STROKE (WINDSTROKE, APOPLEXY, CEREBROVASCULAR ACCIDENT, CVA, ACUTE OBSTRUCTIVE CEREBRAL VASCULAR DISEASE)

Clinical Manifestations
  • Channel Stroke: No coma
  • Visceral Stroke: Coma
  • Warning signs:
    Liver Yang Rising signs and symptoms +
    Numbness
    Spasms
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Numbness of the extremities
  • Paralysis of the extremities
  • Sudden facial paralysis
  • Dysphagia
  • Arthralgia
  • T: Normal
  • C: White
  • P: Floating and wiry or Thready and wiry
Treatment Principle
  • Expel Wind
  • Clear Heat or Cold
  • Nourish and invigorate Qi and Blood
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills
  • Maybe fever only
  • Achiness
  • Anhidrosis
  • Headache
  • Cough
  • Asthma
  • Aversion to Cold
  • Edema
  • Thirst
  • Restlessness
  • Irritability
  • Fidgeting
  • Constipation
  • Sometimes dry achy eyes
  • T:  Normal or red
  • C:  Yellow or white
  • P:  Floating and tight or Floating and rapid
Treatment Principle
  • Expel Wind
  • Disperse Cold
  • Cool Heat
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Sweating
  • Thirst
  • Dysenteric diarrhea
  • Foul-smelling stools
  • A burning sensation around the anus
  • Gasping
  • Ephidrosis
  • Palpitations
  • Tenesmus
  • Maybe red tinged urine
  • Irritability and Heat in the chest and epigastrium
  • Stiffness and spasms at the back of the neck
  • Dry mouth
  • Dyspnea with perspiration
  • Maybe wheezing
  • T: Red
  • C: Yellow (Greasy)
  • P: Rapid
Treatment Principle
  • Release the Exterior
  • Clear Internal Yang Ming Heat
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Harmonize the Shao Yang
  • Unblock the three Yang Stages
  • Sedate and calms the Spirit
  • Relieve the chest and subcardiac regions
  • Alleviate spasms
Herb Formulas
Points
Clinical Manifestations
  • High fever (sometimes rises and falls)
  • Great thirst
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal pain (worse with pressure)
  • Abdominal distension
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Mental disturbance:
    Mentally unclear
    Delirious speech
  • T: Red and dry, or black and moist
  • C: Thick yellow or dry yellow
  • P: Deep, strong and forceful
Treatment Principle
  • Purge
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Severe irritability
  • Restlessness
  • Thirst
  • Delirium
  • Faint indistinct purpura and erythema
  • Insomnia
  • Maculae
  • T: Scarlet, dry
  • C: Little
  • P: Thready and rapid
Treatment Principle
  • Clear Heat from the Ying
  • Relieve Fire Toxin
  • Nourish the Yin
Herb Formulas
Points
Clinical Manifestations
  • Joint swelling and pain, especially hands and feet
  • Heaviness of the joints
  • Numbness of the joints
  • Stiffness of the joints
  • Fever
  • Heaviness of the body
  • Coldness of the body
  • Dizziness
  • Likes pressure
  • Fatigue
  • Pale complexion
  • Preference for warmth
  • T: Pale
  • C: Thick and white or Greasy and white
  • P: Thready and slippery
Treatment Principle
  • Eliminate Wind
  • Resolve Dampness
  • Reduce swelling
  • Move Qi
  • Warm the channels
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Aversion to Cold
  • Stuffy nose
  • Neck and back spasms
  • Joint pain
  • Headache
  • Anhidrosis
  • Muscular pain
  • Joint swelling
  • Slight fever
  • Slight expectoration of white Phlegm
  • Heaviness of the body and joints
  • Cold feeling in the joints
  • Cough
  • Heaviness of the head
  • Preference of the joints for warmth
  • Limited movement of the joints
  • T: Normal
  • C: Thin and white or Thin, white and greasy
  • P: Superficial and tight
Treatment Principle
  • Warm the channels
  • Activate Qi and Blood.
