Post-Stroke Paralysis, Post-Stroke Hemiplegia

General

Clinical Manifestations	Atrophy Paralysis of the limbs Paralysis of the bladder and rectum
Treatment Principle	Invigorate Qi and Blood
Herb Formulas	For flaccid hemiplegia: Xu Ming Tang Herbal baths: Hemiplegia Bath #1 Hemiplegia Bath #2
Points	GB-26, GB-30, Shenji, Tiaoyue, Siqiang Electroacupuncture SI-3 to UB-62, Bilateral ST-36 , SP-10 to SP-4 1. Huatoujiaji between the 1-2 spinal processes above and below the level of injury, DU-4, GB-30, UB-23, UB-25, UB-28, UB-32, UB-36, UB-37, UB-40, UB-57, UB-60 2.  GB-31, GB-34, GB-40, LIV-3, REN-3, REN-4, REN-6, REN-12, SP-6, ST-25, ST-36 For quadriplegia: + GB-20, LI-4, LI-11, LI-15, SJ-3, SJ-4, SJ-5 For urinary incontinence: Group 1: UB-23, UB-25, UB-28, UB-32, UB-40, UB-57, UB-60 Group 2: GB-34, LIV-3, REN-3, REN-4, REN-12, REN-6, SP-9, SP-6, ST-25 Huatoujiaji below below the level of injury, Upper limbs: HT-l, LU-5, LI-4, LI-11, SJ-5 Lower limbs UB-40, SP-6, GB-34, LIV-3 Main points: GB-30, LI-10, PC-2, ST-36 Secondary points: GB-20, GB-34, GB-39, GB-41, LI-4, LI-11, LI-15, LIV-3, SI-3, SJ-5, SJ-14, SP-10, ST-41, UB-60, UB-62 For stiffness of the tongue and difficulty speaking: + DU-15, REN-23, SJ-1 For complete loss of speech: + Heavy stimulation on REN-12, REN-23 (2.5 cun toward the root of the tongue) With dizziness or hypertension: GB-20, LIV-3 For urinary incontinence: + UB-23, ("Burning Mountain" technique) For retention of urine or difficult urination: + LI-6, SJ-4 For constipation: + SJ-6, ST-25, UB-25 Hemiplegia: ST-36 opposite side + alternate 1. GB-30, UB-40, Bafeng 2. UB-57, UB-60, Baxie Main points (upper limb): GB-21, LI-15, LI-11, LI-4, SJ-3 Brachial plexus: Yeling, SI-9 Radial nerve: LU-5, LI-11   Median nerve: PC-3, PC-6 Main points (lower limb): GB-21, GB-38, GB-34, ST-36, UB-60 Femoral nerve: LIV-11, SP-12 Sciatic nerve: UB-52, UB-37 Common perineal nerve: Houyangquan Superficial perineal: Lingxia  Deep Perineal: ST-36 Tibial: UB-54, UB-57 Shoulder: Abduction (deltoid and supraspinatus): Naoshang, LI-15 Forward movement (coracobrachialis, anterior insertion of the deltoid): Jianneiling Raising the arm backward (latissimus dorsi, teres major, posterior insertion of the deltoid): UB-17, UB-19, SI-9, SJ-14 Elbow: Lifting the lower arm at the elbow (biceps brachii, brachialis): Gongzhong, electroacupuncture  Gongzhong to Jubi External lower arm at the elbow (triceps brachii): Yingshang + electroacupuncture LI-15 to Yingshang Wrist: External wrist (ulnar, radial extensors): Yingxia, SJ-9, LI-10, LI-8 Wrist flexion (ulnar and radial flexors): Bizhong Wrist drop: electroacupuncture LI-11 to LI-6 Fingers: Extended: LI-4 through to PC-8 or electroacupuncture LI-4 to PC-8 Curled: LI-4 through to PC-8 or electroacupuncture LI-4 to PC-8 or LI-4 through to SI-3 or electroacupuncture LI-4 to SI-3 Hip: Flexor muscles (psoas major): GB-27 horizontally along the hip or Shuxi, GB-27 Extensor muscles (gluteus maximus, biceps femoris, semimembranosis, semitendinosis): UB-37 or Zhili, electro-acupuncture UB-53 to GB-30 Obstruction (gluteus medius, gluteus minimus): Tiaoyue or electro-acupuncture Tiaoyue to GB-29 or electroacupuncture GB-33 to GB-31 Adduction (adductor magnus, adductor longus, adductor brevis): Jiejian, Jixia, LIV-9 + electroacupuncture Houxuehai to Jiejian Knee: Extension (quadriceps femoris): ST-32, Maibu, Jianxi, electro-acupuncture Jianxi to ST-32 Flexion: UB-37, Zhili or electroacupuncture UB-37 to UB-40 Foot: Plantar flexion: UB-55, UB-57, Genjin Dorsal extension: ST-36, Lishang, Jingxia Medial deviation:UB-57, Jiuwaifan #2 Lateral deviation: GB-34, Jiuneifan, GB-39 Drop foot: electroacupuncture ST-36 to ST-34 Rigid foot: electroacupuncture UB-40 to UB-57 Inward club foot: electroacupuncture GB-34 to GB-39 Outward club foot: electroacupuncture UB-58 to KI-8 Fingers and toes: The twelve Jing-Well points, Shiwang, Qiduan Pelvic cavity organ dysfunction: REN-3, REN-4, ST-25 Bladder: REN-3, UB-30, Yinbian Electroacupuncture REN-3 to REN-4, Bilateral UB-32 Rectum: SP-15, Tongbian, SJ-6

