10 Treatment Plans for Cerebral Infarction:
1. Wind-Phlegm Obstructing the Meridians: Hua Tuo Zai Zao Wan (Hua Tuo’s Rejuvenation Pill) + Nao Xin Tong Jiao Nang (Brain Heart Communication Capsules)
The Wind-Phlegm obstructing type of cerebral infarction is often caused by wind evil combined with phlegm disturbing the brain, blocking the brain’s meridians. Hua Tuo Zai Zao Wan can activate blood circulation, resolve stasis, transform phlegm, open the meridians, relieve pain, improve blood circulation in the brain, and dispel wind-phlegm. Nao Xin Tong can tonify qi, activate blood, resolve stasis, and focus on tonifying qi to assist blood movement, promoting blood flow and clearing the stasis in the brain’s meridians. The combined use of these two can both transform phlegm and dispel wind to treat the symptoms, as well as tonify qi and activate blood to address the root cause, enhancing the effect of clearing the brain’s meridians and promoting the recovery of nerve function, improving symptoms such as hemiplegia and speech difficulties.
2. Qi Deficiency and Blood Stasis Type: Bu Yang Huan Wu Tang Wan (Tonifying Yang and Restoring Five Decoction) + Tong Xin Luo Jiao Nang (Heart Communication Capsules)
This type of cerebral infarction arises from deficiency of righteous qi, which is unable to promote blood circulation, leading to blood stasis obstructing the brain’s meridians. Bu Yang Huan Wu Tang Wan greatly tonifies the original qi, invigorating qi to promote blood circulation, resolving stasis without harming the righteous qi, focusing on tonifying qi and activating blood to open the meridians. Tong Xin Luo searches for wind, opens the meridians, and tonifies qi and blood. Based on tonifying qi and activating blood, its effect of searching for wind can eliminate residual evils, preventing wind evil from re-entering the meridians. The combined use can strengthen the power of tonifying qi and activating blood to open the meridians, improve the brain’s qi and blood supply, repair damaged brain tissue, and alleviate symptoms such as hemiplegia and facial asymmetry caused by qi deficiency and blood stasis.
3. Liver and Kidney Yin Deficiency Type: Qi Ju Di Huang Wan (Lycium Fruit, Chrysanthemum, and Rehmannia Pill) + Yin Xing Ye Pian (Ginkgo Biloba Tablets)
The liver and kidney yin deficiency type of cerebral infarction is due to deficiency of liver and kidney yin, failing to restrain yang, leading to internal heat disturbing the brain’s meridians, and insufficient yin blood causing malnourishment of the brain vessels. Qi Ju Di Huang Wan nourishes the yin of the liver and kidney, calms the internal heat, fundamentally improving the state of liver and kidney yin deficiency, protecting the brain’s meridians from the torment of internal heat, and nourishing the brain marrow. Yin Xing Ye Pian activates blood, resolves stasis, and opens the meridians, promoting blood circulation in the brain, providing sufficient nutrients, and preventing thrombosis. The combination of these two nourishes yin and activates blood, addressing both the deficiency of the liver and kidney and the stasis in the brain’s meridians, alleviating symptoms such as dizziness, tinnitus, and limb numbness, facilitating recovery from cerebral infarction.
4. Phlegm-Heat Obstruction Type: An Gong Niu Huang Wan (Calming the Heart Pill with Cow Bile) + Fu Fang Xian Zhu Li Ye (Compound Fresh Bamboo Juice) + Xue Sai Tong Ruan Jiao Nang (Blood Stasis Soft Capsules)
The acute phase of phlegm-heat obstruction type cerebral infarction is caused by phlegm-heat intermingling, obstructing the qi of the bowels, and turbid qi disturbing the clear orifices. An Gong Niu Huang Wan clears heat, detoxifies, resolves phlegm, and opens the orifices, rapidly eliminating phlegm-heat, awakening the mind, and reducing brain damage. Fu Fang Xian Zhu Li Ye clears heat and transforms phlegm, allowing phlegm-heat to descend and unblocking the bowel qi. During the recovery phase, adding Xue Sai Tong activates blood, resolves stasis, and opens the meridians, improving blood circulation in the brain and repairing damaged blood vessels and nerves. In the acute phase, the focus is on clearing heat, transforming phlegm, and opening the orifices for emergency relief, while in the recovery phase, the emphasis is on activating blood, resolving stasis, and opening the meridians to restore function. The sequential use of these three comprehensively addresses the pathological changes at each stage of phlegm-heat obstruction type cerebral infarction.
5. Qi Stagnation and Blood Stasis Type: Xue Fu Zhu Yu Wan (Blood Mansion Eliminating Stasis Pill) + Dan Qi Pian (Dan Qi Tablets)
The qi stagnation and blood stasis type of cerebral infarction is often caused by emotional distress leading to qi stagnation, resulting in poor blood flow and stasis in the brain’s meridians. Xue Fu Zhu Yu Wan activates blood, resolves stasis, and relieves pain, effectively unblocking the stasis in the brain’s meridians while also smoothing the qi mechanism; when qi flows, blood flows, enhancing the effect of resolving stasis. Dan Qi Pian activates blood, resolves stasis, and relieves pain, focusing on activating blood and resolving stasis, assisting Xue Fu Zhu Yu Wan in enhancing the power of stasis elimination, improving blood circulation in the brain, alleviating symptoms such as headaches, chest pain, and insomnia caused by qi stagnation and blood stasis, and promoting the improvement of nerve function and overall condition after cerebral infarction.
