Note: The following text is selected from A
Practical English-Chinese Library of Traditional Chinese Medicine by
Enqin Zhang(Engin CAN), he was the chief editor&author of the books, now
lecturing and practising Chinese medicine at The Asante Academy of Chinese
Medicine in the Middlesex University Archway Campus, 2-10 Highgate Hill,
N19 5LW, London, U.K.For more information, Tel:0044 7804709475;
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.
Supplementing qi and nourishing blood, promoting blood circulation to remove
obstruction in the channels.
Recipe: Modified Decoction
Invigorating Yang for Recuperation.
red peony root
red sage 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
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
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