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Stroke & Parkinson's Disease

- The Clinical Practice of Chinese Medicine

by Huang Pei-xin and Liu Mao-cai

Stroke and Parkinson's disease are both frequently seen in the neurology department. These conditions affect a great number of individuals around the world, most commonly appearing in the elderly.

In recent decades, the fatality rates associated with stroke have been brought within control, but the issues of recurrence and morbidity have yet to be resolved. For rescue and treatment during the acute stage, Chinese medicine applies a strategy of regulation while both strengthening physical resistance and eliminating pathogens, or methods may be also applied that simultaneously tonify and free the vessels, depending upon specific pattern differentiation. both clinical experience and experimental research demonstrate that Chinese medicine offers superior therapeutic results when combined with standard rehabilitation methods.

Although present pharmaceutical approaches to treatment achieve certain therapeutic effect, many side effects usually result. Furthermore, these approaches fail to prevent progression. Systematic literature review shows that the application of Chinese medicine results in a definite therapeutic effect with very few side effects. This fact indicates that further research is certainly indicated. This book is to introduce overseas readers to the Chinese medical experience, while offering a variety of complementary treatment methods for both stroke and Parkinson's disease. It helps readers get an overall understanding of Chinese diagnosis and treatment methods, as well as providing specific therapeutic approaches for patients suffering from stroke and Parkinson's disease.

Stroke

by Huang Pei-xin, Liu Mao-cai, Huang Yan, Luo Xiao-dong, Lu Ming

Overview
Chinese Medical Etiology and Pathomechanism
Chinese Medical Treatment
  Pattern Differentiation and Treatment

  1. Treatment during the Acute Stage
  2. Treatment during the Residual Stage

  Additional Treatment Modalities

  1. Chinese Patent Medicine: 清开灵口服液Qing Kai Ling Kou Fu Ye; 脑血康口服液Nao Xue Kang Kou Fu Ye; 西黄丸Xi Huang Wan; 藻酸双脂钠片Zao Suan Shuang Zhi Na Pian; 安脑片An Nao Wan; 安宫牛黄丸An Gong Niu Huang Wan, 苏合香丸Su He Xiang Wan, 紫雪丹Zi Xue Dan, 新雪丹Xin Xue Dan, 至宝丹Zhi Bao Dan; 脑脉宁片Nao Mai Ning Pian, 复方丹参片Fu Fang Dan Shen Pian, 华佗再造丸Hua Tuo Zai Zao Wan; 川芎嗪片Chuan Xiong Qin Pian; 中风回春丸Zhong Feng Hui Chun Wan; 大活络丹Da Huo Luo Wan; 心脑舒通胶囊Xin Nao Shu Tong Jiao Nang; 回天再造丸Hui Tian Zai Zao Wan; 人参再造丸Ren Shen Zai Zao Wan; 偏瘫复原丸Pian Tan Fu Yuan Wan; 灯盏花素片Deng Zhan Hua Su Pian, 消栓通络片Xiao Shuan To Luo Pian; 丹七片Dan Qi Pian; 脑安胶囊Nao An Jiao Nang
  2. Acupuncture and Moxibustion
  3. Electro-acupuncture Therapy
  4. Scalp Acupuncture
  5. Ocular Acupuncture Therapy
  6. Blood-pricking Therapy
  7. Point Embedding Therapy
  8. Pottery Needle Therapy
  9. Auricular Acupuncture
  10. Tui-na Therapy
  11. Gua-sha Therapy
  12. Tongue-pricking Therapy
  13. External Applications
  14. Herbal Enema
  15. Simple Prescriptions and Empirical Formulas

Prognosis
  Hemorrhagic Stroke; Ischemic Stroke
Preventive Healthcare
  Lifestyle Modification

  1. Regulation of the Lifestyle in Accordance with the Seasons
  2. Preserve Essence to Prolong Life, Bank and Tonify the Original Qi
  3. Physical Exercise to Improve the Physical Constitution
  4. Chinese Medicinals to Help Regulate Yin and Yang