Wind-Cold Invasion Due To Wei Qi Deficiency

Clinical Manifestations	Hemiplegia Asymmetry of the face Paralysis of the face Slow and slurred speech Aphasia Fever and chills Semi-consciousness Loss of consciousness Convulsions Neck rigidity Limited movement of the joints Loss of consciousness Muscle spasms Low back pain Numbness of the muscles and skin Hemiplegia Urticaria T: ; Pale C: Thin and white P: Floating and Empty or Tense or Wiry and tense
Treatment Principle	Warm the channels Disperse Wind Releases Yang Supports the Qi
Herb Formulas	Xiao Xu Ming Tang
Points	General points

Shao Yang Fu With Underlying Liver Qi Stagnation

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	Chai Hu Jia Long Gu Mu Li Tang
Points	GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, ST-1, UB-1, UB-2 Ear: GB-2, SJ-5, SJ-17, SJ-21 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

Wind-Dampness

Clinical Manifestations	Wandering joint pain, especially the wrists, elbows, knees and ankles Chills and fever Atrophy above and below the knees Limited movement Paralysis of knees One or both knees swollen, enlarged and painful Stiffness of knees Legs so weak and sore after dysentery that it is difficult to walk Generalized pain and numbness in the legs Hemiplegia Dizziness Neuralgia Paralysis, stiffness, swelling and pain of feet Atrophy of the leg muscles Chest oppression Lumbago Tinnitus T: Pink or Pale and swollen or Red C: Thin white or Greasy white P: Superficial and tense or tight or Deep and thin or Deep and weak or Deep, slow and weak
Treatment Principle	Dispel Wind Activate Qi and Blood TonifY Qi and Blood Eliminate Cold-Dampness TonifY Yang Strengthen the muscles, tendons and bones
Herb Formulas	Da Fang Feng Tang
Points	General points

Wind-Damp Bi With Blood Deficiency And Blood Stagnation

Clinical Manifestations	Muscle aches Joint pain Radiating pain in the legs Low back pain Edema Numbness in the lower extremities Pain in the trunk and extremities Abdominal pain Sciatica Aversion to Wind and Cold Knee pain T: Pale or Pink with purple spots C: Normal P: Choppy or Taut
Treatment Principle	Unblock and relax the channels Activate the Blood Break up Blood Stasis Dispel Wind-Dampness Strengthen the tendons
Herb Formulas	Shu Jing Huo Xue Tang
Points	General points

