Sequela of apoplexy refers to paralysis of limbs, distortion of face and difficulty in speaking after the attack of acute cerebrovascular disease, similar to wind stroke and paralysis in TCM. It is caused by non-restoration of the visceral functions, retention of phlegm and blood sta-sis in the meridians as well as abnormal flow of meridian
Treatment
Prescription: Baihui (GV 20), Hegu (LI 4) and Tai-chong (LR 3).
Modification: For paralysis of upper limbs, Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10) and Waiguan (TE 15) are added~ for paralysis of lower limbs, Huantiao (GB 30 ), Zusanli (ST 36 ), Yanglingquan ( GB 34 ), Fenglong (ST 40), Xuanzhong (GB 39) and Kunlun (BL 60) are added; for distortion of face, Jiache (ST 6), Di-cang (ST 4), Yangbai (GB 14), Cuanzhu (BL 2) are add-ed; for stiffness of tongue, Lianquan (CV 23) and Tongli (HT 5) are added; for difficulty in swallowing, Lianquan (CV 23) and Fengchi (GB 20) are added.
Performance: The acupoints are selected and needled according to the pathological conditions. Usually mild re-inforcing and reducing needling techniques are used. The acupoints on the four limbs are needled with the addition of moxibustion. Jiache (ST 6) and Dicang (ST 4) are needled with the needles pointing to each other. Lianquan (CV 23) is needled with the needle pointing to the root of the tongue. Fengchi (GB 20) is needled with rotating and twirling manipulations.
Prescription: Motor zone, sensory zone, zone of pedal movement and sensation and lingual zone on the op-posite side.
Performance: The needles are inserted 0.5 - 1 cun with intermittent manipulation. The needles are retained for 30 minutes. Impulse current can be attached to the needles with moderate and strong stimulation for 30 minutes.