  Dietary Recommendation
    Dietary Principles; Dietary Prohibitions; Empirical Dietary Formulas
  Regulation of Emotional and Mental Health
Clinical Experience of Renowned Physicians
  Empirical Formulas

  1. Treating Phlegm-heat with Bowel Excess 化痰通腑汤Hua Tan Tong Fu Tang
  2. Treating Channel Stroke Tending to Bowel Stroke with 三化复遂汤San Hua Fu Sui Tang
  3. Treating Stoke with Speechlessness and Constipation with 千金竹沥汤Qian Jin Zhu Li Tang
  4. Treating Blocked Bowel Qi due to Phlegm Stagnation with 通腑醒神方Tong Fu Xing Shen Fang
  5. Treating Qi Deficiency and Blood Stasis with 通脉舒络饮Tong Mai Shu Luo Yin
  6. Treating Wind-heat with 疏风清热活血通络方Shu Feng Qing Re Huo Xue Tong Luo Fang
  7. Treating Phlegm Fire in the Heart, Liver and Spleen with 转舌丹Zhuan She Dan

  Selected Case Studies

  1. Case Studies of Deng Tie-tao: Cerebral hemorrhage due to Liver Wind Stirring Internally with Phlegm and Stasis Obstructing the Clear Orifices; Cerebral Thrombosis due to Qi and Yin Deficiency with Blood Stasis
  2. Jiao Shu-de's Case Studies: Channel Stroke
  3. Ren Ji-xue's Case Studies: Bowel Heat with Stasis
  4. He Ren's Case Studies: Wind Phlegm Obstructing the Collaterals
  5. Wang Da-jing's Case Studies: Pathogens Striking with Obstruction of the Channels and Collaterals
  6. Case Studies of Tong Shi-yu: Wind and Fire Fanning Each Other with Phlegm Confounding the Orifices of the Heart
  7. Liu Zhi-ming's Case Studies: Wind Stroke Desertion with Phlegm Turbidity Blocking the Orifices

