How to regulate insufficient blood supply to the brain, TCM classification and treatment

Cerebral insufficiency mainly refers to ischemic cerebral insufficiency. Insufficient blood supply to the brain has a great impact on people's physical health, for example: causing ischemia, hypoxia, and even necrosis and softening of brain tissue. So how can we treat insufficient blood supply to the brain? Traditional Chinese medicine provides targeted treatment based on the different causes of cerebral blood supply problems.

1: Liver fire rushing up and brain meridians becoming disharmonious: dizziness, vertigo, tinnitus, headache, insomnia, irritability, red cheeks, red tongue, and stringy pulse. Treatment principle: Clear the liver, purge fire, dredge blood vessels and activate collaterals. Prescription: Gastrodia 9, Uncaria rhynchophylla 15 (added later), Morus alba 15, Gardenia 10, Scutellaria baicalensis 10, Semen Cassiae 15, Polygonum multiflorum 15, Achyranthes bidentata 15, Raw oyster 30 (pre-decocted), Eucommia ulmoides 15, White peony root 12, Leonurus japonicus 15

1: Deficiency of kidney essence and loss of nourishment to brain meridians: dizziness, empty headache, tinnitus, blurred vision, soreness of waist and knees, frequent urination at night, weakness and fatigue of lower limbs, red tongue, deep, thin and weak pulse. Treatment principle: Nourish the kidney and replenish essence, nourish the blood and nourish the brain. Prescription: Rehmannia root 15, Cornus officinalis 20, Ophiopogon japonicus 12, Schisandra 9, Cistanche deserticola 12, Cuscuta 20, Lycium barbarum 10, Morinda officinalis 10, Cinnamon bark 3, Polygala tenuifolia 9, Acorus calamus 10.

1: Qi deficiency and blood stasis, obstruction of meridians: dizziness, fatigue, numbness of limbs, palpitations and shortness of breath, swollen hands and feet, pale complexion, pale and dark tongue, white tongue coating, thin and wiry or thin and slow pulse. Treatment principle: replenishing qi, activating blood circulation and unblocking collaterals. Prescription: Astragalus 30, red peony root 15, Chinese angelica 12, Chuanxiong 12, peach kernel 9, safflower 9, scorpion 3, leech 6, earthworm 10, Citrus aurantium 10, Achyranthes bidentata 10

1: Phlegm and turbidity block the meridians, and the clear Yang cannot spread: dizziness, heaviness of the head, numbness of limbs, bitter and dry mouth, obesity, abdominal distension and fullness, dry and hard stools, red tongue with yellow or dry coating, and a stringy, rapid and strong pulse. Treatment principle: eliminate phlegm, dredge meridians, raise clearness and lower turbidity. Prescription: Pinellia 10, Atractylodes 15, Gastrodia 10, Acorus 10, Polygala 10, Tangerine Peel 10, Poria 15, Rhizoma Anemarrhenae 15, Citrus Aurantium 10, Licorice 6

2: Banxia Baizhu Tianma Decoction with modifications: 10g of Pinellia, 30g of Atractylodes, 10g of Tianma, 30g of Poria, 12g of Pueraria, 6g of Chuanxiong, 10g of Cassia Twig, 12g of stir-fried White Peony Root, 6g of Licorice, 6g of Cicada Shell, 30g of Millettia Reticulata, 15g each of raw Dragon and Bryanthemum, 15g of Rehmannia Glutinosa, 12g of Asparagus Cochinchinensis, 18g of Dayun (Cistanche). The modified Banxia Baizhu Tianma Decoction is intended to strengthen the spleen and resolve phlegm, tonify the kidney and replenish essence, nourish the brain and unclog the meridians, thus achieving the purpose of relieving vertigo. Take the decoction, one dose a day, for a week.

1: Deficiency of Yin and hyperactivity of Yang, stagnation of blood vessels: dizziness, vertigo, tinnitus, dry mouth, heavy head and light feet, unsteady gait, palpitations and insomnia, numbness of limbs, red and dry tongue with little coating, and thin and stringy pulse. Treatment principle: Nourish Yin, suppress Yang, dredge meridians and remove blood stasis. Prescription: Lycium barbarum 10, chrysanthemum 10, raw rehmannia 15, Ligustrum lucidum 10 (pre-decocted), Eclipta prostrata 10, Cornus officinalis 10, white peony root 15, Salvia miltiorrhiza 15, Achyranthes bidentata 15, tortoise shell 20 (made with vinegar), raw dragon bone 20 each, Millettia reticulata 15