Wind-Cold-Dampness

Clinical Manifestations	Sciatica pain The pain is intense and moves around Swollen painful joints (especially lower limbs) Joints are warm to the touch (may be burning and swollen) The pain is worse at night Reduced range of motion Joint degeneration or deformity in the lumbar region Chills Anhidrosis Weight loss Shortness of breath Muscular atrophy Difficulty walking and moving Thirst Hemiplegia Rigidity of the limbs Headache Dizziness Vertigo Nausea Vomiting Edema Emaciation Swollen feet Numbness of the extremities Paralysis Fatigue T: Normal C: White and greasy or Thin, yellow and greasy P: Wiry and slippery or Slippery and rapid
Treatment Principle	Unblock Yang Qi Promote the movement of Qi Dispel Wind Eliminate Dampness Clear Heat Unblock the channels and collaterals Stop pain
Herb Formulas	Bai Zhu Fu Zi Tang Jia Wei Huo Luo Dan
Points	GB-30, GB-34, GB-39, GB-41, HuatuojiajiL-2-L-5, UB-23, UB-30, UB-31, UB-32, UB-36, UB-37, UB-40, UB-52, UB-57, UB-60 DU-2, GB-30, GB-31, GB-34, GB-39, GB-43, ST-31, ST-32, ST-34, ST-36, ST-41, UB-23, UB-25, UB-31, UB-31, UB-33, UB-34, UB-36, UB-40, UB-57, UB-58, UB-60, Yaoyan GB-30, GB-34 Lumbosacral pain: + UB-23, UB-25, UB-31, UB-31, UB-33, UB-34 Lower limb pain: + GB-31, GB-39, ST-32, ST-36, UB-36, UB-37, UB-40, UB-60 Electroacupuncture Huatuojiaji L-4 or L-5 to GB-34 or GB-40, GB-30 or UB-52 to GB-34 or GB-40 For pain in the low back or legs: 1. GB-30, GB-31, ST-33, UB-40, UB-57, UB-60, UB-62 2. DU-26, UB-40 For weak low back and legs: GB-30, GB-34, ST-39, UB-41 For pain in the low back and knees: GB-30, GB-34, SI-6, UB-40 For pain in the low back and hips: 100 cones of moxa on DU-4 Ear: Ischeum, Adrenal, Buttocks, Shenmen, Lumbar, Sacrum Cold Predominant: Moxa or moxa needle DU-3, GB-39, UB-23, UB-40 Damp Predominant: needle the Jing River points on the Yin channels and the He Sea points on the Yang channels, moxa or moxa needle REN-10, REN-12, REN-13, UB-20

Wind-Cold-Damp- Bi - Wind Predominant

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	Da Qin Jiao Tang  modified
Points	GB-30, GB-34, LI-4, LI-11, LI-15, SJ-5, ST-36, ST-41, UB-60 For a fever: + DU-14 For a headache: + GB-20 For body aches: + REN-12 For aversion to Cold: + UB-12 (Early stage: treat only points on the affected side, chronic: treat bilaterally) DU-14, GB-39, SJ-6 With a fever: + LI-11 With deformities: + UB-11 To disperse Qi and relieve external symptoms: LI-4, UB-12, SJ-5, GB-31 GB-20 Or GB-41, DU-1, LI-11, ST-36, UB-40 Or UB-17, SI-12, DU-16, GB-20, UB-12, SJ-17, SP-10, GB-31 Or DU-20, GB-20, GB-30 + Local points

Wind-Cold-Dampness With Blood Stagnation And Phlegm

Clinical Manifestations	Chronic pain, weakness and numbness (especially in the lower extremities) due to Windstroke Muscle spasms Cramps Heaviness and pain in the lower back and legs Fixed or migrating pain in the bones in the bones and joints with reduced range of motion Long-term numbness or paralysis in the hands and feet T: Normal C: White and moist
Treatment Principle	Dispel Wind Eliminate Dampness Transform Phlegm Invigorate the Blood Unblock the collaterals Alleviate pain Warm the channels and collaterals
Herb Formulas	Xiao Huo Luo Dan With Qi and Blood and Kidney and Liver Deficiency: Du Huo Ji Sheng Tang For Windstroke Attacking the Extremities: Wu Yao Shun Qi San
Points	General points