Herb Formulas
Points
Clinical Manifestations
  • Migrating pain in the joints especially the :
    Shoulders
    Elbows
    Knees
    Wrists
    Fingers
    Upper back and neck
  • Multiple joints
  • Pain quality changes
  • May move from soreness to numbness to aching
  • Sensitivity varies
  • Pain often appears abruptly, acutely or paroxysmal and then disappears
  • Limited range of motion
  • Chills and fever
  • Aversion to Wind
  • Symptoms are worse in windy weather
  • Sore throat
  • General body aches
  • Maybe perspiration
  • T: Pink
  • C: Thin and white or Sticky and yellow
  • P: Superficial and moderate
Treatment Principle
  • Eliminate Wind
  • Warm Cold
  • Expel Damp
  • Clear the Channels
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphagia
  • Tongue stiffness with aphasia
  • Slurred speech
  • Salivation from the corner of the mouth
  • Hemianasthesia
  • Sudden loss of consciousness
  • Facial paralysis
  • Wry mouth
  • Hemiplegia
  • Unsteady gait
  • Severe: Contracture pain
  • T: Normal
  • C:White and slimy
  • P: Thready and wiry or Tight and slippery
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Stiffness oft the tongue
  • Difficult speech
  • Eyes open
  • Deviation of eyes and mouth
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Red face
  • Body feels hot
  • Coarse breathing
  • Bad breath
  • Restlessness
  • Involuntary movements
  • Hemiplegia
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery, wiry and rapid
Treatment Principle
  • Resuscitate
  • Clear Phlegm
  • Open the Orifices
  • Calm the Liver
  • Restrain Liver Yang
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Coma
  • Lockjaw (trismus)
  • Eyes open
  • Breath cold
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Pale face
  • Purple or blue lips
  • Limbs cold, pale and still
  • Lying peacefully
  • Excess Phlegm and salivation
  • Fullness, extreme pain, and a cold sensation in the chest and abdomen
  • Diarrhea
  • Vomiting
  • An urge to vomit and defecate without doing either
  • Abdominal pain with chest distention
  • Mental upset
  • Paraphasia
  • T: Pink or Pale
  • C: White and slippery or greasy
  • P: Deep and slippery or Deep, Excess and slow or Wiry, tight and Excess
Treatment Principle
  • Open the Heart Orifice with Pungent Warming Herbs
  • Eliminate Phlegm
  • Subdue Wind
  • Moves Qi
  • Expel dirt
  • Transform turbidity
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Mouth open
  • Hands relaxed
  • Weak breathing
  • Deviation of the eyes and mouth
  • Eyes closed
  • Limbs cold
  • Hemiplegia (flaccid)
  • Snoring with a weak sound
  • Perspiration ("flows like oil")
  • Incontinence of urine and feces
  • T: Pale and flaccid
  • C: Thin and white
  • P: Minute and thready - about to collapse or Superficial and big but with no root (with red face)
Treatment Principle
  • Support Zheng Qi
  • Consolidate Exhaustion
  • Strengthen Qi
  • Return Yang
Herb Formulas
Points
   
Clinical Manifestations
  • Mania (Kuang)-Withdrawal (Dian)
  • Palpitations
  • Anxiety
  • Maybe severe continuous palpitations leading to coma
  • Insomnia
  • Coughing and wheezing
  • Thick, viscous, yellow sputum
  • Distention of chest and epigastrium
  • Stifling sensation of chest and epigastrium
  • Dizziness
  • Vertigo
  • Tinnitus
  • Facial tics
  • Sudden, deep joint pain that is difficult to describe
  • Peristalsis-like movements of the eyes and mouth
  • Constipation
  • Severe, stabbing pain in the joints
  • Very strange dreams
  • Impaired consciousness
  • Nodules in the neck
  • Choking sensation
  • Restlessness
  • Agitation
  • Continuous shouting or singing
  • Maybe violent behavior
  • Dull complexion
  • Incoherent speech
  • Disinterest in food
  • Fright
  • Blank stare
  • Insanity
  • T: Red tip
  • C: Thick, yellow and greasy
  • P: Slippery, Excess and rapid or Wiry and rapid
Treatment Principle
  • Drain Fire
  • Drive out Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five Sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Deviation of the eyes and mouth
  • Headache
  • Dizziness
  • Stiffness of the tongue
  • Insomnia
  • Restlessness
  • Difficulty swallowing
  • T: Red
  • C: Thin and yellow
