Wind stroke is an
emergency case manifested by falling down in a fit with loss of
consciousness, or hemiplegia, slurred speech and deviated mouth. It is
characterized by abrupt onset with pathological changes varying quickly
like the wind, from which the term wind stroke comes.
Etiology and Pathogenesis.
Wind stroke often occurs in the aged who are in poor health, with deficiency
of qi and blood, or deficiency in the lower part of the body and excess in
the upper part. It may be caused by deficiency of the kidney yin due to
sexual indulgence, or by irregular food intake, which impedes the
transportation and transformation function of the spleen, leading to
production of phlegm from accumulated dampness and transformation into heat.
Then there appears imbalance of yin and yang in the zang - fu organs. Other
causative factors are exasperation, agitation, alcohol indulgence or
overeating, overstrain and stress, or invasion ol exogenous pathogenic wind,
all leading to upsurge of liver yang and heart fire, which makes qi and
blood go upward together with turbid phlegm, disturbing the mind and
resulting in this disease. In mild cases there are only symptoms showing
dysfunction of the meridians and collaterals, while in severe cases both
dysfunction of zang - fu organs and that of the meridians and collaterals
are manifested. The syndrome indicating the attack on the zang - fu organs
may be subdivided into tense (excess) type and flaccid (deficiency) type.
(excess) syndrome results from disturbance of the mind by the phlegm heat,
or collection of excessive fire in the heart and liver, while flaccid
(deficiency) syndrome results from deficiency of the primary qi or collapse
of the kidney yang. In untreated or improperly treated cases, the tense
syndrome tends to become flaccid and the prognosis is often poor.
Tense syndrome (bi zheng)
manifestations: Falling down in a fit with loss of consciousness, tightly
closed hands and clenched jaws, flushed face. coarse breathing, rattling in
the throat, retention of urine, constipation, red tongue with thick yellow
or dark gray coating, string - taut, rolling and forceful pulse.
Analysis: Wind stirred up by upsurge of liver yang sends qi and blood
upwards, which together with the accumulated phlegm Fire disturb the mind,
leading to sudden loss of consciousness with tightly closed hands and
clenched jaws, flushed face, coarse breathing, retention of urine and
constipation. Excessive wind phlegm brings about rattling in the throat. Red
tongue with thick yellow coating or dark gray coating, string - taut,
rolling and forceful pulse are the signs of wind combined with phlegm Fire.
- red face
- Acupuncture – *Du 26, Shi Xuan
(bleed), *PC 6, LR 3, GB 20, all open orifices to revive patient and
clear externally caused Liver Wind
- red face, rough noisy breathing
- Acupuncture – *Du 26, Shi Xuan, *PC 6,
ST 40, Ren 22
- similar to Cold Bi, limbs are more
flaccid than with Heat, gurgling sound in throat, cold limbs
- Acupuncture - *Du 26, *PC 6, Shi Xuan,
ST 36, SP 6, ST 40, Ren 6 (moxa)
Additional Method: Points of the Du Meridian, the Liver Meridian of Foot -
Jueyin and the twelve jing-well points are selected as the main points to
promote resuscitation, reduce wind and Fire and resolve phlegm. Either
reducing method or pricking, to cause little bleeding, is applied.
- [DU20 - DU26 -
ST40 - LR3 - KI1 - twelve jing-well points on both hands (LU11, HT9,
MH9, LI1, TH1)]
Explanation: As the condition is due to disturbance of the heart by phlegm
associated with up surging of liver yang and upward flowing ofqi and blood,
DU20 and DU26 are selected to regulate qi of the Du Meridian, effecting
resuscitation, KI1 is selected to conduct the heat downward, and LR3 to
subdue the upsurging of qi in the Liver Meridian and pacify the liver yang.
Pricking the twelve jing-well points on both hands, where qi of the three
yin and three yang meridians meet, may dispel heat and regain consciousness.
The spleen and stomach are the source of phlegm production. ST40, the luo-connecting
point of the Stomach Meridian can invigorate the functions of the spleen and
stomach and help to resolve the turbid phlegm. Since the Yangming Meridians
of Hand and Foot supply the cheeks, ST7, ST6 and LI4 are chosen to promote
the circulation of qi and blood for relieving the clenched jaws. DU15 and
RN23, being local and adjacent points of the tongue, and HT5, the luo-
connecting point of the Heart Meridian, may relieve stiffness of tongue
manifestations: Falling down in a Fit and sudden loss of consciousness with
mouth agape and eyes closed, snoring but feeble breathing, flaccid paralysis
of limbs, incontinence of urine, flaccid tongue, thready, weak pulse, and in
severe cases cold limbs, or flushing of face as rouged, fading or big
Analysis: Severe weakness of primary qi, separation of yin and yang and
exhaustion of qi in the zang organs are indicated in mouth agape, eyes
closed, snoring but feeble breathing, flaccid paralysis, and incontinence of
urine. Flaccid tongue and thready weak pulse suggest the deficiency of blood
and prostration of the kidney yang. If complicated with cold limbs, flushed
face, fading or big floating pulse, it is a critical case, indicating
exhaustion of yin in the lower portion of the body and upward going of the
- [RN4 - RN8 -
*DU26 - *MH6 -
ST36 - DU20 - sishencong]
- [RN8 - RN6 - RN4].
