Stroke, including cerebral infarction and cerebral hemorrhage as mentioned by Western medicine, is also called hemiplegia, which is mainly manifested by unfavorable movement of one limb, unfavorable speech, crooked mouth and tongue and other symptoms, and in severe cases, coma will occur.
Stroke has long been the leading cause of death among mainland residents, and has a high recurrence rate. The pathogenicity of stroke is based on the deficiency of righteous qi, and the phlegm and stasis are the standard.
"Jin Kui Yaolu: Stroke Calendar Disease Pulse Syndrome and Treatment" Yiyun "The husband is a disease, when half of the body is not successful, or the arm is not successful, this is paralysis." The pulse is slight, and the stroke is caused. Those who have a "weak pulse" in this are caused by the deficiency of righteous qi, revealing the pathogenesis of stroke in the righteousness and deficiency.
"The evil lies in the network, and the skin is unkind. The evil lies in the scriptures, that is, it is invincible. Evil enters the house, that is, does not know people. When evil enters the hidden, the tongue is unspeakable, and the mouth is drooling. "Inside
It describes in detail the symptoms and manifestations of stroke, and depending on the part of the wind evil, the symptoms and manifestations are also different, some have drooling at the corners of the mouth, speech is unfavorable, some have numb skin, some have heavy body on one side and cannot even move, and some are unconscious and unable to recognize people.
Middle-aged and elderly people are the people with a high incidence of stroke, the reason is that the middle-aged and elderly people are deficient in qi and blood, once they feel the external evil, they are prone to stroke, and in recent years, the incidence of stroke has become younger and younger, and many young people will also have stroke after staying up late or overwork.
"The floating person's blood is deficient, the veins are empty, the thief is evil, or left or right, the evil qi is slow, the righteous qi is urgent, the righteous qi leads the evil, and the secluded is not successful. ”
This passage is about the pathogenesis of stroke, because there is insufficient blood in the blood vessels, so the veins are empty, and at this time, when you feel the external evil, it is easy to have the symptoms of stroke.
According to the pathogenesis of qi deficiency and blood stasis caused by stroke, Wang Qingren, a famous doctor in the Qing Dynasty, created the famous prescription Buyang Huanwu Tang, which is also a commonly used prescription for the clinical treatment of stroke.
Qi is the handsome of blood, and the blood normally follows the veins, all of which depend on the control and promotion of qi. If qi is deficient, blood stasis will not work. If the blood is unfavorable, it is water, and if the blood stasis is abnormal, the water metabolism is abnormal, and the fluid is yin, and it cannot be transported without qi, and if the qi is deficient, it is damp and turbid, and then the phlegm is drunk.
Phlegm, turbidity and blood stasis are all tangible evils, which are mutually reinforcing, blocking the meridians and obstructing qi and blood.
If the brain is not nourished, then you will see faint and speechless, crooked, and have a stroke. We know that hemiplegia, crooked mouth and eyes, difficult speech, and drooling at the corners of the mouth are very common strokes.
The meridians on one side of the patient are blocked, and the body loses nourishment, so it is hemiplegic.
The meridians are blocked, or it is due to qi deficiency and blood stasis. Qi deficiency, can not be handsome blood, qi and blood do not run smoothly, the meridians will be nourished.
At this point, the patient's tongue is dark, and the pulse is stagnant, which is evidenced.
Wang Qingren of the Qing Dynasty profoundly realized that the loss of vitality of stroke disease is its origin and blood stasis is its direct cause, and founded the theory of "qi deficiency and blood stasis".
In terms of treatment, it is believed that "those who specialize in replenishing qi will become more stasis as qi is replenished." ”
The purpose of treatment can only be achieved by using blood tonic and blood activating agents to clear the blood tract and make the vitality directly reach the sick place.
Under the guidance of this theory, Wang founded the famous formula of mending yang and returning five soups.