  • P: Wiry
Treatment Principle
  • Calm the Liver
  • Restrain Yang
  • Strengthen Yin
Herb Formulas
Points
Clinical Manifestations
  • Motor impairment
  • Numbness or complete loss of sensation
  • Paralysis
  • Hemiplegia
  • Headache
  • Dizziness
  • Tinnitus
  • Facial flushing
  • Irritability
  • Hypertension
  • T: Red
  • C: Little of None
  • P: Wiry and slippery or Thready, wiry and rapid
Treatment Principle
  • Sedate Liver Yang
  • Extinguish Wind
  • Strengthen Yin
  • Unblock the channels
Herb Formulas
  • Zhen Gan Xi Feng Tang
  • Chinese Patent Medicines:
    Ren Shen Zai Zao Wan
    Niu Huang Qing Xin Wan
    Niu Huang Jiang Ya Wan
Points
Clinical Manifestations
  • Rage
  • Coma
  • No deviation of the eyes and mouth
  • No hemiplegia
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Shi and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Contractures
  • Spasms
  • Neck stiffness
  • Convulsions
  • Oculogyric crises
  • Opisthotonos
  • Coma
  • Possibly death
  • T: Red or Deep red
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Cool the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Severe headache
  • Pressure headache behind the eyes
  • Numbness and tremor of limbs
  • Paralysis of the limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphagia
  • Unsteady gait
  • Convulsions
  • Sudden loss of consciousness
  • Tongue stiffness with aphasia
  • Facial paralysis
  • Hemiplegia
  • Tinnitus
  • Blurred vision
  • Sudden blindness in one eye
  • Flushed face
  • Irritability
  • Restlessness
  • Insomnia
  • Dream-disturbed sleep
  • Lower back pain
  • Progressive unilateral motor dysfunction
  • Hypertension
  • T: Red
  • C: Little or None
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Shao Yang
  • Unblock the three Yang Levels
  • Sedate and calms the Spirit
  • Relieve the chest and subcardiac regions
  • Alleviate spasms
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Muscle spasms with alternating flexion and extension of the extremities
  • Prostration
  • Clonic convulsions
  • Dizziness - worse with stress or anger
  • Tinnitus
  • Aphonia
  • Insomnia
  • Dream-disturbed sleep
  • Sore low back and knees
  • Nocturnal emissions
  • Often the patient is on the verge of shock
  • Hemiatrophy of the muscles
  • Hemiplegia
  • Hemianasthesia
  • Flaccidity of the legs
  • T: Deep red maybe flaccid
  • C: Thin or Peeled
  • P: Weak and faint
Treatment Principle
  • Nourish Yin of the Liver and Kidneys
  • Extinguish Endogenous Wind
  • Nourish the muscles
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Aching bones and joints
  • Muscle ache
  • Whole body pain
  • Aversion to Cold, especially at the back
  • Cold limbs
  • No Thirst
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Maybe fever
  • No thirst
  • T: Normal
  • C: White and slippery
  • P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle
  • Dispel Cold
  • Warm the channels
  • Assist Yang
  • Dispel Dampness
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Cold limbs
  • Sweating
  • Shortness of breath
  • Panting
Treatment Principle
  • Tonify Yuan Qi
Herb Formulas
Points
Clinical Manifestations
  • Heart pain
  • Headache
  • Stomach pain
  • Abdominal pain
  • Back pain
  • Leg pain
  • Arm pain
  • Bruising and swelling due to traumatic injury
  • Rheumatic pain
  • Fixed abdominal masses
  • Internal or external ulcerations
  • Dark or echymosis spots
  • Scrofula
  • T: Dark or Purple with purple spots
  • C: Normal
  • P: Wiry or Choppy
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Unblock the collaterals
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Weakness
  • Malaise
  • Dizziness
  • Numbness of the extremities
  • Stiffness of the tongue
  • Slurred speech
  • Dysphagia
  • Hemiplegia
  • Hemianasthesia
  • Sialism (drooling)
  • Palpitations
  • T: Dark or Purplish spots
  • C: Thin and white
  • P: Thready and weak or Thready and choppy
Treatment Principle
  • Strengthen Qi
  • Invigorate the Blood
  • Eliminate Stagnation
Herb Formulas
  • Bu Yang Huan Wu Tang modified
  • Chinese Patent Medicines:
    Bu Zhong Yi Qi Wan + Fu Fang Dan Shen Pian

    Ren Shen Zai Zao Wan