- *heavy Moxa, RN6: indirect moxibustion
Explanation: RN8, RN6 and RN4 are located on the lower abdomen along the Ren
Meridian and are the main points effective for collapse. Heavy moxibustion
applied on RN4, a meeting point of the Ren Meridian and three yin meridians,
can strengthen the primary qi, and restore yang from collapse.
are two categories. One is that only the meridians and collaterals are
attacked without the zang - fu organs being involved. The other is that
after wind stroke the functions of the affected zang - fu organs have been
restored, yet there exists stagnation of qi and blood in the meridians and
manifestations: Hemiplegia, numbness of the limbs, deviated mouth, slurring
of speech, accompanied by headache, dizziness, vertigo, twitching of
muscles, red eyes and flushed face, thirst, dryness of the throat,
irritability, string taut and rolling pulse.
Analysis: Wind phlegm enters the meridians and collaterals due to imbalance
of yin and yang, or after treatment the functions of the affected zang - fu
organs have been restored, but wind phlegm still blocks the meridians and
collaterals, causing retarded circulation ofqi and blood. Hence appears
hemiplegia, numbness of the limbs, deviated mouth and slurring of speech.
'If complicated with upsurging of liver yang, and upward disturbance of wind
yang, the symptoms are headache, dizziness, vertigo and twitching of
muscles. If there is excessive fire in the heart and liver, there may be red
eyes and flushed face, thirst, dryness of the throat and irritability.
Stagnation of wind phlegm in the meridians and collaterals leads to a string
- taut and rolling pulse.
Points along the Du Meridian and the yang meridians of the affected side are
mainly used to regulate qi and blood, remove obstruction from the meridians
and collaterals and reduce the wind. Needle with even movement first from
the healthy side and then the affected side.
Prescription: [DU20 - BL7 - DU16].
limbs: [LI15 - LI11 - TH5 - LI4].
limbs: [GB30 - GB34 - ST36 - ST41].
Supplementary points: Upward disturbance of wind yang: Reducing is applied
to GB20 and LR3, and reinforcing to KI3 and SP6. Excessive fire in the heart
and liver: Reducing is applied to MH7 and LR2, and reinforcing to KI3.
mouth: [ST4 - ST6].
Explanation: Du Meridian is the sea of all yang meridians. DU20, DU16
combined with BL7 can eliminate wind and remove obstruction from the
meridians and collaterals. Since the yang meridians dominate the exterior of
the body and qi, points of the yang meridians are selected to regulate qi
and blood of the body and promote smooth circulation in the upper and lower
portions of the body. For the upper disturbance of wind yang, GB20 and LR3
are selected to reduce the wind and pacify the liver. Reinforcing applied to
KI3 promotes the production of the kidney yin to nourish the liver.
Reinforcing applied to SP6 nourishes yin and paciFies yang.
excessive fire in the heart and liver, reducing MH7 and LR2 can eliminate
the fire, while reinforcing KI3 nourishes yin to reduce the fire. ST4 and
ST6 are selected for the purpose of promoting a free circulation ofqi in the
meridians and collaterals around the facial region.
Liver Yang suddenly rises
- emotional stress, overwork, hemiplagia,
stiff tongue, mouth deviation, dizziness, headache, red face & eyes,
easy to anger, constipation, yellow urine, P- strong wiry, T- red (or
deep red) with yellow and/or dry coat.
- Acupuncture – Du, hand Jueyin, foot
Shaoyang, *Du 26 & *PC 6 (open orifices), *SP 6, LR 3, LI 11, SJ 5, GB
30, 34, HT 1, Ren 23, Jin Jin/Yu Yue (bleed)
- hemiplagia, deviation, numbness and
spasm of limbs, dizziness, cloudy mind, blurred vision, T- greasy coat,
P- wiry slippery, generally more overweight people
- Acupuncture – Du, foot Taiyin,
Shaoyang, *Du 26, *PC 6, * SP 6, ST 36, 40, SP 9, HT 1, LI 11, SJ 5, GB
30, 31, 34
Yangming excess with
- same as above, with sticky mouth and
constipation, T- red smoky coat
- Acupuncture – foot Yangming, *Du 26,
*PC 6, * SP 6, ST 25, 37, 40, HT 1, LI 11, SJ 5, HT 1, GB 30, 31, 34
Qi deficiency with Blood
- hemiplagia with flaccid limbs,
numbness, shortness of breath, spontaneous sweats, palpitations
- Acupuncture - *Du 26, *PC 6, * SP 6,
HT 1, LI 11, SJ 5, GB 30, 31, 34, Ren 6, BL 23, ST 36, Du 14 (stop
Liver Kidney Yin deficient
- Acupuncture - *Du 26, *PC 6, *SP 6, HT
1, LI 11, SJ 5, GB 30, 31, 34, BL 23, KI 3, LR 3
Zang Fu effected
- Caused by Wind and Fire attacking the
organs, this is more severe than meridian invasion.
- auricular- subcortes, brainstem,
frontal, occipital, temporal, LR, HT, KI, effected body parts
- scalp- wait until the situation is
stable, puncture opposite side of paralysis, use motor, motor sensory,
and speech regions.
- electrical- must wait until situation
is stable, use on head, arm, leg, 2 points each, intermittent, or
*For chronic stroke
patients, alternate puncturing the effected side and the normal side.
Prevention points: GB 31,
stroke is referred to cerebral hemorrhage, thrombosis, embolism,
subarachnoid hemorrhage, etc. When the acute stage is over, there may be
sequelae, such as hemiplegia, monoplegia, aphasia, etc.
Prophylactic measures for wind stroke: The old aged with. deficiency of qi
and excessive phlegm, or with manifestations of up surging of liver yang
marked by dizziness and palpitations, may have premonitory symptoms such as
stiff tongue, slurred speech and numbness of the Finger tips. Attention
should be paid to diet and life style and avoid overstraining. Frequent
moxibustion on ST36 and GB39 may prevent an attack of wind stroke.