their root causes are usually the loss of balance of yin and yang; empty-yin and liver yang uprising causes "fire" is changed to "wind" and Qi-blood becomes high which causes phlegm to block tube or channel - which is fundamentally considered the cause.
1)Cerebral hemorrage: Affected with old age, usually there is a clinical history of arteriosclerosis, hypertension. Sudden outbreak of stroke, falling down, paralysis of a side and if severe, four limbs numb, pupils not moving to the left and right, pupils getting small, meninx stimulation is not clear but, cerebrospinal fluid indicates thrombus and pressure is high.
2)Cerebral thrombosis: prevalent in middle age, usually glycosuria, red blood cell increasing, artery sclerosis has clinical history.
3)Cerebral embolism: prevalent in young age, history of heart disease, ilium's osteomere related blocking element is the cause of the development of the disease. Mind could be clear or clouded, hemiplegia is done, menix stimulation is not existant, and cerebrispinal fluid test is usually normal. In the case of heart disease, there are symptoms of the heart. For bacillary cardic liningitis, generation of heat, bleeding and spleen swelling develop; blood cultivation test will confirms virus.
4) Subarachnoid bleeding: prevalent in young-middle age, usually someone with the history of innercranium blood vessels problems or artery sclerosis and symptoms may resurface. Severe headache, vomitting, coma are common and in a few cases hemiplegia, menix stimulation is distinct and cerebrispinal fluid displays blood character and cerebrispinal pressure becomes high.
5) Cerebrovascular convulsion: rapid development, fast attacking, dizzy, headache, nausia, vomiting, etc, premonitory symptoms exists. Simultaneously, blood pressure rises and manifests hemiplegia, loss of eye sight, aphasia, coma, convulsion, etc. The course of the disease is short, within 1-2 hours natural recovery is expected. Normally, symptoms will not last more than a few days and aftereffect of disease is nonexistant but, recovery could be reversed in a short period of time and cerebrothrombosis could be set. For these symptoms, with TCM, we differentiate two different types of strict wind stroke and light strike.
Ⅰ.Strict wind: organized/recognized into "Tense type" and "flaccid type"
a. Tense type: sudden collapse, loss of consciousness, coma, clenched teeth, closed fistts, lock-jow, red face and ears, profuse sputum, rattling sound in the throat, coarse breathing, constipation, retention of urine tongue red, stiff, deviated, sticky-yellow coating.
b. Flaccid type: Sudden collapse, loss of consciousness, coma, hands and mouth open, eyes closed, pale face, oily sweat, beads on the forehead, incontinence of stool and urine, cold limbs, tongue pale Pulse minute-hidden-scattered
* Flaccid type symptom is more severe than Tense type and if Flaccid type advances develops into Tense type; when the tense type and flaccid type develops at the same time it is called interior-tense, exteriot-flaccid.
Open orifices, Clear heat, Down Qi, Restore Yang, Consolidate collapse, Invigorate blood Expel Wind
ⅰ.Tense type: Du26,12 Jing point, Ki1,Pc8,Gb20,Pc6,Li11,
ⅱ.Flaccid type: Du26,12 Jing point,Ki1,Pc8,Gb20,Pc6,Li11,Rn4,Rn6,St36,
Extra point: Pc7,Liv2,St25,St37,Rn17,Ub23,Du4,Liv3,Gb34,Rn22,St40
Tense type requires intense stimulation, Flaccid type requires light stimulation. For the first stage, acupuncture is performed and, for a patient who's Yang 뺘 is collapsed/collapsing add Rn6, Rn4, St36 moxa. Red face, thrist, anxiety, yellow urine, constipation, pulse: rapid full, wiry is fire blazing therefore add Pc7, Liv2, St25, St37. Four limbs cold, short breathing, minute-hidden-scattered add: Rn17, Ub23, Du4 with moxa. Headache, fire vertigo, hands and feet spasm, convulsion add: Liv3, Gb34. Rattling sound in the throat, chest tight, four limbs drop down, tongue pale, swelling, sticky, wiry-slippery pulse add: Rn22, St40, Pc6.