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.
Dr. Ming's
TCM Medical Center,
Hua Xi Xiao Yuan, Hutian Developing Area,
Huaihua city,
Hunan province
China