Wind-Cold-Dampness With Liver And Kidney Deficiency

Clinical Manifestations	Wandering joint pain, especially the wrists, elbows, knees and ankles Chills and fever Atrophy above and below the knees Limited movement Paralysis of knees One or both knees swollen, enlarged and painful Stiffness of knees Legs so weak and sore after dysentery that it is difficult to walk Generalized pain and numbness in the legs Hemiplegia Dizziness Neuralgia Paralysis, stiffness, swelling and pain of feet Atrophy of the leg muscles Chest oppression Lumbago Tinnitus T: Pink or Pale and swollen or Red C: Thin white or Greasy white P: Superficial and tense or tight or Deep and thin or Deep and weak or Deep, slow and weak
Treatment Principle	Dispel Wind Activate Qi and Blood Tonify Qi and Blood Eliminate Cold-Dampness Tonify Yang Strengthen the muscles, tendons and bones
Herb Formulas	Da Fang Feng Tang
Points	General points

Wind-Heat Bi

Clinical Manifestations	Whole body numbness Deviation of mouth and eyes Numbness of skin Dysphagia due to stiffness of the tongue Facial paralysis Hemiplegia Rigidity of the extremities Spasms of the extremities Aversion to Cold Fever Chills Aching joints Tingling of the skin Paralysis of the extremities Numbness and lack of sensation in the hands and feet Common cold (with above symptoms) Inability to walk Wandering joints pain T: Pink or Red C: White or Thin yellow P: Superficial or Superficial and wiry or superficial and tight or Wiry and thin
Treatment Principle	Dispel Wind Clear Heat Circulate Qi Dredge the channels Nourish and invigorate the Blood Harmonize the Ying and Wei
Herb Formulas	Da Qin Jiao Tang
Points	General points

Wind Or Wind-Heat Invasion Due To Wei Qi Deficiency (Early And Middle Stages)

Clinical Manifestations	Hemiplegia Asymmetry of the face Paralysis of the face Slow and slurred speech Aphasia Fever and chills Semi-consciousness Loss of consciousness Convulsions Neck rigidity Limited movement of the joints Loss of consciousness Muscle spasms Low back pain Numbness of the muscles and skin Urticaria T: ; Pale C: Thin and white P: Floating and Empty or Tense or Wiry and tense
Treatment Principle	Warm the channels Disperse Wind Releases Yang Supports the Qi
Herb Formulas	Xiao Xu Ming Tang With Qi and Blood Deficiency: Xu Ming Tang
Points	General points

Phlegm-Fire Disturbs The Heart

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	Xiao Xian Xiong Tang Huang Lian Wen Dan Tang Wen Dan Tang
Points	HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, ST-40, UB-15 + general points

Phlegm Obstructs The Heart Orifice: Yang Obstruction

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Red face Body feels hot Coarse breathing Bad breath Restlessness Involuntary movements Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: Yellow and greasy P: Slippery, wiry and rapid
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	(Ju Fang) Zhi Bao Dan An Gong Niu Huang Wan Ling (Yang) Jiao Gou Teng Tang modified CVA #1
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, ST-40 DU-26, LIV-3, Shixuan, ST-40

Phlegm Obstructs The Heart Orifice: Yin Obstruction

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 Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: White and greasy P: Deep, slippery and even
Treatment Principle	Open the Heart Orifices with Pungent Warming Herbs Eliminate Phlegm Subdue Wind
Herb Formulas	Su He Xiang Wan Di Tan Tang CVA #2
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, PC-5, ST-40, UB-20 DU-26, LIV-3, Shixuan, ST-40

Phlegm Obstructs The Heart Orifice: Exhaustion Syndrome

Clinical Manifestations	Sudden collapse with loss of consciousness Mouth open and hands relaxed Eyes closed Limbs cold Snoring Faint breathing Perspiration ("flows like oil") Incontinence of urine and feces T: Atonic P: Minute and thready - about to collapse or P: Superficial and big but with no root (with red face)
Treatment Principle	Support Zheng Qi Consolidate Exhaustion Strengthen Qi Return Yang
Herb Formulas	Di Huang Yin Zi CVA #3
Points	Moxa REN-4, REN-6, REN-8, ST-36 + General points

