Treatment of hemiplegia caused by stroke

Stroke is a term used in traditional Chinese medicine. There is no such term in Western medicine. Hemiplegia is actually a symptom caused by stroke. Generally, hemiplegia is very likely to occur after a stroke, so we must do a good job in preventing stroke. Hemiplegia caused by stroke is very harmful to our body. So, do we have any way to treat hemiplegia caused by stroke?

There are many treatments for hemiplegia caused by stroke. Of course, we should choose the method that suits us. For hemiplegia caused by stroke, we can use limb rehabilitation methods, Chinese medicine diagnosis and massage, and other methods.

Physical rehabilitation

It is currently believed that patients with limb movement disorders caused by cerebral stroke can significantly reduce or alleviate the sequelae of paralysis through formal rehabilitation training. Some people regard rehabilitation as particularly simple, or even equate it with "exercise", and are eager for quick results, which often results in half the effort and twice the results. It also leads to joint and muscle injuries, fractures, shoulder and hip pain, increased spasms, abnormal spasm patterns and abnormal gait, as well as foot drop, inversion and other problems, namely "misuse syndrome".

Inappropriate muscle strength training can aggravate spasticity, while appropriate rehabilitation training can relieve such spasticity and make limb movements more coordinated. Once the wrong training method is used, such as repeatedly practicing forceful grasping with the affected hand, the flexor coordination of the affected upper limb will be strengthened, aggravating the spasm of the muscles responsible for joint flexion, causing elbow flexion, wrist pronation, and finger flexion deformities, making it more difficult to restore hand function. In fact, limb movement disorders are not just a problem of muscle weakness. Incoordination of muscle contraction is also an important cause of movement dysfunction. Therefore, we should not mistake rehabilitation training for strength training.

In the rehabilitation treatment of motor dysfunction in patients with sequelae of cerebral stroke, traditional concepts and methods only focus on restoring the patient's muscle strength, neglecting the rehabilitation treatment of the patient's joint range of motion, muscle tension and coordination between antagonists. Even if the patient's muscle strength returns to normal, abnormal movement patterns may remain, thus hindering their daily life and improvement of their ability to move.

Experimental and clinical studies have shown that due to the plasticity of the central nervous system, functional reconstruction is possible during the recovery process after brain injury.

At present, it is generally recommended at home and abroad to use limb movement rehabilitation equipment to restore damaged limb movement in daily home care rehabilitation treatment. It is based on the nerve facilitation technology, which stimulates the muscle groups with low-frequency pulse electricity and then simulates normal movement in a certain order. In addition to directly exercising muscle strength, it coordinates and controls the functional state of the limbs by simulating the passive antagonism of movement, so as to restore dynamic balance. At the same time, repeated movements can feedback facilitation information to the brain, so that it can achieve functional reconstruction as quickly and as much as possible, break the spastic pattern, and restore autonomous movement control. It is easy to operate, especially when used at home. This therapy can simulate normal movement in paralyzed limbs, enhance patients' confidence in recovery, and restore patients' muscle tone and limb movement. [2]

TCM Syndrome Differentiation

1. Qi deficiency and blood stasis type: hemiplegia or numbness of limbs, with facial paralysis, slurred speech, dull complexion, shortness of breath, pale purple tongue or with ecchymosis, white tongue coating, thready or weak pulse.

Treatment method: Invigorate Qi and activate blood circulation, remove blood stasis and dredge meridians.

Prescription: Buyang Huanwu Decoction with modifications. Astragalus, Angelica, Ligusticum chuanxiong, peach kernel, red peony root, earthworm, Cyathula, Millettia reticulata, papaya, loofah, etc.

2. Yin deficiency and wind-yang disturbance type: dizziness, tinnitus, hemiplegia, facial paralysis, slurred speech, red tongue, yellow tongue coating, and rapid and stringy pulse.

Treatment method: Nourish Yin and suppress Yang, activate blood circulation and dredge meridians.

Prescription: Tianma Gou Teng Drink with modifications. Gastrodia elata, Semen Cassiae, Tribulus terrestris, roasted tortoise shell, Bombyx batryticatus, Scutellaria baicalensis, Gardenia jasminoides, Achyranthes bidentata, Angelica sinensis, Ligusticum chuanxiong, Paeonia lactiflora, Earthworm, etc.

(1) At the onset of hemiplegia caused by stroke, the patient should be sent to hospital immediately for treatment. Every minute counts and efforts should be made to dissolve blood clots, lower blood pressure, lower blood lipids, promote diuresis, reduce intracranial pressure, actively treat the primary disease, control brain edema and necrosis, reduce damage to brain tissue, and reduce sequelae. After the condition stabilizes, it enters the second stage, which takes about 2-7 days, depending on the condition.

(ii) In the second stage, treatment of the primary disease continues. The early addition of Chinese medicine rehabilitation treatment is also the key to the treatment of this disease. It depends on the patient's prognosis and is related to the patient's future quality of life. Doctors should pay great attention to this. Currently, there are no effective drugs available clinically, so the medical community is working hard to solve this common problem. At present, there are so many medical advertisements that it is difficult to distinguish the true from the false, making it difficult for patients and their families to cope with them. Truly effective medicines benefit the country, the people, and the entire society. On the contrary, the harm is so great that the damage caused to the patient is irreversible.