    Niu Huang Qing Xin Wan
    Niu Huang Jiang Ya Wan
Points
Clinical Manifestations
  • Partial coma
  • No deviation of the eyes or mouth
  • No hemiplegia
  • Raving
  • Irrational speech
  • Livid, discolored, bluish or greenish-black face
Treatment Principle
  • Descend Qi
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Pale face with bluish lips
  • Limbs cold, pale and still
  • Lying peacefully
  • T: Pink
  • C: White and greasy
  • P: Deep, slippery and even
Treatment Principle
  • Open the Heart Orifice with Pungent Warming Herbs
  • Eliminate Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia as a sequela to Wind-Stroke
  • Insensitivity of the skin
  • Possible stabbing pain on the affected side
  • Hypertonicity of the sinews
  • Possible deviation of the mouth and eyes wit sluggish speech
  • A somber, white facial complexion
  • Dry, scaly skin
  • Weakness
  • Disinclination to speak
  • Spontaneous perspiration
  • Lassitude
  • Frequent urination or
  • Enuresis
  • T: Pale or Dark with possible maculae
  • C: White
  • P: Wiry and Thready or Empty and choppy
Treatment Principle
  • Tonify the Spleen
  • Boost Qi
  • Invigorates the Blood
  • Transform Stasis
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Deviation of the eyes and mouth
  • No coma
  • Headache
  • Dizziness
  • Tinnitus
  • Numbness of the extremities
  • Tongue stiffness
  • Unclear speech
  • T: Red
  • C: Normal
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Calm the Liver
  • Restrain Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Sore throat
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Heaviness in the head
  • T: Red
  • C: White or yellow, greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
Herb Formulas
Points
Clinical Manifestations
  • Channel Stroke: No coma
  • Visceral Stroke: Coma
  • Warning signs:
    Liver Yang Rising signs and symptoms +
    Numbness
    Spasms
  • Early-Stage: Food Stagnation + Qi and Blood Stagnation with Heat
    Alternating fever and chills
    Fullness in the chest and hypochondrium (with or without pain)
    Bitter taste in mouth
    Nausea
    Continuous vomiting
    Hard focal distension in the epigastrium
    Fullness and pain in the epigastrium
    Burning diarrhea or no bowel movement
    Despondency
    Slight fidgeting
    Slight irritability
    Headache
    Constipation or discharge of fluids rectally
    Tinnitus
    Diminished hearing
    Diminished vision
    Red eyes
    Manic behavior
    Asthma
    Mental instability
    T: Normal or red
    C: Yellow or Thick and yellow
    P: Wiry and forceful or Wiry tight and forceful
  • Middle-Stage: Both Excess and Deficiency + Qi and Blood or Qi and Yin Deficiency of multiple organs + External Excess or Phlegm Stagnation or Blood stagnation
    Lassitude
    Fatigue
    Shortness of breath
    Dizziness
    Tinnitus
    Palpitations
    Emaciation
    Lack of strength
    Dry, rough eyes
    Possible distended feeling in eyes
    A pale, lusterless face
    Possible malar flush
    Restless
    Insomnia
    Poor memory
    Dry, parched throat
    Tasteless feeling in the mouth
    Low back and knee soreness and
    weakness
    Low grade fever
    Five sole heat
    Possible sweating
    Possible tremors of the hands and tongue
    Scanty intake
    Abdominal distention after meal
    Loose stools
    T: Red
    C: Thin or Peeled
    P: Empty and rapid or Thready and rapid
Treatment Principle
  • Early-Stage:
    Relive Stagnation
    Clear Heat
  • Middle-Stage:
    Reduce Excess
    Tonify Deficiency
    Resolve Phlegm
    Invigorate the Blood
    Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Flushed face
  • Thirst
  • Irritability
  • Constipation
Treatment Principle
  • Clear Fire
Herb Formulas
Points
Clinical Manifestations
  • Coma
  • No deviation of the eyes or mouth
  • No hemiplegia
  • Icy limbs
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Stiff tongue
  • Deviation of the eyes and mouth
  • Hemiplegia
  • Fullness of the chest or
  • Masses or
  • Distended abdomen
  • Heavy limbs
  • Nausea
  • Vomiting
  • T: Pink
  • C: Sticky and yellow
  • P: Slippery
Treatment Principle
  • Eliminate Phlegm
  • Remove Stasis
Herb Formulas
Points