Liver Qi Stagnation With Heat

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	Jia Wei Xiao Yao San
Points

Liver Yang Rising

Clinical Manifestations	Hemiplegia The affected limbs are rigid and contracted Dizziness Impaired vision Night blindness Tinnitus Irascibility Throbbing headache with distended feeling Flushed face Agitation Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red C: Little or None or Yellow P: Thready and wiry or Wiry and rapid
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Hemiplegia #5
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 + general points

Liver Wind Stirring Internally: Liver Fire Generates Wind

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 Dysphasia Unsteady gait Paraplegia With Wind-Stroke: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Maybe coma Sometimes death T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Qu Feng Zhi Bao Dan Zhen Gan Xi Feng Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

Liver Wind Stirring Internally: Liver Yang Rising Generates Wind

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Tinnitus Blurred vision A distended feeling in the eyes A red face and ears Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphasia Unsteady gait Heart vexation Irascibility With Wind-Stroke: Tongue stiffness with aphasia Facial paralysis Suddeen onset of hemiplegia often after an outburst of violent anger and often preceding Sudden loss of consciousness Deviated mpouth and eyes Clouded Spirit Maybe coma Sometimes death T: Red C: Slimy P: Thready and wiry or Wiry and slippery
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Tian Ma Gou Teng Yin  modified Xu Ming Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, LIV-2, LIV-3, PC-8, UB-18, UB-23 GB-30, GB-34, KI-3, LI-4, LI-11, LI-15, LIV-3, SJ-5, SP-6,, ST-36, ST-40, ST-41, UB-60 For a fever: + DU-14 For a headache: + GB-20 For body aches: + REN-12 For aversion to Cold: + UB-12 For reduced sleep and profuse dreams: + HT-7 For palpitations and deficiency vexation: + PC-6 For night sweats: + HT-6 (Early stage: treat only points on the affected side, chronic: treat bilaterally)

Liver Wind Stirring: Liver Yang Rising Due To Kidney And Liver Yin Deficiency

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 Unsteady gait With Wind-Stroke: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Maybe coma Sometimes death T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Da Ding Feng Zhu Ling Yang Jiao Tang Zhen Gan Xi Feng Tang
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

Liver And Kidney Yin Deficiency Generates Wind

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	Da Ding Feng Zhu Stroke #1 Qi Ju Di Huang Wan Yi Gan San Liu Wei Di Huang Wan With Yang Rising: Ling Yang Jiao Tang Chinese Patent Medicine: Qi Ju Di Huang Wan
Points	GB-30, GB-31, KI-3, LI-4, LI-10, LI-11, REN-4, ST-36, ST-41 For wry mouth and distorted eyes: LI-4, LIV-3, ST-4, ST-6 For tongue stiffness and slurred speech: HT-5, REN-23, SJ-1, ST-36, ST-40 General points

Liver And Kidney Yin Deficiency

Clinical Manifestations	Gradual development of hemiplegia Usually seen in elderly patients Low back and knee pain and weakness Loose teeth Hair loss Tinnitus Vertigo Impaired memory Blurred vision Inhibited speech Feeble-mindedness A somber, ehite facial complexion T: Normal C: White P: Deep, thready and weak
Treatment Principle	Enrich and suppplemet the Liver and Kidneys
Herb Formulas	Di Huang Yin Zi  modified
Points	GB-30, GB-34, KI-3, LI-4, LI-11, LI-15, REN-4, SJ-5, SP-6 ST-36, ST-41, UB-60 For a fever: + DU-14 For a headache: + GB-20 For body aches: + REN-12 For aversion to Cold: + UB-12 For reduced sleep and profuse dreams: + HT-7 For palpitations and deficiency vexation: + PC-6 For night sweats: + HT-6 (Early stage: treat only points on the affected side, chronic: treat bilaterally)

