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Cerebral
thrombosis is also recognized as atherosclerotic and thrombotic cerebral
infarction and is caused by the pathological changes of cerebral arterial wall
together with elevation of blood coagulation, leading to vascular narrowness,
obstruction and ischemic changes of the corresponding cerebral tissue, which may
be followed by necrosis. This disease, in TCM, is included in the category of
"zhong feng" (apoplexy).
Main
Points of Diagnosis
1.
The disease is more common in middle-aged and old people. There may be transient
numbness of limbs, fatigue and aphasia before the onset of the disease.
2.
The attack often occurs in sleep, when the blood pressure is lower and blood
flow is slower. A few cases may be seen after strenuous exercise.
3.
Neural manifestations include central monoplegia and hemiplegia. They may be
accompanied with aphasia, but are often with hemihypoesthesia and hemianopia.
There may also be disphagia and disturbance of consciousness. Unilateral optic
atrophy and Horner's syndrome may be present.
4.
Cerebrospinal fluid examination shows no change in pressure and cell content.
This can be used to distinguish cerebral thrombosis form cerebral hemorrhage. CT
scanning is helpful in the determination of location and extent of cerebral
necrosis.
Differentiation
and Treatment of Common Syndromes
Main
Symptoms and Signs: Slow onset, attacks occurring mostly in rest or sleep, full
consciousness, deviation of the eye and mouth, aphasia, hemiplegia, dark purple
tongue with thin and white fur, thready and weak pulse.
Therapeutic
Principle: Supplementing qi and nourishing blood, promoting blood circulation to
remove obstruction in the channels.
Recipe:
Modified Decoction Invigorating Yang for Recuperation.
astragalus
root
cinnamon
twig
peach
kernel
safflower
Chinese
angelica
ligusticum
rhizome
red
peony root
earthworm
red
sage root
achyranthes
root
All
the above herbs are to be decocted in water for oral administration.
Apart
from the above recipe, supplementary ingredients should be employed: 6 grams of
ground beetle should be administered for case with severe blood stasis; 15 grams
of codonopsis root for those with extreme deficiency of qi; 6 grams of prepared
aconite root for those with dominative cold; 10 grams of pinellia tuber and 10
grams of tabasheer for those with profuse sputum; 10 grams of grassleaved
sweetflag rhizome and 10 grams of polygala root for those with aphasia. If the
patient's blood pressure is normal, astragalus root can be dosed as much as 60
grams or even more; and if the patient has hypertension, the dosage of
astragalus root should be decreased in accordance with practical conditions. To
treat the case with deviation of eye and mouth, 10 grams of batryticated
silkworm, 6 grams of giant typhonium tuber and 6 grams of scorpion should be
administered; to treat constipation, 10 grams of hemp seed administered; to
treat those whose major symptom is paralyses of lower extremities, the
ingredients for nourishing the liver and kidney are to be included, such as 15
grams of loranthus mulberry mistletoe, 15 grams of prepared rehmannia root and
15 grams of fleece-flower root.
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