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19 Cards in this Set
- Front
- Back
- 3rd side (hint)
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TIAs
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- dizzines or vertitgo
- tinnitus - transient numbness or weakness on one side of the body or - transient numbness of the tongue with difficulty speaking or finding words, understanding words - blurred or double-vision |
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Ischemic Stroke
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- can develop in major blood vessels on the surface of the brain
- can develop in small blood vessels deep in the brain |
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3 types of
Ischemic stroke |
Embolic Infarct
Thrombotic Infarct Lacunar Infarct |
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Embolic Infarct
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20 - 30%
occurs suddenly - a blood clot forms in one part of the body, travels through the bloodstream and lodges in and obstructs a blood vessel in the brain |
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Thrombotic Infarct
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10-15%
a blood clot forms in an artery that supplies the brain (usually the result of plaque build-up in arteries and develops over time |
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Lacunar Infarct
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20%
usually occurs as a result of arterial blockage caused by high blood pressure(HTN) This type of stroke has the best prognosis |
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Hemorrhagic Stroke
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A blood vessel in the brain ruptures and bleeds into the surrounding tissue.
- bleeding compresses nearby blood vessels and deprives surrounding tissue of oxygen, causing stroke. Severe & carries high risk of death |
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Types of
Hemorrhagic Stroke |
Intracerebral hemorrhage - inside the brain
Subarachnoid hemorrhage - large artery on or near the surface of the brain - sudden severe "thunderclap" HA after hemorrhage vasospasm may cause further brain cell damage by limiting blood flow to parts of brain. |
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Channel-Collateral
Stroke |
The only stroke that can be caused by external wind
- Sxs affect the periphery, are relatively milder in severity and are non-systmic - Numbness & weakness of the affected area - Facial paralysis - Dysphasia ***Conciousness and cognition remain intact*** |
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Zang-Fu/Organ
Stroke |
Organs affected: KI, LR, HT, SP
- Severe sxs w/systemic manifestations - Hemiplegia - Aphasia - Difficulty swallowing ***Loss of conciousness and alterations in cognition*** |
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Invasion by Wind Due to Deficient Channels and Collaterals
(CH & Coll Stroke) LI4, DU14, 16, 20, GB20 |
Da Qin Jiao Tang
T: thin, white coating P: floating, superficial, slippery dispel wind, nourish blood, unblock the CH & Coll |
More Wind sxs - looks like an external invasion
- Abrupt - Deviation of Mouth & Eye, drooling - Rigid tongue, slurred speech - mouth, eyes, hands, feet HT1, SJ5, SP9, LI11, GB30, 34, ST36, 40 |
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Deficient LR & KI Yin with disturbance by Ascendant Wind-Phlegm
(CH & Coll Stroke) LI4, DU14, 16, 20, GB20 |
Zhen Gan Xi Feng Tang
T: Red w/scanty (poss. greasy) coat P: thready, rapid, wiry or wiry & slippery nourish LR & KI yin, subdue yang, extinguish wind, clear CH & Coll |
may or may not have loss of consciousness
- Abrupt onset of deviation of mouth and eyes, HA, dizziness w/HEAVY sensation of head; abrupt onset of hemiplegia; transient mental confusion, rigidity of the tongue & slurred speech LR3, KI3, BL18, 23, GB34 |
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Yang Tension Stroke
(Organ Stroke) PC6, SP6, GB20, DU26 |
Ling Yang Jiao Tang
T: red, yellow, greasy P: rapid, full, wiry slippery open orifices, cool LR, clear the LR, extinguish wind |
Shi, HEAT, damp/phlegm
clenched teeth, locked jaw, red face, lips, heavy breathing LR3, KI3, LI4, PC8, 9, CV22, ST40, Shi Xuan, Bleed Hand Jing-Well Pts |
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Yin Tension Stroke
(Organ Stroke) PC6, SP6, GB20, DU26 |
Di Tan Tang
T: white, greasy P: deep, slippery open/warm orifices, expel phlegm, extinguish wind |
NO HEAT SIGNS
pale, greyish lips, cold extremities LR3, LI4, CV12, 22, DU20, ST36, 40, Shi Xuan |
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Desertion/Flaccid Stroke
(Organ Stroke) PC6, SP6, GB20, DU26 |
Shen Fu Tang + Sheng Mai San
T: flaccid tongue, pale, swollen P: thready, faint/minute (barely palpable) boost qi, vitalize yang, secure yang |
More Serious
closed eyes, open mouth, relaxed hands, cold extremities, shallow breathing - copious perspirations KI1, Moxa CV4, CV6, 8, DU20 |
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Qi Xu w/ Blood Stasis
(Sequelae) SP6, Pc6, GB20 |
Bu Yang Huan Wu Tang
T: dark, purple, stasis macules/ deviation of P: thready, forceless - qi xu choppy - blood stasis Boost Qi, quicken blood, unblock CH & Coll |
Hemiplegia, weakness on 1 side
flaccidity & weakness CV6, SP10, BL15, 17, 20, ST36 |
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LR & KI Xu & Ascendant Hyperactivity of LR Yang
(Sequelae) SP6, Pc6, GB20 |
Zhen Gan Xi Feng Tang
T: scanty coat or (sl. yellow), red P: thready, rapid or wiry, slippery > more phlegm nourish LR & KI yin, subdue yang, extinguish wind, open CH & Coll |
tinnitus, flushed face, rigidity, Spasticity, difficulty with flexion & extension
KI3, SP6, LR2, 3, BL18, 23 |
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Obstruction of Wind Phlegm & Blood Stasis
(Sequelae) SP6, Pc6, GB20 |
Jie Yu Dan
T: dark purple, white slimy coating P: slippery, wiry dispel wind, resolve phlegm, remove obstruction and open orifices |
stiffness of tongue; difficulty speaking
- Numbness of Limbs SP9, CV12, BL20, ST36, ST40 |
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KI Essence Xu
(Sequelae) SP6, Pc6, GB20 |
Di Huang Yin Zi
T: thin, small tongue w/ thin coating P:deep, weak, thready Supplement KI Essence, nourish Yin, open the orifices |
Flaccid tongue
weakness of back & knees BL18, 23, HT6, 7, KI3, LR3 |
