(1) Qi deficiency and blood stasis type: The treatment principle of this kind of hemiplegic patients should be invigorating qi and promoting blood circulation, removing blood stasis and dredging collaterals. Optional prescription is Buyanghuanwu Decoction, and prescription drugs include Radix Astragali, Radix Salviae Miltiorrhizae, Caulis Spatholobi, Radix Angelicae Sinensis, Radix Paeoniae Rubra, Semen Persicae, Rhizoma Chuanxiong, Ramulus Cinnamomi, Flos Carthami, Lumbricus, Radix Achyranthis Bidentatae and Radix Glycyrrhizae. If the patient is partial to qi deficiency, drugs such as Radix Astragali or Radix Pseudostellariae can be reused; If the patient has blood stasis, Rhizoma Sparganii, Rhizoma Curcumae, Hirudo and Radix Notoginseng can be added; Zheng Qian powder can be added for those with skewed mouth and eyes; For those with numbness of limbs, Ramulus Mori and Scolopendra can be added simultaneously. Cortex et Radix Polygalae, Rhizoma Acori Graminei and Radix Curcumae can be added for patients with speech disorder. For those with yang deficiency and tepid hands and feet, Radix Aconiti Lateralis Preparata and Cortex Cinnamomi can be added at the same time. Constipation patients can add wine rhubarb or senna leaf. Codonopsis pilosula, Atractylodis Rhizoma and Poria can be added for patients with spleen and stomach weakness and loose stools. Drugs that can be added to patients with urinary incontinence include Radix Rehmanniae Preparata, Cornus officinalis, Fructus Alpinae Oxyphyllae and ootheca Mantidis.
(2) Hyperactivity of liver yang: The treatment should be based on the principle of nourishing yin and suppressing yang, calming the liver and calming the wind. The selected prescription is called Zhengan Xifeng Decoction: raw ochre, raw white peony root, raw keel, dried rehmannia root, selfheal, raw malt, raw oyster, salvia miltiorrhiza, Scrophularia, Scutellaria baicalensis, Gardenia, Chuanxiong and raw licorice. If the fever is obvious, Radix Gentianae and Gypsum Fibrosum can be added at the same time. Drugs that can be added to patients with numbness, poor flexion and extension or tremor include centipede, scorpion and Agkistrodon. Patients with headache and dizziness can also add Uncaria, Chrysanthemum and Tribulus terrestris. Drugs that can be added to patients with dysphonia include Acorus calamus, Radix Curcumae, and concretio silicea bambusae. Constipation patients can also increase jaundice.
(3) Heart-kidney yang deficiency type: The principle of nourishing yin and strengthening yang, calming wind and inducing resuscitation should be adopted in the treatment of this kind of stroke hemiplegia patients. The optional prescription is named Dihuang Yinzi: Radix Rehmanniae, Radix Astragali, Corni Fructus, Radix Morindae Officinalis, Herba Cistanches, Dendrobium, Radix Polygalae, Rhizoma Acori Graminei, Radix Ophiopogonis, Achyranthis Radix, Fructus Schisandrae Chinensis, Radix Aconiti Lateralis Preparata and Scorpio. For patients with deficiency of kidney yin and asthenia of bone steaming, three kinds of drugs can be added: Ramulus Mori, Carapax Trionycis and Cortex Lycii. Epimedium and Rhizoma Curculiginis can be added for patients with kidney-yang deficiency, and Codonopsis pilosula or Ginseng can be added for patients with qi deficiency.
The secret recipe of syndrome differentiation and treatment of stroke hemiplegia is introduced here. I hope that patients' friends can take medicine under the guidance of professional doctors. Acupoint massage or acupuncture should be supplemented during medication, which can promote blood circulation, improve physical fitness and improve hemiplegia symptoms as soon as possible.