6. Phlegm and Stasis Intermingling Type: Xiao Shao Chuan Rong Jiao Nang (Capsules for Dissolving Thrombus) + Zhu Yu Tong Mai Jiao Nang (Capsules for Resolving Stasis and Opening Meridians)
The phlegm and stasis intermingling type of cerebral infarction is often due to the accumulation of phlegm-dampness and blood stasis intertwining, obstructing the brain’s meridians. Xiao Shao Chuan Rong Jiao Nang tonifies qi and activates blood; when qi is sufficient, it promotes blood circulation, helping to dissipate blood stasis, and can improve the state of qi and blood deficiency after cerebral infarction. Zhu Yu Tong Mai Jiao Nang breaks blood stasis, resolves stasis, and opens the meridians, having a strong effect on breaking the stasis obstructing the brain’s meridians, allowing them to be unblocked. The combined use of these two allows Xiao Shao Chuan Rong Jiao Nang to tonify qi to assist Zhu Yu Tong Mai Jiao Nang in activating blood, while Zhu Yu Tong Mai Jiao Nang enhances the stasis-resolving effect of Xiao Shao Chuan Rong Jiao Nang, jointly resolving phlegm and stasis, restoring the qi and blood flow in the brain’s meridians, and improving symptoms such as limb numbness and impaired movement.
7. Meridian Deficiency Type: Mai Luo Tong Granules + Zheng Tian Wan (Correcting Heaven Pill)
The meridian deficiency type of cerebral infarction is often due to insufficient righteous qi, leading to the meridians being unable to nourish properly, allowing wind evil to invade. Mai Luo Tong Granules tonify qi, activate blood, resolve stasis, and relieve pain, which can replenish the deficiency of righteous qi, promote the movement of qi and blood in the meridians, and eliminate blood stasis, alleviating meridian obstruction. Zheng Tian Wan dispels wind, activates blood, and opens the meridians, focusing on driving away the wind evil that has entered the meridians; when the wind is dispelled, the meridians are peaceful, and its effect of activating blood and opening the meridians assists Mai Luo Tong Granules in improving blood circulation in the brain. The combination of these two can both nourish the deficiency of the meridians and dispel wind, activating blood and opening the meridians, alleviating symptoms such as dizziness, headaches, and hemiplegia caused by wind evil entering the meridians and meridian deficiency.
8. Yang Deficiency and Blood Stasis Type: Qi Li Qiang Xin Jiao Nang (Qi Li Heart Strengthening Capsules) + Nao Shao Tong Jiao Nang (Brain Thrombus Capsules)
This type of cerebral infarction is due to deficiency of yang qi, which is unable to warm and promote blood circulation, leading to internal blood stasis obstructing the brain’s meridians. Qi Li Qiang Xin Jiao Nang tonifies qi, warms yang, activates blood, and opens the meridians, warming and tonifying kidney yang to assist heart yang, invigorating yang qi, promoting blood circulation, and dissipating blood stasis. Nao Shao Tong Jiao Nang activates blood, opens the meridians, dispels wind, and transforms phlegm; based on activating blood and resolving stasis to open the brain’s meridians, its effect of dispelling wind and transforming phlegm can eliminate the residual wind-phlegm evil after cerebral infarction, and it works synergistically with Qi Li Qiang Xin Jiao Nang to activate blood. The combined use of these two tonifies yang, activates blood, and dispels wind, improving the state of yang deficiency and blood stasis in the brain, promoting the repair of nerve function and alleviating sequelae after cerebral infarction.
9. Yin Deficiency and Wind Movement Type: Da Bu Yin Wan (Great Yin Tonifying Pill) + Quan Tian Ma Jiao Nang (All-Day Gastrodia Capsules)
The yin deficiency and wind movement type of cerebral infarction arises from deficiency of yin fluids, which cannot nourish the liver wood, leading to internal wind movement disturbing the brain’s meridians. Da Bu Yin Wan nourishes yin and lowers fire, nourishing the yin of the liver and kidney, ensuring sufficient yin fluids, and suppressing the generation of internal wind, fundamentally stabilizing the internal environment. Quan Tian Ma Jiao Nang calms the liver and suppresses wind, effectively calming the internal wind disturbing the brain’s meridians, alleviating symptoms such as dizziness and limb tremors. The combined use of these two nourishes yin to calm wind, and calms wind to stabilize the brain, improving the yin deficiency state and wind movement symptoms of the yin deficiency and wind movement type of cerebral infarction, facilitating the recovery of brain and limb function.
10. Wind-Fire Disturbance Type: Niu Huang Qing Xin Wan (Cow Bile Heart-Soothing Pill) + Song Ling Xue Mai Kang Jiao Nang (Song Ling Blood Vessel Health Capsules)
The wind-fire disturbance type of cerebral infarction is often caused by excessive emotional agitation leading to excessive liver fire, stirring internal wind, and the wind-fire attacking the brain’s meridians. Niu Huang Qing Xin Wan clears the heart, transforms phlegm, calms the mind, and dispels wind, effectively clearing and draining the heart and liver fire, transforming phlegm and calming wind, allowing the disturbing wind-fire to be subdued, protecting the brain’s meridians from the harm of wind-fire. Song Ling Xue Mai Kang Jiao Nang calms the liver, suppresses yang, and tranquilizes the heart, focusing on calming the excessive liver yang, allowing the hyperactive liver yang to descend, calming the wind and extinguishing the fire, and also calming the mind and stabilizing the will. The combined use of these two enhances the power of clearing and draining wind-fire, regulating emotions and organ functions, alleviating symptoms such as high fever, headaches, and convulsions during the acute phase of cerebral infarction caused by wind-fire disturbance.