Liver And Kidney Yin And Yang Deficiency

Clinical Manifestations	Dysphasia Slurred speech Stiffness or deviation of the tongue Weakness, numbness or paralysis of the lower limbs Weak, sore lower back and knees Palpitations Shortness of breath T: Pale or Red C: White or None P: Thready and weak or Deep, slow and thready
Treatment Principle	Nourish and tonify Kidney Yin and Yang Open the orifices Transform Phlegm
Herb Formulas	Di Huang Yin Zi
Points	HT-5, KI-3, KI-6, LIV-3, REN-4, REN-23, Shangliangquan, ST-36, UB-23

Wind-Dampness

Clinical Manifestations	Mild generalized body aches Slight aversion to Wind Chronic respiratory complaints Fever that worsens in the afternoon Dry skin
Treatment Principle	Release the Exterior Dispel Wind-Dampness Resolve Phlegm
Herb Formulas	Ma Xing Yi Gan Tang Shu Jin Li An San
Points	General points

Wind-Phlegm (Feng Tan)

Clinical Manifestations	Hemiplegia Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke Severe: loss of consciousness T: Deviated and trembling C: Thick, white and greasy P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang Er Chen Tang modified Qian Zheng San Kong Xian Dan San Sheng San For dysphagia: Jie Yu Dan modified
Points	For dysphasia: HT-5, LI-4, LI-11, REN-23, Shanglianquan, SJ-6, SP-6, ST-40 Pre-stroke: ST-40, UB-40 Stroke (emergency): DU-26, KI-1, PC-9, Ting Points Post-stroke: Arm: LI-4, LI-11, LI-15, SI-3, SJ-5 Leg: GB-34, GB-35, UB-40, UB-60 Scalp: Motor area (contralateral - upper one-fifth)

Qi And Blood Stagnation

Clinical Manifestations	Hemiplegia Pains that move around Distention Depression Irritability Pain is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Move Qi Invigorate the Blood
Herb Formulas	Qi And Blood Stagnation #1
Points	General points

Qi , Blood And Phlegm Stagnation

Clinical Manifestations	Hemiplegia Heaviness of the limbs Numbness of the limbs Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots C: White or Thick and greasy P: Choppy or Wiry and choppy or Slippery and wiry
Treatment Principle	Transform Phlegm Move Qi Invigorate the Blood Softens hardness
Herb Formulas	Qi, Blood and Phlegm Stagnation #1
Points	General points

Qi And Yang Deficiency With Blood Stagnation

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Purple and dark C: White and slimy P: Slippery, slightly slow and forceless
Treatment Principle	TonifY Qi Activate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang modified
Points	DU-16, DU-20, LI-4, SP-6 For Kidney Deficiency: + KI-3, UB-23 For spasmodic or tense hemiplegia: + LI-4, LIV-3 For the hemiplegia upper limbs: + select 3-5 points from the following: LI-10, LI-11, LI-14, LI-15, SJ-5 For the hemiplegia lower limbs: + select 3-5 points from the following: GB-30, GB-31, GB-34, GB-39, ST-31, ST-32, ST-36, ST-41 For constriction of the arm: + LU-5, PC-5, PC-6 For difficult flexion of the wrist: + SJ-4 For difficult movement of the thumbs: + LI-5 For swelling or numbness of the fingers: + Baxie For contraction or difficult flexion of the knee: + LIV-8, UB-40 For swelling or numbness of the toes: + Bafeng For twisting of the leg or foot toward the inside: + KI-3, KI-6, SP-4, SP-6 For twisting of the leg or foot toward the outside: + GB-39, GB-40, UB-60, UB-62 For the foot bending downward: + GB-40, LIV-4, ST-37, ST-41

Qi And Yang Deficiency

Clinical Manifestations	Hemiplegia Weakness of the limbs Low back and knee weakness and pain Retention of Urine or Urinary incontinence Fecal incontinence Fatigue Loose stools Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Chills Cold limbs Inability to get warm Profuse clear urine Spontaneous sweating Lassitude T: Pale C: White P: Slow, deep and weak
Treatment Principle	Tonify Qi Tonify the Kidneys Strengthen and Warm Yang
Herb Formulas	Hemiplegia #2 Hemiplegia #3
Points

