Characterization of patients with cerebrovascular diseases in the acute stage according to traditional Chinese diagnosis

• Main Authors: Omar Morejón Barroso (Author), Zaida Pérez Meneses (Author), Ernesto Julio Bernal Valladares (Author), Leticia Varela Castro (Author)
• Format: Book
• Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos, 2023-11-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1727-897X
• Keywords: accidente cerebrovascular; medicina tradicional china; diagnóstico; Medicine (General); R5-920; Public aspects of medicine; RA1-1270
• Source: Medisur, Vol 21, Iss 6, Pp 1161-1167 (2023)

<p><strong>Foundation</strong>: In Chinese medicine, strokes are related to wind stroke syndrome (Zhong Feng), which corresponds in Western medicine to hemorrhagic and ischemic strokes.<br /><strong>Objective</strong>: to characterize patients with strokes in the acute stage according to Chinese medicine diagnosis.<br /><strong>Methods</strong>: descriptive case series study (n=40), which included patients treated from March to December 2018 at the Dr. Gustavo Aldereguía Lima Hospital, Cienfuegos. The analyzed variables were: age, sex, type of cerebrovascular disease in the acute stage, severity of the wind stroke attack, syndrome according to organs and viscera, and pathogenic factor present.<br /><strong>Results</strong>: thrombotic strokes predominated, of which 75.0% behaved as severe flaccid type wind stroke; and 81.3% were associated with liver blood failure syndrome. Embolics: mild attacks in 33.3%; and 18.8% liver blood failure syndrome. Intraparenchymal cerebral hemorrhages: 62.5% severe tense attack; and 71.4% liver fire. Subarachnoid hemorrhage: 15% as severe flaccid type attack; and 17.6% liver Yin deficiency syndrome. The most frequent pathogenic factor was internal wind, present in 90.0% of cases.<br /><strong>Conclusions</strong>: the analysis of patients with stroke in the acute phase according to traditional Chinese diagnosis showed that there is a clinical relationship with wind stroke syndrome and the Zhang fu of Chinese medicine.</p>