WIND stroke considered to be an emergency may be manifested by falling down in a fit with loss of consciousness or hemiplegia, with symptoms such as slurred speech, deviated mouth. It can be categorized by abrupt onset with pathological changes varying quickly like wind, from which the term ‘wind stroke’ comes. Wind energy itself is not painful symptoms as pain is result of the contraction. When wind is mild, predictable, it belongs to Yin, can be considered Yin wind stroke. But, when wind is strong, unpredictable, short in duration like a typhoon or tornado, it belongs to Yang, accordingly can be differentiated.
WIND stroke often occurs in aged who are in poor health, with deficiency of vital energy and blood, or deficiency in lower part of the body and excess in upper part. It may be caused by deficiency of kidney due to sexual indulgence or by irregular food intake, which impedes the transportation and transformation function of spleen, leading to production of phlegm from accumulated dampness and transformation into heat. It may impede imbalance of Yin and Yang. Other causative factors are exasperation, agitation, alcohol indulgence or overeating, over strain and stress or invasion of exogenous pathogenic wind, all leading to upsurge of Yang liver and heart fire which makes vital energy and blood go upward together with turbid phlegm, disturbing mind and resulting in this disease.
In mild cases there are only symptoms showing dysfunction of meridians and collateral’s, while in severe cases both dysfunction of organs and meridians are manifested. Tense syndrome results from disturbance of mind by phlegm heat or collection of excessive fire in heart and liver while flaccid deficiency syndrome results from deficiency of vital energy or collapse of kidney yang. In untreated or improperly treated cases, tense syndrome tends to become flaccid and prognosis is often poor.
Tense syndrome-Main manifestations: falling down in a fit with loss of consciousness, tightly closed hands and clenched jaws, flushed face, coarse breathing, rattling in throat, retention of urine, constipation, red tongue with thick yellow or dark grey coating, string-taut, rolling and forceful pulse. Wind stirred up by upsurge of liver yang sends vital energy and blood upwards, which together with accumulated phlegm fire disturb the mind, leading to sudden loss of consciousness with tightly closed hands and clenched jaws, flushed face, coarse breathing, retention of urine and constipation. Excessive wind phlegm brings about rattling in throat, red tongue with thick yellow coating or dark grey coating, string-taut, rolling and forceful pulse are signs of wind combined with phlegm fire.
Flaccid syndrome-Main manifestations: falling down in a fit and sudden loss of consciousness with mouth agape and eyes closed, snoring but feeble breathing, flaccid paralysis of limbs, incontinence of urine, flaccid tongue, thready, weak pulse and in severe cases cold limbs or flushing of face as rouged, fading or big floating pulse. Severe weakness of primary vital energy, separation of Yin-Yang and exhaustion of energy indicates mouth agape, eyes closed, snoring but feeble breathing, flaccid paralysis, and incontinence of urine. flaccid tongue and thready weak pulse suggest the deficiency of blood and prostration of the kidney yang. If complicated with cold limbs, flushed face, fading or big floating pulse, it is a critical case, indicating exhaustion of Yin in lower portion of body and upward going of isolated Yang.
There are two categories, one is that only meridians and collaterals are attacked without organs being involved. Other is that after wind stroke function of affected organs have been restored, yet there exists stagnation of vital energy and blood in meridians.
Main manifestations: Hemiplegia, numbness of limbs, deviated mouth, slurring of speech, accompanied by headache, dizziness, vertigo, twitching of muscles, red eyes and flushed face, thirst, dryness of throat, irritability, string taut and rolling pulse.
Analysis: wind phlegm enters the meridians due to imbalance of Yin-Yang, causing retarded circulation of vital energy and blood. Hence appears hemiplegia, numbness of limbs, deviated mouth and slurred speech. It complicated with up surging of liver yang and upward disturbance of wind yang, the symptoms are headache, dizziness, vertigo and twitching of muscles. If there is excessive fire in heart and liver, there may be red eyes and flushed face, thirst, dryness of throat and irritability. Stagnation of wind phlegm leads to a string taut and rolling pulse.
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