APHASIA

Clinical Manifestations
  • Aphasia is the loss of the ability to understand or express speech, caused by brain damage.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Generalized pains
  • Convulsions
  • Edema
  • Flaccid hemiplegia
  • The patient is unable to recognize friends or identify the source of pain
  • Stiffness with inability to rotate the trunk
  • Confusion
  • Muscular numbness and pain
  • Cough
  • Flushed face
  • Fever
  • Aphasia
  • Dry stools
  • Low-grade fever
  • T: Normal
  • C: Thin and yellow or Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Support the Normal Qi
  • Clear Heat
  • Relax muscle tension
  • Nourish the Blood
  • Disperse Wind
  • Dispel Wind-Damp
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Asymmetry of the face
  • Slow and slurred speech
  • Fever and chills
  • Semi-consciousness
  • Convulsions
  • Neck rigidity
  • Limited movement of the joints
  • Loss of consciousness
  • Muscle spasms
  • Low back pain
  • Numbness of the muscles and skin
  • T: Pale
  • C: Thin and white
  • P: Floating and Deficient or Tense or Wiry and tense
Treatment Principle
  • Warm the channels
  • Unblock Yang
  • Dispel Wind
  • Support the Normal Qi
  • Relax spasms
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Thirst
  • Insomnia
  • Major mental problems
  • Dramatic change of personality
  • Delirium
  • Speech difficulty
  • Aphasia
  • Poor memory
  • Dizziness
  • Maybe fainting
  • Maybe coma
  • Feverish extremities
  • T: Deep red
  • P: Thready and rapid
Treatment Principle
  • Clear Heat in Pericardium
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Red face
  • Body feels hot
  • Coarse breathing
  • Bad breath
  • Restlessness
  • Involuntary movements
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery, wiry and rapid
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Pale face with bluish lips
  • Limbs cold, pale and still
  • Lying peacefully
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: White and greasy
  • P: Deep, slippery and even
Treatment Principle
  • Open the Heart Orifices with Pungent Warming Herbs
  • Eliminate Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Mouth open and hands relaxed
  • Eyes closed
  • Limbs cold
  • Snoring
  • Perspiration ("flows like oil")
  • Incontinence of urine and feces
  • T: Not described
  • P: Minute and thready - about to collapse or Superficial and big but with no root (with a red face)
Treatment Principle
  • Support Zheng Qi
  • Consolidate Exhaustion
  • Strengthen Qi
  • Return Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Tinnitus
  • Blurred vision
  • A distended feeling in the eyes
  • A red face and ears
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphasia
  • Unsteady gait
  • Heart vexation
  • Irascibility
  • With Wind-Stroke:
    Tongue stiffness with aphasia
    Facial paralysis
    Sudden onset of hemiplegia often after an outburst of violent anger and often preceding
    Sudden loss of consciousness
    Deviated mouth and eyes
  • clouded Spirit
  • Maybe coma
  • Sometimes death
  • T: Red
  • C: Slimy
  • P: Thready and wiry or Wiry and slippery
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish the Blood
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Impaired vision
  • Night blindness
  • Tinnitus
  • Irascibility
  • Throbbing headache with distended feeling
  • Flushed face
  • Blurred vision
  • Red, dry eyes with feeling of grit in eye
  • Dry mouth and throat with bitter taste in mouth
  • Palpitations
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five Sole Heat (palms, soles and center of chest)
  • Night sweats
  • Light or late menses or
  • Amenorrhea
  • T: Red and dry
  • C: Little or None
  • P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
Herb Formulas
Points
Clinical Manifestations
  • Gradual development of hemiplegia
  • Usually seen in elderly patients
  • Low back and knee pain and weakness
  • Loose teeth
  • Hair loss
  • Tinnitus
  • Vertigo
  • Impaired memory
  • Blurred vision
  • Inhibited speech
  • Feeble-mindedness
  • A somber, white facial complexion
  • T: Normal
  • C: White
  • P: Deep, thready and weak