"Pingheguan Stroke Tea" is used in this stage, and the rehabilitation effect is remarkable. Wise people should give it a try. It will take effect within 16 days and improve the efficacy. After 2-6 courses of treatment, the patient will be fully cured or can take care of himself, reducing the disability rate and improving the quality of life. During this period, the patient needs to be helped to turn over, move and massage the paralyzed limb joints, and strengthen cognitive, swallowing, language and motor function training. After being able to get out of bed, exercise must be strengthened, and rehabilitation can also be combined with comprehensive measures such as acupuncture, physical therapy, and medicated baths to achieve cure. It will take about 60 days.

(III) In the third stage, some patients still have some sequelae after the above treatment. It is necessary to continue rehabilitation treatment, firmly believe in the concept of rehabilitation, and strengthen physical exercise until the symptoms disappear or improve. After six months, the sequelae will be difficult to recover, but you must not lose confidence and make it back to your best condition. In the later stage, it is necessary to insist on lowering blood pressure, anticoagulation, and regular thrombolysis (preferably once every six months, 1-2 courses each time) to prevent recurrence.

Secondly, the triple paralysis treatment method can fully and thoroughly recover the hemiplegia caused by stroke, and it can treat the disease from three aspects, which can solve the problem of incomplete recovery.

1. Awakening: Disperse blood stasis, awaken the brain and open the mind

First, the accumulated waste in the brain is cleared, and the damaged brain cells are gradually revived. The brain's control over the human body is restored, and then the language barriers such as speaking and expression are resolved;

2. Ertong: dredge the meridians and activate the collaterals

It can repair and open up the damaged meridian system of patients. We all know that human motor function is controlled by meridian conduction. As long as the meridian conduction function is unblocked and restored, you can walk and move, and you don’t need others to take care of your excrement and urine for you, and you can basically take care of yourself in life;

3. Three Breaks: Breaking Thrombosis and Clearing Blood

By quickly removing your blood clots, improving the blood environment, and eliminating the hidden dangers of blood clot formation, you no longer have to worry about the risk of a secondary recurrence.

It is precisely because [Bangerjian Musk Anti-obstructive Pills] has the special effects of one awakening, two unblocking and three breaking that it can allow patients to pass the three levels at the same time and completely, and their families can be completely relieved.

acupuncture

Body acupuncture: Upper limbs: Jianyu, Quchi, Waiguan, Hegu, Zhongzhu Lower limbs: Zhibian, Yanglingquan, Zusanli, Jiexi, Taichong Facial acupuncture: upper limb area, lower limb area, liver area, spleen area Head acupuncture: motor area of ​​the contralateral scalp.

Massage and Tuina

The patient lies prone, and presses the Tianzong, livershu, gallbladdershu, diaphragmshu, kidneyshu, and Zhibian points on the back, then uses the rolling method to loosen them.

The patient lies on his side (affected side up) and the affected area is treated by rubbing and rolling.

Use the holding method to treat the soft tissue of the affected limb.

Acupoints such as the knee joint, Weizhong, Chengshan, Futu, Fengshi, Jiexi, etc. Finally, it ends with rubbing. Secondly, the incidence of cerebrovascular accident (i.e. stroke) is higher in middle-aged and elderly people, most of which are accompanied by hemiplegia. Physical therapy is an important means in the treatment of hemiplegia caused by stroke, among which toe exercise and training are very critical. Because the toes are the end of the motor sensation of the entire lower limbs, the recovery of their motor sensation can affect the motor sensation level of the entire lower limbs. Moreover, stimulation to induce the required dorsiflexion muscle response can improve the dorsiflexion ability of the ankle joint and accelerate the recovery of lower limb motor function.

In the early stages of toe training, doctors or family members can help carry out the training by holding the patient's toes with both hands and letting them repeatedly feel the flexion and extension of the toes. At the same time, rub the muscles on the back of the foot to stimulate the patient's sense of flexion and extension of the toes. 20 times each time, 2 to 3 training times a day.

When the patient can feel the flexion and extension of the toes, with the help of the therapist or family members, the patient is gradually encouraged to increase the strength of autonomous movement, complete the toe extension and ankle dorsiflexion, and then drive the dorsiflexion of the entire foot. This process requires daily persistence and gradual progress, and the patient and family members must be patient.

Toe training for patients with hemiplegia caused by stroke should be started early and can be carried out after the critical period. Of course, the exercise therapy for hemiplegia must be comprehensive, not only the toes and ankle joints, but also the extension of the knee joints, the adduction and external rotation of the hip joints, and the joint movements of the upper limbs, etc., so that patients can get the greatest degree of recovery in a shorter period of time.

In the above, we introduced what hemiplegia caused by stroke is. We know that the harm caused by hemiplegia caused by stroke is very great, so we must do a good job in preventing hemiplegia caused by stroke. Once hemiplegia caused by stroke occurs, we must actively seek treatment. The above article introduces in detail the various treatment methods for hemiplegia caused by stroke.