The Clinical Experience Summarization Of Professor Ma Yunzhi On Treating Lschemic Stroke

The doctorial advisor of Ma Yunzhi who is one of the fifth national famousold Chinese Medicine Experts on tutoring to inherit academic experience,the famous outstanding experts and traditional Chinese medicine in henanprovince,is good at treating with ischemic stroke.She has been working inthe first line of integration traditional Chinese and westernmedicine,clinical teaching and scientific research for40years.Shededicates to the research of prevention and treatment of ischemic stroke,anddoes well in adopting the method of combining traditional Chinese andwestern medicine treatment disease especially with Neurology stubborn.Themain topic of this article is to discuss the tutor professor Ma Yunzhioncuring the ischemic stroke in clinical,and carry her theory forward.150cases of ischemic stroke patients treated by the teacher, whose basicinformation,clinical symptoms, and the prescription were collected.Fro mthe theoretical basis of etiology,syndrome differentiation,anddrug useseveral aspects,to sort medical record out.The sases were divided into qideficiency and blood stasis type, phlegm wind resistance type, Phlegm heatrelieving excess type, yin deficiency type pneumatic and Kidney emptymarrow deficient type.According to the therapeutic principle of stheniarequiring purgation and asthenia requiring tonification,we put forward theyiqishengxuetongluo method,jianpihuatantongluo method qingrejiedumethed,ziyinxifengtongluo methed and zibuganshentongluo methed.First part is the theoretical basis.The teacher developed the theory ofwhich vigour is empty, will not reach on blood vessels,and blood vesselswithout gas, and the blood will stay and stasis,said in the book of Yilingaicuo.In accordance with this theory,we obtained good clinical efficacyin treatment of acute ischemic stroke.Qi and blood is one of the basic material of human body construction.The whole body organ relies on the qiand blood,and viscera function and mental consciousness support by qi andblood.Yin and Yang is the law of the universe changes.Zhang Zhicongsaid:The law of Yin and Yang, as the body is gas and blood.Qi belongs toYang,and Blood belongs to Yin.The relationship between Yin and Yang canbe used to illustrate the relationship between Qi and Blood.So we treat withdiseases must grasp in qi and blood.T he relationship between Yin and Yangis Yin as the body and Yang as the use.Yin is followed Yang as the growthchanges.But the regeneration of the Yin essence be sealed is depend on theYang to be the spirit of convergence.The relationship between Yin and Yan gis the Yang be the spirit as the leading factor.Yin qi change with thetransformation of the Yang which is the spirit.In the human body,The bloodwith gas germination.The position relationship between Yin and Yang is theYang be the spirit in the outside and play a role of defense solidprotection,and Yin qi play the role of harbour.From pathology, all diseasesare caused by qi and blood feud.Qi and Blood run the whole body can’tappear block.Meridians don’t loose the general principles of the gasflow,and thus thermalization fire toxin factor.And can lead to blood stasisendogenous.Low gas can lead the cold.Inside deficiency cold syndrome notonly make the viscera function decline, and the stasis ofcoagulation.Viscera function in the elderly,Lack of qi and bloodbiochemical or tough stasis causing phlegm turbid blood stasis poison evilendogenous, resistance in the brain and stroke.Therefore, on the treatmentshould be based on the relationship of qi and Yin and Yang syndromedifferentiation,distinguish nakedness viscera,combined with internalphysiological characteristics, and then sent the drug use.The second is the dialectical medication.In this section to the actualcondition of relationship between and the zang-fu organs. From theyiqishengxuetongluo,jianpihuatantongluo,qingrejieduhuayu,ziyinxifengtongluo,nourishing liver and kidney in five aspects in the pathogenesis ofischemic stroke in guiding clinic.Yiqi hematosis method is mainly for oldpatients,for qi deficiency blood stasis syndrome differentiation hemiplegiapatients,and mainly suitable for the recovery and sequelae stage patients.Patients with disease progression and constitution is different,the concrete and the changes of clinical symptoms,so we must be good at seize thepathogenesis,nakedness between Yin and Yang,and the characteristics of theformulas with more reasonable in choosing the medicine. Yiqi line raw withblood, and blood germinate qi,blood mansion unobstructed blood on theirown.Jianpihuatantongluofa mainly for the patient who is fat, trapped heavy,thick greasy coating on the tongue, differentiation of phlegm heat relievingempirical or phlegm recovery or acute stroke patients.Due to physiologicalcharacteristics of the spleen is a wet, dry evil and stomach. So theappropriate on treatment of drying wet spleen,eliminating phlegm,qi andlitres of spleen and stomach.Such as constipation,which should besupplemented by general relieving drain turbidity of drugs to help thestomach gas.Qingrejiedu blood method mainly is a commonly used methodfor the treatment of acute stage of stroke.Because of this, poison evil gatherwith brain mansion, and with clear heat drugs on heat poison which inrelieving medicine of gas discharge reduction bowel poison, along withspicy go up the medicine to wake up a goose.Mainly used for clinical godfaint constipation, halitosis pockets dialectical phlegm heat relievingexcess or toxic heat flourishing.Injury by consumed the proof of fluid ziyinextinguish wind method is mainly suitable for limb detained or tremors orwind phlegm fire syndrone certificate or Yin deficiency syndromedifferentiation pneumatic syndrome patients.Body within the genus autumnzephyrlily move detained a sudden, so the appropriate treatment ofnourishing liver and kidney Yin to extinguish wind, invigorate thecirculation of blood in t2dm. Nourishing liver and kidney t2dm method isthe main treatment of limb Withers softly, belongs to the liver and kidneyYin deficiency syndrome differentiation of stroke patients recovery andsequelae period. Because of the long-term to deficiency of qi and bloodbiochemical and malpractice to cause liver and kidney JingXie, recovery isslow, the appropriate on treatment and complement of Yin and Yang, Yinand Yang in order to achieve The effect of Yang in Yin.Above all, nothing more than the onset of stroke, blood.Yin and Yang ofthe partial real partial virtual.Gas for more than a fire, more energetic andYin.Qi deficiency lead to cold, Yin sheng lead to air failure. Qi sheng for Yang syndrome, blood for Yin syndrome.So the treatment should take on theetiology and pathogenesis, false or true, Yin and Yang.