This is followed by a discussion of the treatment of some underlying conditions frequently seen
during the sequelae stage of Wind-stroke.
Hemiplegia
Hemiplegia is caused by obstruction of the channels by Wind and Phlegm. Pronounced stiffness
of the joints and contraction of the muscles indicates stasis of Blood. The pathogenic factors
obstruct the channels against a background of Qi, Blood or Yin deficiency.
Zhu Dan Xi (1281-1358), in his book "The Essential Methods of Dan Xi", makes an interesting
distinction according to whether the left or right side is affected:
Wind-stroke is mostly due to Blood deficiency and Phlegm. One must first resolve
Phlegm and then nourish and move Blood ... Hemiplegia is due to Phlegm [in
general]: if the left side is affected, it is due to Blood deficiency and stasis; if the
right side is affected, it is due to Phlegm, Fire and Qi deficiency.1(518)Acupuncture
In treating unilateral paralysis of the limbs, generally more points from Yang channels are
selected because Yang corresponds to movement and agility.
In general, the points of the affected (paralysed side) are chosen and they are needled with
reducing method if within one month of the stroke, or with even method if more than one month
has elapsed. The points are reduced because it is Wind and Phlegm in the channels that cause the
paralysis. Relatively thick needles must be used, i.e. at least 0.34 mm in diameter. It is essential
to obtain a good needling sensation and it is even better if this propagates down the channel.
Under a different method, the duration of the condition determines the side of needling,
distinguishing between a condition of under three months or over three months' duration.
If the Wind-stroke occurred within the last three months, the points of the paralysed side are
needled with reducing method and the corresponding points of the healthy side are needled with
reinforcing method. This is because in the first few weeks after the stroke, the channels of the
affected side are in a Full condition, i.e. they are obstructed by Wind and Phlegm. The channels
of the healthy side are in a relatively Empty condition.
If the Wind-stroke occurred more than three months previously, the points of the affected side
are needled with reinforcing method and moxa, and the corresponding points of the healthy side
with reducing method. This is because, after three months, the pathogenic factors (Wind and
Phlegm) in the channels of the paralysed side have moved deeper and also moved on to the
healthy side. Also, obstruction of the channels of the affected side by pathogenic factors leads to