TCM-Acupuncture for Sequela of Apoplexy

[Introduction]
Sequela of apoplexy refers to paralysis of limbs, distortion of face and difficulty in speaking after the attack of acute cerebrovascular disease, similar to wind stroke and paralysis in TCM. It is caused by non-restoration of the visceral functions, retention of phlegm and blood stasis in the meridians as well as abnormal flow of meridian

[Syndrome differentiation]
Paralysis of limbs on one side, accompanied by numbness or pain or susceptibility to sweating, distortion of face, stiffness of tongue and difficulty in speaking and swallowing.

[Treatment]
1. Body acupuncture
Prescription: Baihui (GV 20), Hegu (LI 4) and Tai-chong (LR 3).
Modification: For paralysis of upper limbs, Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10) and Waiguan (TE 15) are added for paralysis of lower limbs, Huantiao (GB 30 ), Zusanli (ST 36 ), Yanglingquan ( GB 34 ), Fenglong (ST 40), Xuanzhong (GB 39) and Kunlun (BL 60) are added; for distortion of face, Jiache (ST 6), Di-cang (ST 4), Yangbai (GB 14), Cuanzhu (BL 2) are add-ed; for stiffness of tongue, Lianquan (CV 23) and Tongli (HT 5) are added; for difficulty in swallowing, Lianquan (CV 23) and Fengchi (GB 20) are added.
Performance: The acupoints are selected and needled according to the pathological conditions. Usually mild reinforcing and reducing needling techniques are used. The acupoints on the four limbs are needled with the addition of moxibustion. Jiache (ST 6) and Dicang (ST 4) are needled with the needles pointing to each other. Lianquan (CV 23) is needled with the needle pointing to the root of the tongue. Fengchi (GB 20) is needled with rotating and twirling manipulations.
2. Scalp acupuncture
Prescription: Motor zone, sensory zone, zone of pedal movement and sensation and lingual zone on the opposite side.
Performance: The needles are inserted 0.5 - 1 cun with intermittent manipulation. The needles are retained for 30 minutes. Impulse current can be attached to the needles with moderate and strong stimulation for 30 minutes.

Source: Acupuncture- Acupuncture for Sequela of Apoplexy
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