Discussions

  1. Wang Yong-yan: Direction and Focus in the Research of Stroke
  2. Wang Yong-yan: Freeing the Bowels in Acute Ischemic Stroke
  3. Ren Ji-xue: Remarks on the Etiology, Pathomechanism and Treatment of Stoke
  4. Ren Ji-xue's Ten Methods for the Treatment of Stoke: Methods of Opening Block Patterns, 白矾散Bai Fan San, 苏合香丸Su He Xiang Wan, 紫雪丹Zi Xue Dan, 至宝丹Zhi Bao Dan, 安宫牛黄丸An Gong Niu Huang Wan, 牛黄膏Niu Huang Gao, 三化汤San Hua Tang, 开关散Kai Guan San; Methods of Securing Desertion, 阴阳两救汤Yin Yang Liang Jiu Tang, 两救固脱饮Liang Jiu Gu Tuo Yin; Methods of Sweeping Phlegm, 竹沥汤Zhu Li Tang, 导痰汤Dao Tan Tang, 导痰开关散Dao Tang Kai Guan San, 涤痰散Di Tan San; Methods that Subdue Yang, 顺龙汤Xun Long Tang, 真珠圆Zhen Zhu Yuan; Methods of Transforming Stasis, 四物汤Si Wu Tang, 活血化瘀散Huo Xue Hua Yu San; Methods of Regulating Qi, 匀气散Yun Qi San, 八味顺气散Ba Wei Shun Qi San; Methods of Replenishing Essence, 滋营养液膏Zi Ying Yang Ye Gao, 地黄饮子Di Huang Yin Zi, 益脑丸Yi Nao Wan; Methods of Arresting Bleeding; Procolating and Disinhititing, 醒脑利水煎Xing Nao Li Shui Jian; Warming Yang, 三建汤San Jian Tang
  5. Yan De-xin: Treating Cerebral Infarction in Three Stages
    Benefit Qi and Invigorate Blood in the Premonitory Stage; Course and Free the Vessels during the Acute Stage; Awaken the Brain and Restore Intelligence during the Sequela Stage
  6. Lu Zhi-zheng: Treating the Pathogen and Supporting the Upright in the Elderly in Three Stages
    Early Stage Tonification Methods are Inadvisable; Benefiting Qi and Invigorating Blood during the Intermediate Stage; Supporting the Upright during the Late Stage; Treating Pathogens and the Supporting the Upright in the Elderly
  7. Wang Lu-qiu's Six Key Points in the Treatment of Stroke:
    Opening the Orifices in Viscera-type Stroke; Freeing the Bowels in the Treatment of Exuberant Fire; Transforming Phlegm Consistently throughout Treatment; Treating the Blood in Wind patterns, Qi Regulation in the Treatment of Qi-type Stroke; Supporting Upright Qi in the Late Stage
  8. Zhang Xue-wen: Prevent Transmutation by Emphasizing the premonitory
    Stasis Obstructing the Brain Collaterals as the Key Pathomechanism
    Blood Stasis Patterns in Differentiation and Treatment: Liver heat with blood stasis; Blood stasis with qi deficiency; Phlegm and stasis blocking the orifices; Bowel excess with heat and stasis; Water retention in the brain; Blood stasis with Kidney deficiency
    Prevent Transmutation by Emphasizing the Premonitory Symptoms
    Invigorating Blood and Transforming Stasis in Cerebral Hemorrhage
    Apply Multiple Approaches during Recovery: Disturbance of Liver yang with yin fluids not restored; Blood stasis with qi deficiency; Water stasis in the brain
  9. Zhang Yun-peng: Four Methods to Clear and Awaken
    Open the Orifices with Aromatics
    Freeing the Bowels with Precipitation
    Sweeping Phlegm and Diffusing the Orifices
    Returning Yang and Securing Desertion
  10. Cao Yong-kang: the Treatment of Block and Desertion Patters in Moderate and Acute Conditions
    Identifying Moderate and Acute Conditions in Channel Stroke: Extinguish wind, sweep phlegm, and constrain tetany in acute conditions; Invigorate blood and calm wind in chronic conditions
    Distinguish Block and Desertion Pattern in Organ-type Stroke: Treat block patterns with methods that open block, but also apply methods that subdue, downbear, diffuse and purge accordingly; Treat desertion patterns by securing, Return the yang and constrain yin
  11. Zheng Sun-mou: Distinguishing Internal and External Wind, Blood Stasis, and Hemorrhage, Limit Stasis Transforming Methods while Nourishing Yin and Yang
  12. Wang Da-jing: Treating Stroke with Diffusing, Freeing and Opening Depression Methods
  13. Liu Zhi-ming: Tonifying the Kidney and Transforming Phlegm, Fortifying the Spleen and Transforming Dampness
  14. Dong Jian-hua's Thirteen methods in the Treatment of Stroke
  15. Jiao Shu-de: Improper Application of Bu Yang Huan Wu Tang in the Treatment of Hemiplegia
  16. Xia Yong-chao: The Treatment of Apoplexy with the Traditional Formula Fo Shou San
  17. Liu Mao-cai: Pattern Differentiation and Treatment of Mixed-typed Stroke

Perspective of Integrative Medicine
  Challenges and Solutions

  1. Reducing Incidence and Recurrence
  2. Increasing Cure Rates, Lowering Fatality Rates, and Decreasing the Risk of Permanent Physical Damage

  Insight from Empirical Wisdom

  1. Qi and Blood Disorders with Patterns of Phlegm and Stasis
  2. Pattern Differentiation and Multiple Approaches to Treatment
  3. Early Application of Methods that Invigorate Blood and Transforms Stasis while Treating both Phlegm and Stasis
  4. Insights on the Bowel-freeing Method
  5. Benefiting Qi, Invigorating Blood and Late Stage Treatment of the Liver and Kidney

Selected Quotes from Classical Texts
Modern Research
  Clinical Research
  Experimental Studies

Parkinson's Disease

Overview
Chinese Medical Etiology and Pathomechanism
Chinese medical Treatment
  Pattern Differentiation and Treatment

  1. Phlegm-heat Transforming to Wind
  2. Wind due to Blood Stasis
  3. Wind Yang Stirring Internally
  4. Stirring of Internal Wind due to Liver and Kidney Deficiency
  5. Qi and Blood dual Deficiency
  6. Yin and Yang dual Deficiency