Clinical Manifestations
  • Sudden heaviness
  • Numbness or paralysis of the extremities on one side of the body
  • Facial paralysis
  • Dysphagia
  • Disordered consciousness
  • Dry stools
  • Constipation
  • Dizziness
  • Copious Phlegm
  • Drooling
  • T: Stiff and quivering or Deviated
  • C: Greasy and yellow
  • P: Wiry and slippery
Treatment Principle
  • Expel Phlegm-Heat through the bowels
Herb Formulas
  • Xing Lou Cheng Qi Tang
  • Chinese Patent Medicines:
    Niu Huang Qing Xin Wan
    Niu Huang Jiang Ya Wan

    Jiang Ya Wan
    Jiang Ya Ping Pian
Points
Clinical Manifestations
  • Dizziness
  • Vertigo (possibly severe)
  • Headaches (may be recurrent)
  • A stifling sensation in the chest
  • Facial paralysis
  • Difficulty speaking
  • Intolerance of Cold
  • Spasms of the limbs
  • Deviation of the eyes and mouth
  • Paralysis of the skin
  • Continuous, uncontrolled salivation
  • Fever
  • Sore, painful joints
  • Nausea
  • Vomiting
  • Copious sputum
  • Spots before the eyes
  • Heaviness of the head
  • Lockjaw
  • Sinus congestion
  • Cold feet
  • Fatigue
  • Abdominal distention
  • Weakness of hands and feet
  • May be edema
  • Sudden loss of consciousness
  • Excess salivation
  • Compulsive sleeping after eating
  • T: Normal
  • C: White and greasy
  • P: Soft and slippery or Wiry or Taut and thready or Floating and rapid
Treatment Principle
  • Strengthen the Spleen
  • Dispel Dampness
  • Transform Phlegm
  • Soothe the Liver
  • Extinguish Wind
  • Stop spasms
Herb Formulas
Points
Clinical Manifestations
  • Deviation of the mouth and eyes
  • Numb flesh and skin
  • Movement causes pain
  • Anxiety
  • P: Floating and wiry
Treatment Principle
  • Extinguish Wind
  • Clear the Luo
Herb Formulas
Points
Clinical Manifestations
  • Hands and feet paralyzed
  • T: Feeble
  • P: Deep and wiry
Treatment Principle
  • Extinguish Wind
  • Clear the channels
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity from all three Jiaos
  • Relieve inflammation
Herb Formulas
Points
Clinical Manifestations
  • Contractures
  • Spasms
  • Neck stiffness
  • Convulsions
  • Oculogyric crises
  • Opisthotonos
  • Acute lower abdominal pain
  • Incontinence of urine
  • Night fevers
  • Delirious speech
  • Irritability
  • Restlessness
  • Thirst
  • May be mania (severe)
  • Dysmenorrhea
  • Amenorrhea
  • Hard stool
  • Dark red complexion
  • Headache
  • Vertigo
  • Tinnitus
  • Insomnia
  • Palpitations
  • Constipation
  • Frequent urination
  • Emotional instability
  • Chills in the waist and feet
  • Tremors
  • Excruciating abdominal pain with cold
  • Black stool
  • May be chills and fever
  • Hemoptysis
  • Hematuria
  • Red eyes
  • Pain and distention of the head
  • Toothache
  • Irregular menstruation
  • Lochioschesis
  • Severe wheezing
  • Distention of the chest
  • T: Red and dry or Red or Deep red
  • C: Yellow
  • P: Deep and forceful or Choppy or Wiry and rapid
Treatment Principle
  • Clear Heat
  • Cool the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Coma
  • No deviation of the eyes or mouth
  • No hemiplegia
  • Abdominal pain with indigestion
  • Fullness of the chest
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Hands and feet paralyzed
  • Epigastric distention and fullness
  • Constipation
  • Foul breath
  • Anorexia
  • T: Red
  • C: Yellow, thick and slimy
  • P: Slippery and rapid
Treatment Principle
  • Purge the bowels
  • Clear Heat
  • Resolve Phlegm
  • Normalize the Yang organs
Herb Formulas
  • San Hua Tang
  • Chinese patent medicines:
    Niu HUang Qing Xin Wan + Da Huang Pian
Points
Clinical Manifestations
  • Slow and gradual onset
  • Weak and flaccid lower limbs
  • Muscle twitching
  • Soreness and weakness of the lower back and spine
  • Inability to stand for a long time
  • Total loss of mobility and severe loss of muscle mass can result with exacerbation
  • Dizziness
  • Vertigo
  • Hair loss
  • Dry throat
  • Tinnitus
  • Fatigue
  • Nocturnal emissions
  • Enuresis
  • Fecal and urinary incontinence
  • Irregular menstruation
  • Dysmenorrhea
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Tonify the Liver and Kidneys
  • Nourish Yin
  • Clear Heat
Herb Formulas
Points