Qi And Yang Deficiency With Blood Stasis Obstructing The Channels

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	TonifY Qi Invigorate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang
Points	General points

Qi Deficiency With Blood Stagnation

Clinical Manifestations	Hemiplegia Weak limbs Lack of strength Fatigue Loose stools Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Pain that is fixed, stabbing and /or severe Pan is worse with pressure Dark complexion Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T:Pale purple or Purple spots C: White P: Choppy and thin or Deficient
Treatment Principle	Tonify Qi Invigorate the Blood Break up Stasis
Herb Formulas	Hemiplegia #1
Points	General points

Blood Stagnation

Clinical Manifestations	Chronic stabbing pain in the chest Pain in the hypochondrium Chronic, stubborn headache with a fixed, piercing quality Palpitations Chronic incessant hiccups Five sole Heat Choking sensation when drinking Dry heaves Depression or low spirits with a sensation of warmth in the chest Chest distention Dry, scaly skin Dark rings under the eyes Spider naevi on the cheeks, nose, trunk, inner knee and ankle Dizziness Chronic tinnitus Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums Loose teeth Painful receding gums Frequently bleeding gums Vomiting after intake of water Palpitations Persistent daytime drowsiness Insomnia (persistent with much dreaming) Restless sleep Forgetfulness Irritability Fidgeting A bad temper Extreme mood swings Evening tidal fever Dark or purplish lips, conjunctiva or nail beds Dark complexion Dark sclera Hair loss on the head and body T: Dark-red with purple spots on the edges P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle	Invigorate the Blood Dispel Blood Stasis Unblock the channels Stop pain
Herb Formulas	Xue Fu Zhu Yu Tang Due to Wind-Cold with Qi Deficiency: Huang Qi Gui Zhi Wu Wu Tang
Points

Blood Stagnation Due To Qi Deficiency

Clinical Manifestations	Hemiplegia Sluggish speech Urinary incontinence Atrophy of the extremities Deviated mouth and eyes Salivation Frequent urination
Treatment Principle	Tonify Qi Invigorate the Blood
Herb Formulas	Bu Yang Huan Wu Tang  modified
Points	GB-30, GB-34, LI-4, LI-11, LI-15, REN-6, SJ-5, SP-6, ST-36, ST-41, UB-60 For a fever: + DU-14 For a headache: + GB-20 For body aches: + REN-12 For aversion to Cold: + UB-12 For frequent urination: + REN-3 For a deviated mouth and eyes: + SJ-23, ST-4, ST-6 For difficult, sluggish speech: + REN-23 For constipation: + SJ-6 (Early stage: treat only points on the affected side, chronic: treat bilaterally)

Excess Heat Generates Wind

Clinical Manifestations	Cerebrovascular accident Facial asymmetry Hemiplegia Paraplegia Altered consciousness Constipation Loss of consciousness T: Scarlet C: Yellow P: Wiry and rapid
Treatment Principle	Calm Wind Clear Heat Purge
Herb Formulas	Qu Feng Zhi Bao Dan Xu Ming Tang
Points	General points

Phlegm Obstructs The Collaterals

Clinical Manifestations	Hemiplegia Heaviness of the limbs Numbness of the limbs T: Normal C: Thick and greasy P: Slippery and wiry
Treatment Principle	Transform Phlegm
Herb Formulas	Hemiplegia #4
Points	General points

Phlegm-Fire

Clinical Manifestations	Sudden clouding collapse Clouded Spirit Hemiplegia Deviated mouth and eyes Closed hands A red face Red eyes Course breathing Phlegm rales in the throat Panting Agitation T: Red C: Slimy and yellow P: ry, slippery and rapid
Treatment Principle	Expel Phlegm Open the orifices Clear the Liver Extinguish Wind
Herb Formulas	Ling Jiao Gou Teng Tang  modified
Points	DU-20, DU-26, GB-30, GB-34, GB-43, LI-4, LI-11, LI-15, LIV-3, SJ-5, ST-36, ST-41, UB-60 For a fever: + DU-14 For a headache: + GB-20 For body aches: + REN-12 For aversion to Cold: + UB-12 For urinary blockage: + REN-3 For constipation: + ST-25, ST-44 For convulsions: + LI-4 For profuse Phlegm with somnolence: + ST-40 For vomiting: + REN-12 For a red face and fever: + bleed Shixuan (Early stage: treat only points on the affected side, chronic: treat bilaterally)