The dosage of the original recipe is 120g of astragalus (raw), 6g of angelica tail, 5g of red peony, and 3g of dilong (to soil), Chuanxiong, safflower, and peach kernel.
When is the five soups for yang supplementation?
1. Half-body paralysis, numbness or pain in limbs.
2. Bad wind and sweating, swelling of the lower limbs.
3. The tongue is light and fat, purple and dark, or there are petechiae.
This prescription is not only a representative prescription for invigorating qi and invigorating blood, but also a common prescription for the treatment of sequelae of stroke.
The clinical application is based on hemiplegia, slanted mouth and eyes, dull tongue, pale moss, and slow and weak pulse.
However, the clinical application does not have to be confined to the disease of hemiplegia, and many other diseases, as long as the syndrome is qi deficiency and blood stasis, can be used.
Including many cardiovascular diseases, headaches, sciatica, chronic nephritis, systemic lupus erythematosus and other autoimmune diseases, etc., there is a place for this prescription.
In order to be flexible and powerful, the movement of the limbs needs to reach the surface of the body and nourish the muscles, so this formula uses a large dose of astragalus to replenish the qi of Zhongjiao and push it to the surface of the body.
At the same time, it is compatible with small doses of angelica, safflower, peach kernel, red peony, Chuanxiong, Dilong, etc. to invigorate blood and dispel blood stasis, which is suitable for qi deficiency and blood stasis syndrome of stroke.
As the name suggests, the yang qi that replenishes the yang qi is also five, which is half of the body, that is, the hemiplegic part of the body is restored to normal by replenishing yang qi.
The five soups are composed of raw astragalus, peach kernel, safflower, angelica, Chuanxiong, red peony, and earth dragon. Astragalus is the king in the formula, and the dosage is the largest, and the four taels of raw astragalus focus on replenishing qi. Qi is bloody, add a small dose of peach kernel, safflower, angelica, Chuanxiong, red peony to invigorate blood and replenish blood, add Dilong to pass the meridians, and anti-adjuvant.
Buyang Huanwu Tang can not only help with recovery after stroke, but also treat a variety of symptoms in stroke patients.
1. Alleviate post-stroke depression
After stroke, many patients will be depressed, pessimistic, emotional, sad and crying, and unwilling to communicate with others, this depression is affected by the stroke itself, and the other is psychologically unable to accept the reality.
Buyang Huanwu decoction can alleviate depression after stroke, white peony in the recipe has the effect of soothing the liver and relieving depression, while angelica and Chuanxiong can nourish the liver and blood, and Chuanxiong also has the effect of relieving depressive symptoms.
2. Relieve the difficulty of defecating after stroke
People who have had a stroke have dry stools and even weak bowel movements. This is because stroke patients are more bedridden, lack of exercise leads to weakened intestinal peristalsis, and the first is that the acute phase of stroke is often accompanied by heat image, which will also lead to dry stool, coupled with stroke patients themselves qi deficiency, unable to promote stool discharge, so constipation is a major problem for stroke patients.
Buyang Huanwu decoction can treat constipation, astragalus can replenish qi and treat constipation caused by qi deficiency, angelica sinensis can treat constipation caused by blood deficiency, white peony itself also has a laxative effect, and peach kernel itself has a laxative effect.
3. Treatment of post-stroke hypertension
After a stroke, whether it is due to stress response, narrowing of blood vessels, or stroke caused by hypertension, most patients with stroke are accompanied by high blood pressure. And the five soups can lower blood pressure.
Many people think that astragalus raises blood pressure, but in fact, a small dose of astragalus has a pressor-boosting effect, while a large dose of astragalus has the effect of lowering blood pressure, which is the two-way regulating effect of traditional Chinese medicine;
Summary: After stroke, especially during the recovery period and sequelae of stroke, most patients will show the syndrome type of qi deficiency and blood stasis, and at this time, using Yang and Five Tang to regulate can not only help the body restore healthy qi, help the body recover quickly, but also solve a variety of sequelae after stroke.