There are 84 cases apoplexy aura who are outpatients in our hospital, they have the 2 items of the 8 items listed below and are found abnormal with hemorheology and microcirculation examination: (1) A transient hemiplegia or paroxysmal upper, lower limb movement dysfunction; (2) A transient aphasia or unclear speech; (3) Intermittent claudication, or unsteady gait; (4) Recent episodes of dizziness; (5) Recently fixed headache; (6) Limb, tongue, fingers, toes numbness or muscle twitch; (7) Ecchymosis on the tongue, or sublingual venous blood stasis; (8) Sluggish pulse or thready sluggish pulse. Self-built Yi Qi Hua Yu Tang with ingredients of Huang Qi [3], Dan Shen [4], Chuan Xiong [5], Chi Shao [6] Yao, Hong Hua [7], Dang Gui [8], Di Long [9], adding Niu Xi [10] if there is limbs numbness; adding Shi Chang Pu [11] if there is unclear speech; adding Sang Ji Sheng [12] if there is tottery walk; adding Tian Ma [13], Gou Teng [14] if there is headache, dizziness or hypertension; adding Jiang Can [15], Bai Shao [16] Yao, Mu Gua [17] if there is twitch in limb, tongue, fingers, toes numbness or muscle; adding Tao Ren [18] if there is ecchymosis on the tongue, sluggish pulse; adding raw Di Huang if there is Yin deficiency, 15 days are one course. Perform hemorheology and microcirculation inspection before taking medicine and after 1-4 courses.
Result: Total cure rate for clinical symptoms is 63.1%, total effective rate is 90.8%. Blood examination showed that after treatment, whole blood viscosity, plasma viscosity, erythrocyte sedimentation rate, hematocrit have significant improvement relative to pre-treatment, all the items become normal; Microcirculation examination revealed that the phenomenon consist of blood flow slow or stopped, erythrocyte aggregation and micro-thrombosis decrease average 85% compared to pre-treatment.
Key words: Yi Qi Hua Yu Tang, Herbal treatment, Apoplexy Aura, Clinical Observation
Writer: Yuhua Wang
Ben Xi City Central Hospital, Liaoning Province (117000)
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