Phlegm-Heat With Wind-Phlegm

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 Xiao Huo Luo Dan Tian Ma Wan Ren Shen Zai Zao Wan Da Huo Luo Dan
Points	Anmian, GB-20, GB-21, GB-31, GB-34, GB-39, GB-41, LI-4, LI-11, LIV-2, LIV-3, PC-6, SJ-5, ST-36, ST-40, Yintang Threading technique with a 3 inch needle ST-6 to ST-4 and ST-7, with a 1.5 inch needle ST-2 to ST-4 on the affected side, electroacupuncture connected to one of the facial points and LI-4 or LU-7 With eye affected: + SJ-23 With nose affected: + LI-20 With tongue affected: + REN-23 With lips affected: + DU-26, REN-24 For chronic cases: + moxa Ear: Apex, Lower Blood Pressure Groove

Wind-Phlegm Obstructing The Channels And Collaterals

Clinical Manifestations	Hemiplegia Numbness Mild generalized body aches Slight aversion to Wind Chronic respiratory complaints Fever that worsens in the afternoon Dry skin Loss of consciousness The body and limbs are paralyzed and weak T: Dark and purple C: White and greasy P: Slippery, relaxed and forceless
Treatment Principle	Release the Exterior Dispel Wind-Dampness Resolve Phlegm Tonify Qi
Herb Formulas	Ma Xing Yi Gan Tang Wu Yao Shen Qi San Qian Zheng San With Qi Deficiency: Hemiplegia #6 With Qi and Yin Deficiency: Gou Teng San
Points	HT-5, LI-4, LI-11, REN-23, Shanglianquan, SJ-6, SP-6, ST-40 + general points

Phlegm-Damp (Tan Yin)

Clinical Manifestations	Sudden collapse Pale face Purple lips Hemiplegia Somnolence or Clouded sleep Clouded Spirit Closed hands Phlegm-drool An empty, puffy face Clenched jaws Stillness Cold limbs Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery or Glossy, slimy and white P: Slippery, full and maybe wiry or Deep and slippery
Treatment Principle	Open the Orifices Eliminate Phlegm Extinguish Wind
Herb Formulas	Dao Tan Tang modified
Points	DU-20, DU-26, GB-30, GB-34, LI-4, LI-11, LI-15, LIV-3, SJ-5, ST-36, ST-40, ST-41, UB-60 For a fever: + DU-14 For a headache: + GB-20 For body aches: + REN-12 For aversion to Cold: + UB-12 For a stiff tongue and sluggish speech: + REN-23 (Early stage: treat only points on the affected side, chronic: treat bilaterally) PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

Stubborn (Chronic) Bi

Clinical Manifestations	Chronic Bi with many recurrences Joints are stiff and deformed Areas surrounding the joints are slightly purple Pain is excruciating Fixed location Maybe painful numbness Joint may be red, swollen and painful or Icy cold and worse in cold weather and better with warmth Maybe fever T: Purple spots C: White P: Thin and choppy
Treatment Principle	Break up Blood Stasis Resolve Phlegm Break up hardness Clear Damp-Heat or Expel Wind-Cold and Damp
Herb Formulas	Xiao Huo Luo Dan Da Huo Luo Dan
Points	LI-4, LI-10, REN-12, SP-6, SP-10, ST-40, ST-35, SJ-6, UB-17 + General points

Wei Syndrome Due To Kidney And Liver Yin Deficiency

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	Hu Qian Wan modified Liu Wei Di Huang Wan With Yang Deficiency: Ba Wei Di Huang Wan
Points	General points + KI-3, LIV-3, REN-4, SP-6, UB-18, UB-23 Huatuojiaji, KI-3, LIV-3, LIV-8, REN-4, SP-6, ST-31 to ST-41, UB-23