  Additional Treatment Modalities

  1. Chinese Patent Medicine: 六味地黄丸Liu Wei Di Huang Wan; 杞菊地黄丸Qi Ju Di Huang Wan; 归脾丸Gui Pi Wan; 补中益气丸Bu Zhong Yi Qi Wan; 金匮肾气丸Jin Gui Shen Qi Wan; 全天麻胶囊Quan Tian Ma Jiao Nang; 血府逐瘀口服液Xue Fu Zhu Yu Kou Fu Ye
  2. Acupuncture
  3. Moxibustion
  4. Scalp Acupuncture
  5. Auricular Acupuncture
  6. Tui Na Massage
  7. Collateral Bloodletting
  8. Simple Prescriptions and Empirical Formulas

Prognosis
Preventive Healthcare
  Lifestyle Modification
  Dietary Recommendation
  Regulation of Emotional and Mental Health
Clinical Experience of Renowned Physicians
  Empirical Formulas

  1. Empirical Formula for Yin Deficiency Stirring Wind (Shi Ji-zong)
  2. Empirical Formula for Yin Deficiency Stirring Wind (Zhao Yi-ren)
  3. Empirical Formula for Yin Deficiency Stirring Wind (Zhang Geng-mei)
  4. Empirical Formula for Liver and Kidney Depletion with Heart and Spleen dual Deficiency (Pu Fu-zhou)
  5. Empirical Formula for Yin Deficiency Stirring Wind (Zhou Zhong-ying)
  6. Treating Liver and Kidney dual Deficiency with 多味地黄汤Duo Wei Di Huang Tang (Yue Mei-zhong)
  7. Treating Liver Wind Stirring Internally due to Kidney Yin Insufficiency with 紫石汤Zi Shi Tang (Dong Jian-hua)
  8. Treating Phlegm-drool Congestion with 化痰透脑丸Hua Tan Tou Nao Wan (Ren Ji-xue)

Selected Case Studies

  1. Case Studies of Wang Yong-yan: Phlegm-heat Stirring Wind
  2. Case Studies of Wang Yong-yan: Insufficiency of the Liver and Kidney with Blood Stasis Stirring Wind
  3. Case Studies of Liu Du-zhou: Phlegm-fire Obstructing the Collaterals with Yang-qi Transforming into Wind
  4. Case Studies of Zhao Shao-qin: Blood Deficiency and Liver Heat
  5. Case Studies of Zhang Zhen-ru: Qi Deficiency and Blood Stasis
  6. Case Studies of Zhou Zhong-ying: Liver and Kidney Deficiency with Wind-phlegm Obstructing the Collaterals
  7. Case Studies of Pu Fu-zhou: Phlegm-damp Obstructing the Collaterals
  8. Case Studies of Gao Hui-yuan: Yin Deficiency Stirring Wind, Wind-phlegm Reversal
  9. Case Studies of Gao Hui-yuan: Yin Deficiency Stirring Wind, Wind-phlegm Reversal, Qi and Yin dual Deficiency

