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CEREBRAL THROMBOSIS

GENERAL

Clinical Manifestations	Cerebral venous sinus thrombosis (CVST) occurs when a blood clot forms in the brain's venous sinuses. This prevents blood from draining out of the brain. As a result, blood cells may break and leak blood into the brain tissues, forming a hemorrhage.
Treatment Principle
Herb Formulas
Points	GB-20. GB-21, GB-34, LI-4, LI-11, LI-15, SP-6, UB-10, UB-11, UB-60 Within two days of onset: DU-15, DU-16

WIND-COLD WITH QI DEFICIENCY

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	Xiao Xu Ming Tang
Points

SPLEEN AND STOMACH QI DEFICIENCY

Clinical Manifestations	Dizziness Light headedness Anorexia Spontaneous sweating Chronic diarrhea Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Pterygium Tinnitus Hearing loss Diminished visual and aural acuity Blurred vision Abdominal pain T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Yi Qi Cong Ming Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

LIVER QI STAGNATION INVADES THE STOMACH

Clinical Manifestations	Chest and abdominal distention A stifling sensation in the chest and abdomen Fixed pain in the hypochondria Belching with a fetid odor Nausea Vomiting Epigastric and abdominal fullness and pain Acid reflux Mild coughing with copious sputum Reduced appetite Indigestion T: Normal C: Thin and white or Greasy or Slippery, P: Wiry and taut or Running
Treatment Principle	Regulate Qi Release all types of Stagnation (Qi, Blood, Phlegm, Fire, Food and Dampness)
Herb Formulas	Yue Ju Wan
Points

LIVER WIND STIRRING: LIVER FIRE (YANG) GENERATES WIND WITH QI AND YANG DEFICIENCY AND BLOOD STAGNATION

Clinical Manifestations	Dizziness Vertigo A feeling of distention in the eyes Tinnitus Feverish sensation in the head Headache Irritability Flushed face as if intoxicated Swelling of the eyes Frequent belching Progressive motor dysfunction occurring over hours to days Development of facial asymmetry Sudden loss of consciousness Spasms Heat and pain of the brain Mental confusion with moments of lucidity Inability to fully recover after loss of consciousness Hiccups Belching Irritable Heat in the Heart Tremors Limited mobility of the limbs Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Red C: Thin and white P: Wiry, Excess and long or Moderate
Treatment Principle	Sedate the Liver Extinguish Wind Nourish Yin Anchor Yang Tonify Qi Activate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Cerebral Thrombosis #1 Zhen Gan Xi Feng Tang
Points

BLOOD STAGNATION

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in chest or oppressed sensation in the sternum Maybe drawing pain down internal aspect of arm or back (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent In severe cases: Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted or Uneven and slow or Knotted and intermittent
Treatment Principle	Invigorate the Blood Promote the movement of Qi Dispel Blood Stasis Relieve pain Clear Heat Cool the Blood
Herb Formulas	Guan Xin Er Hao
Points

QI AND BLOOD STAGNATION

Clinical Manifestations	Heart pain Headache Stomach pain Abdominal pain Back pain Leg pain Arm pain Bruising and swelling due to traumatic injury Rheumatic pain Fixed abdominal masses Internal or external ulcerations Dark or echymosis spots Scrofula T: Dark or Purple with purple spots C: Normal P: Wiry or Choppy
Treatment Principle	Invigorate the Blood Dispel Blood Stasis Unblock the collaterals Alleviate pain
Herb Formulas	Huo Luo Xiao Ling Dan
Points

BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Lower abdominal distention and pain (usually on right) Pain increases on pressure with rebound tenderness Guarding of the abdominal musculature Groin pain resembling urinary dysfunction without urinary difficulty Groin pain relieved by flexing hip and knee Groin pain intensified by extending hip Perspiration Irregular or intermittent fever followed by chills and perspiration May be mass in lower right quadrant of abdomen Aversion to Cold Hard lumps T: Pink C: Thin, white or yellow and greasy P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle	Drain Heat Break up Blood Stasis Invigorate the Blood Disperse nodules Reduce swelling
Herb Formulas	Da Huang Mu Dan Pi Tang
Points

BLOOD STAGNATION DUE TO QI DEFICIENCY

Clinical Manifestations	Slow onset Attacks occur mostly at rest or when asleep Full consciousness Deviation of the eyes and mouth Aphasia Hemiplegia T: Dark purple C: Thin and white P: Thready and weak
Treatment Principle	Supplement Qi Invigorate the Blood Tonify Yang
Herb Formulas	Bu Yang Huan Wu Tang modified
Points

WIND-PHLEGM-HEAT

Clinical Manifestations	Sudden heaviness Numbness or paralysis of the extremities on one side of the body Facial paralysis Dysphagia Disordered consciousness Dry stools Constipation Dizziness Copious Phlegm Drooling T: Stiff and quivering or Deviated C: Greasy and yellow P: Wiry and slippery
Treatment Principle	Expel Phlegm and Heat through the bowels
Herb Formulas	Xing Lou Cheng Qi Tang
Points