Treatment Principle
  • Enrich and supplement the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Muscle spasms with alternating flexion and extension of the extremities
  • Prostration
  • Clonic convulsions
  • Dizziness - worse with stress or anger
  • Tinnitus
  • Aphonia
  • Insomnia
  • Dream-disturbed sleep
  • Sore low back and knees
  • Nocturnal emissions
  • Often the patient is on the verge of shock
  • Hemiatrophy of the muscles
  • Hemiplegia
  • Hemianasthesia
  • Flaccidity of the legs
  • T: Deep red maybe flaccid
  • C: Thin or Peeled
  • P: Weak and faint
Treatment Principle
  • Nourish the Yin of the Liver and Kidneys
  • Extinguish Endogenous Wind
  • Nourish the muscles
Herb Formulas
Points
Clinical Manifestations
  • Paraphasia
  • Feeble-mindedness
  • Lack of Spirit in the eyes
  • Motor ataxia
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Numbness of the limbs with limited flexion and extension
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five Sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
  • Increase intelligence
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich the Yin
  • Nourish the Blood and Yang
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia as a sequela to Wind-Stroke
  • Insensitivity of the skin
  • Possible stabbing pain on the affected side
  • Hypertonicity of the sinews
  • Possible deviation of the mouth and eyes wit sluggish speech
  • A somber, white facial complexion
  • Dry, scaly skin
  • Weakness
  • Disinclination to speak
  • Spontaneous perspiration
  • Lassitude
  • Frequent urination or
  • Enuresis
  • T: Pale or Dark with possible maculae
  • C: White
  • P: Wiry and Thready or Empty and choppy
Treatment Principle
  • Tonify the Spleen
  • Boost Qi
  • Invigorates the Blood
  • Transform Stasis
Herb Formulas
Points
Clinical Manifestations
  • Relatively superficial numbness without pain
  • Paresthesia and numbness of the skin and flesh
  • Paresthesia of the shoulders
  • Neck and shoulder stiffness and pain
  • Abdominal pain alleviated by warmth and pressure
  • Pale complexion
  • Hemiplegia
  • Stiff tongue
  • Flaccidity if the extremities
  • Migratory pain
  • Pain, weakness, tightness or spasms of the extremities
  • Spontaneous sweating
  • Shortness of breath
  • Aphasia
  • Excess salivation
  • Aversion to Wind
  • T: Normal or Thick
  • C: White or Smooth and white or White and greasy
  • P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle
  • Tonify Qi and Blood
  • Warm and harmonize the channels and collaterals
  • Harmonize the Ying and Wei
  • Unblock painful obstruction
  • Warm the Middle Jiao
  • Dispel Cold
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • The tongue does not move freely
  • Unclear speech
  • Drooling
  • T: Deviated
  • C: Thin and slimy
  • P: Slippery and slow
Treatment Principle
  • Break up Phlegm
  • Open the Orifices
  • Invigorate the Blood
  • Break up Stasis
Herb Formulas
Points
Clinical Manifestations
  • Paralysis
  • Numbness
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Deviated tongue
  • Aphasia
  • Drool flows by itself
  • Dizziness
  • Tinnitus
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Hypertension
  • Stroke
  • T: Deviated and trembling
  • C: Thick or Thin and watery
  • P: Slippery and maybe wiry or Slippery and relaxed
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
  • Open the Orifices
  • Transform Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Migrating pain in the joints especially the :
    Shoulders
    Elbows
    Knees
    Wrists
    Fingers
    Upper back and neck
  • Multiple joints
  • Pain quality changes
  • May move from soreness to numbness to aching
  • Sensitivity varies
  • Pain often appears abruptly, acutely or paroxysmal and then disappears
  • Limited range of motion
  • Chills and fever
  • Aversion to Wind
  • Symptoms are worse in windy weather
  • Sore throat
  • General body aches
  • Maybe perspiration
  • T: Pink
  • C: Thin and white or Sticky and yellow
  • P: Superficial and moderate
Treatment Principle
  • Eliminate Wind
  • Warm Cold
  • Expel Damp
  • Clear the Channels
Herb Formulas
Points