Closed) type and the Flaccid (or Open) type according to the clinical manifestations, as will be
explained shortly.
The mild type (attack of channels alone) is further divided into an attack of the main channels,
characterized by hemiplegia and numbness, and an attack of the Connecting channels alone
characterized only by numbness.
This is summarized in Table 27.2Table 27.2.
Attack of Internal Organs (Severe Type)
As we have seen, attack of the internal organs and channels by Wind is characterized by
apoplexy, loss of consciousness, possibly coma, aphasia, hemiplegia and numbness. The loss of
consciousness indicates attack of the internal organs. There are two types of patterns: one called
Tense (or Closed) corresponding to collapse of Yin, and the other called Flaccid (or Open)
corresponding to collapse of Yang.
Tense (or Closed) Type
This corresponds to collapse of Yin.
Clinical Manifestations
Sudden collapse, loss of consciousness, coma, clenched teeth, closed fists, lock-jaw, red face and
ears, profuse sputum, rattling sound in the throat, coarse breathing, constipation, retention of
urine.
Tongue: Red body, Stiff, Deviated, sticky-yellow coating.
Pulse: Wiry-Full-Rapid-Slippery.
Flaccid (or Open) Type
This corresponds to collapse of Yang.
Clinical Manifestations
Sudden collapse, loss of consciousness, coma, hands and mouth open, eyes closed, pale face,
oily sweat beads on the forehead, incontinence of stools and urine, cold limbs.
Tongue: Pale, Swollen.