Discussions

  1. Zhou Zhong-ying's Perspective: Distinguishing Deficiency as the Root and Excess as the Branch
    Liver and Kidney Deficiency as the Root: Internal Wind and Static Phlegm as the Branch
  2. Wang Yong-yan: First Extinguish Wind, Invigorate Blood, and Transform Phlegm, Follow by Supporting the Upright and Banking the Source
    Pathomechanisms include deficiency at the root, and excess at the branch. Deficiency at the root is the foundation of this disease process.
    Excessive pathogenic dead blood and stubborn phlegm are difficult to eliminate. Excess symptoms at the branch are integral to the disease process.
    Deficient wind stirring with stasis and phlegm as an underlying cause.
    The major treatment principles of calming the liver to extinguish wind, invigorating blood, and transforming stasis.
    Strengthen the physical constitution to achieve a gradual therapeutic effect.
  3. Ren Ji-xue: Relieving Symptoms through Regulation and Tonification
  4. Xie Hai-zhou: Complex presentation and the Five Major Patterns
    Qi and Blood Depletion: 八珍汤合天麻钩藤饮Ba Zhen Tang with Tian Ma Gou Teng Yin
    Liver and Kidney Insufficiency: 大定风珠Da Ding Feng Zhu
    Insufficiency of the Sea of Marro: 健肾荣脑汤Jian Shen Rong Nao Tang
    Ascendant Hyperactivity of Liver-yang: 镇肝熄风汤Zhen Gan Xi Feng Tang
    Phlegm-heat Disturbing Upward: 化痰透脑丸Hua Tan Tou Nao Wan
  5. Li Cong-fu: Extinguish Wind using Emolliating Medicinals and Relieve Tremor with Heavy Settlers
  6. Yang Zhao-gang: Deep Needling to Nourish Liver-yin, Extinguish Wind and Relieve Tetany
  7. Zhang Zhen-ru: Calming the Liver and Extinguishing Wind, Nourishing the Kidney and Dispelling Heat

Perspective of Integrative Medicine
  Challenges and Solutions

  1. Stages of Integrated Treatment
  2. Pattern Differentiation, disease differentiation and integrated medicine in PD subtypes
  3. Combining Treatment Modalities may delay progression
  4. Use Chinese medicine to both reduce side effects and reinforce therapeutic effects of biomedicines
  5. Rehabilitation in the prevention and treatment of late stage complications

  Insight from Empirical Wisdom

  1. Medicinal Application
  2. Application of the Bowel-freeing Method
  3. Experiences in Acupuncture and Moxibustion Therapy 

Selected Quotes from Classical Texts
Modern Research
  Clinical Research
  Experimental Studies

stroke and Parkinsons disease

Title: Stroke & Parkinson's Disease
Author: Huang Pei-xin & Liu Mao-cai
Series: The Clinical Practice of Chinese Medicine
Publisher: People's Medical Publishing House, 2007
Language: English
Binding: Soft paper cove, 9.2 x 7.1 x 1.1 inches, 377 pages
ISBN: 9787117091916

This book is an important component text in the series The Clinical Practice of Chinese Medicine.

This book introduces Western healthcare practitioners to Chinese medical theory of diagnosis and treatment of discreet disease entities and offer specific therapeutic treatment methods not found in current Western TCM texts. The book has many valuable, unique features. The information is presented beautifully. It is appropriate for professional students and practitioners of Traditional Chinese Medicine. The authors feel it is also valuable to biomedical physicians, but the TCM information presented in this series is technical and of limited use to those lacking a strong TCM theoretical background.

Features:

  • Pattern differentiation and treatment with Chinese medicinals and acupuncture
  • Clinical experience of renowned physicians
  • Case studies from famous Chinese doctors
  • Relevant contemporary research on pattern differentiation and formulas
  • Selected quotes from classical texts

About the Author

Professor Huang Pei-xin serves as chief physician and professor of Chinese internal medicine at Guangzhou University of Chinese Medicine. He is the chief director of the Encephalopathy Center of the Guangdong Provincial Hospital of TCM, as well as a leading scholar of Chinese Medical Encephalopathy for the State Administration of Traditional Chinese Medicine in the People's Republic of China. He received the title of "Outstanding Professional" by the Ministry of Health and the State Administration of Traditional Chinese Medicine.

Professor Liu Mao-cai is one of the most well-respected physicians in Guangdong province. As a leading scholar at the Encephalopathy Center of the Guangdong Provincial Hospital of TCM, he also serves as president of the Research Institute for Senile Diseases. He is recognized as an "Outstanding Professional" in the Guangdong Health System. He has become well-known for his excellence in the treatment of encephalopathy, while specializing in stroke and epileptic conditions.

书名:中医临床实用系列 - 中风与帕金森病 (英文版)
作者: 黄培新  刘茂才 编 著
出版社: 人民卫生出版社,第1版2007
开本/装帧:16开平装本,377页
ISBN:9787117091916

全面阐述了中医治疗中风与帕金森病的方法,并包括名老中医的治疗经验,现代研究,临床研究等等。


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