【 Key points of syndrome differentiation 】 Hemiplegia, crooked tongue, strong tongue, numbness, dizziness, dark tongue with thin and white coating.
[Treatment] Promoting blood circulation and removing blood stasis, resolving phlegm and dredging collaterals.
[Prescription] Huatan Tongluo Decoction: Pinellia tuber 6g, Poria cocos 10g, Atractylodes macrocephala 6g, Arisaema cum bile 6g, Pelargonium Gigeriae Galli 6g, Gastrodia elata 9g, Rhizoma Cyperi 10g, Salvia miltiorrhiza 15g and rhubarb 5g.
Pinellia ternata, Poria cocos and Atractylodes macrocephala in the prescription strengthen the spleen and eliminate dampness; Arisaema cum bile and Tianzhu Huang clear phlegm and heat; Tianma calms the liver and calms the wind; Rhizoma Cyperi soothes the liver and regulates qi, regulates qi and smoothes qi, and helps the spleen to eliminate dampness; Cooperate with Danshen to promote blood circulation and remove blood stasis; Rhubarb purges the bowels to cool the blood and prevent the bowels from being solid. The dosage of rhubarb should be light. Blood stasis, purple tongue or ecchymosis, add peach kernel, safflower and red peony root to promote blood circulation and remove blood stasis; Scutellaria baicalensis Georgi and Gardenia jasminoides Ellis are added for clearing away heat and purging fire if the tongue coating is yellow, greasy and irritable. Dizziness and headache, add chrysanthemum and Prunella vulgaris to calm the liver and calm the wind. Wind-phlegm interaction, blood stasis block, easy to turn from yang to heat over time, so clinical medication should not be too warm and too dry, so as not to help heat and lead to fire.
(2) hyperactivity of liver yang and imbalance of wind and fire.
【 Key points of syndrome differentiation 】 Hemiplegia, unilateral numbness, strong or silent tongue, or crooked tongue, dizziness and headache, red face and red eyes, bitter taste and dry throat, vexation and irritability, red or crimson urine, thin yellow tongue coating and strong pulse.
[Treatment] Gan Ping purging fire and dredging collaterals.
[Prescription] Tianma Gouteng Drink: Tianma 10g, Uncaria 15g, Gardenia 10g, Concha Haliotidis 15g, Achyranthes bidentata 10g, Scutellaria baicalensis 6g and Prunella vulgaris 12g.
Gastrodia elata, Uncaria rhynchophylla, Concha Haliotidis, Achyranthes bidentata, Scutellaria baicalensis, Gardenia jasminoides Ellis and Prunella vulgaris. For patients with dizziness and headache, Flos Chrysanthemi and Folium Mori are added; Cortex Moutan and Radix Paeoniae Alba are added for irritability; Dry stool, constipation and yellowing. If the symptoms are manifested as trance, wind and fire will disturb the resuscitation, and the midvein will be transformed into the viscera. You can take Niuhuang Qingxin Pill or Angong Niuhuang Pill together to awaken the mind. If pathogenic wind and fire force the blood to ascend, it can cool the blood to descend.
(3) Phlegm-heat with excess fu-organs and wind-phlegm disturbance.
【 Key points of syndrome differentiation 】 Hemiplegia, crooked tongue and mouth, unsmooth or speechless speech, numbness of one limb, abdominal distension, constipation or excessive phlegm, dark red or dull tongue, yellow or greasy fur, and slippery or large hemiplegic lateral pulse.
[Treatment] Resolving phlegm and dredging fu organs.
[Prescription] Xinglou Chengqi Decoction: raw rhubarb 5g, mirabilite 5g, Fructus Trichosanthis 10g, Arisaema cum bile 6g.
Raw rhubarb and mirabilite in the prescription can clear stomach, dredge fu organs and clear heat; Fructus Trichosanthis and Rhizoma Arisaematis cum bile can clear away heat and resolve phlegm, and Radix Salviae Miltiorrhizae can be added to promote blood circulation and dredge collaterals.
Yellow and greasy tongue coating, slippery pulse and constipation are the three characteristics of this syndrome. Gardenia and Scutellaria baicalensis Georgi are added for patients with obvious heat; Radix Rehmanniae, Radix Ophiopogonis, and Radix Scrophulariae can be added for the elderly, infirm and body fluid deficiency. If the stool remains unsolved for many days, phlegm-heat accumulation may even lead to irritability, insomnia and delirium. This is the syndrome that turbid qi does not fall, qi and blood move upwards, and it is committed by the brain. This is the syndrome of the viscera. It is the key to treat this disease to master and use the purgative method correctly. In view of this syndrome, the method of resolving phlegm and dredging fu-organs was adopted. First of all, it can dredge fu organs, remove blood stasis, dredge collaterals, apply qi and blood, and further improve hemiplegia. Second, it can eliminate phlegm-heat stagnation in gastrointestinal tract, make turbid pathogen not disturb the mind, correct qi-blood disorder, and achieve the purpose of preventing strangulation; Third, you can give first aid to the yin to prevent the yin from being robbed internally and the yang from being taken off externally.
(D) Qi deficiency and blood stasis
【 Key points of syndrome differentiation 】 Hemiplegia, mouth and tongue askew, salivation at the corners of the mouth, unsmooth or speechless speech, numbness on one side, pale complexion, shortness of breath and fatigue, spontaneous sweating, palpitation, thin stool, swollen hands and feet, dull tongue, thin white or greasy tongue coating, and thin or thin pulse.
[Treatment] Yiqi Huoxue, Fuzheng Quxie.
[Prescription] Buyanghuanwu Decoction: Radix Astragali 30g, Radix Angelicae Sinensis 10g, Radix Paeoniae Rubra 10g, Rhizoma Chuanxiong 10g, Semen Persicae 6g, Flos Carthami 6g, and Lumbricus 10g.
In this prescription, Radix Astragali is used to replenish qi, Radix Angelicae Sinensis is added to nourish blood, and Radix Paeoniae Rubra, Rhizoma Chuanxiong, Semen Persicae, Flos Carthami and Lumbricus are added to promote blood circulation, remove blood stasis and dredge collaterals. This prescription is also suitable for treating convalescence and sequelae. For patients with obvious qi deficiency, Radix Codonopsis and Radix Pseudostellariae are added to replenish qi and dredge collaterals; If the speech is unfavorable, Radix Polygalae, Rhizoma Acori Graminei, and Radix Curcumae should be added to resolve phlegm and begin to understand; Palpitation, wheezing, adding Ramulus Cinnamomi and Radix Glycyrrhizae Preparata to warm channels and activate yang; Add papaya, Lycopodium, and Stephania tetrandra to relax muscles and activate collaterals for numbness of limbs; If you ignore the upper limbs, add Guizhi to unblock the collaterals; Adding Radix Dipsaci, Herba Taxilli, Eucommiae Cortex and Achyranthis Radix to strengthen the bones and muscles of patients with lower limb weakness; Urinary incontinence, plus ootheca mantidis and Fructus Alpinae Oxyphyllae to warm kidney and fix astringency; For patients with severe blood stasis, drugs such as zedoary, leech, Euonymus japonicus and Spatholobus suberectus can be selected. Has been added. If qi deficiency and blood stasis occur in the acute stage, it is suggested not to reuse Astragalus membranaceus prematurely, so as not to help heat get angry and aggravate the condition.