发表日期
2006-08-17
治疗内科病症之1(英汉对照)——中风Stroke
来源:内科病症之1 编辑:戈泉 阅读:
中脏腑 Wind Stroke Attacking the Zang-Fu Organs
闭症
主症:突然昏倒,不省人事,两手握固,牙关紧闭,面赤气粗,喉中痰鸣,二便闭塞,舌赤红苔黄厚或灰黑,脉弦滑有力。
Obstructive Type
Main Manifestations: Falling down with loss of consciousness, tightly clinched hands, and clinched jaws, flushed face, coarse breathing, stridor, retention of urine, constipation, red tongue with thick yellow or dark grey coating, sting-taut, rolling and forceful pulse. 治法:取督脉,足厥阴经及十二井穴为主。毫针泻法,或点刺出血,以开窍醒神,平肝熄风,清化痰火。
Treatment: Resuscitation, quenching the wind and fire, clearing up phlegm by needling mainly on the Governor Vessel, the Liver Meridian plus the twelve Jing-well points Either reducing method or pricking to cause little bleeding, is applied,
处方:水沟 十二井穴 劳宫 丰隆 百会 太冲 涌泉
Prescription: Shuigou(GV 26), twelve Jing-well points on both hands (LU11, HT9, PC9, LI1, TE1, SI1), Laogong (PC8), Fenglong (ST 40), Baihui (GV 20), Taichong (LR 3), and Yongquan(KI 1).
脱症
主症:突然昏倒,不省人事,目合口开,鼻鼾息微,手撒遗尿,四肢厥冷,面赤如妆,脉微欲绝或浮大无根。为真阳外越之危候。
Collapsing Type
Main Manifestations: Sudden falling down with loss of consciousness, closed eyes, opening mouth, weak nasal breathing, incontinence of urine and stools, flaccid tongue, cold limbs, flushed face, fainting pulse or rootless superficial pulse.
治法:取任脉经穴为主,重用灸法,以回阳固脱。
Treatment: The points of Governor Vessel are mainly selected while heavy moxibustion is applied to these points to restore Yang from collapse.
处方:神阙 关元 气海 百会
Prescription: Shenque (CV8), GuanYuan(CV4), Qihai(CV6) and Baihui(GV20)
中经络 Wind Stroke of Meridians and Collaterals Type
主症
半身不遂,肌肤不仁,手足麻木,口角歪斜,语言不利,或兼见头痛眩晕,手足抽动,面红目赤,咽干口喝,烦躁等症,脉多弦滑。
Main Manifestations
Hemiplegia, numbness of skin and limbs, wry mouth and eyes, stiff tongue with poor speech. It may also be accompanied by headache, dizziness, twitching of muscles, red eyes and flushed face, thirst, dryness of the throat, irritability and wiry or slippery slow pulse.
治法
取手足阳明,手足少阳,太阳经穴为主。针刺平补平泻法,以祛风痰,通经脉、调气血、平阴阳。
Treatment
Select mainly the points of Large Intestine, Stomach, Triple Energizer, Gallbladder, Small Intestine and Bladder Meridians. Needling with even reinforcing and reducing method, in order to regulate Qi and blood, remove obstruction from the meridians and collaterals, reduce the wind and keep Yin and Yang in balance.
处方
上肢:肩髁 曲池 手三里 支沟 合谷 后溪
下肢:肾俞 环跳 阳陵泉 足三里 太冲
头面:百会 风池 地仓 颊车 哑门 廉泉
Prescription
Upper limbs: Jianyu(LI 15), Quchi(LI 11), Shousanli(LI 10), Zhigou(TE 6), Hegu(LI 4) and Houxi(SI 3)
Lower limbs: Shenshu(BL 23), Huantiao(GB 30), Yanglingquan(GB 34), Zusanli (ST 36) and Taichong(LR 3)
Head and facial region: Baihui(GV 20), Fenchi(GB20), Dicang(ST 4), Jiache(ST6), Yamen(GV15) and Lianquan(CV 23)
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