Overcoming Stroke 谈中风

笔者于2008年开始在大马中医院筹办了“中风康复中心”，接诊过好多的中风病人，当中有轻者，也有重者。康复中心有全方位的中医调理治疗、康复训练，并且曾是全马来西亚康复器材设备最齐全的康复中心，治疗效果非常好，许多患者在很短的时间就得到很好的康复进展。Since 2008, the author has collected, compiled many Stroke patients under the Stroke Rehabilitation Center, providing them with a complete treatment from the regulation from chinese medicine to rehabilitation training. Many patients have shown great improvement at the shortest time.

在5年的实践中，笔者总结了以下几点，供各位参考：

After years of clinical experiences, there are a few points the author has concluded regarding Stroke:

第一，中风与高血压确实是有关系，但这是一种微妙关系！因为我们发现到，绝大多数的患者，中风以前都患有“高血压病”多年。微妙的是这些“高血压病”患者，绝大多数都是在不断地服用西药降血压，并且都是遵照医生的嘱咐执行的，可是还是中风了！？这个问题需要深切地反思！①中风病例为什么还是有增无减？②得“高血压病”的患者为什么急速增多？问题不可能只是生活习惯，问题是否在于“医学”？③为什么服用降压药控制了血压多年，最后还免不了中风？是控制血压防中风的理论无效吗？还是有可能因控制血压、服食降压药反而更容易中风？Firstly, Stroke and High Blood Pressure do have a close relationship. Many of those who has years of high blood pressure may have the risk of Stroke; and surprisingly, these patients has been consuming years of lower blood pressure medication. Unfortunately, why does the cases of Stroke keep increasing even after having medication? Is it because of daily lifestyle or is it because of medical practices?

很多医学工作者经常会强调，高血压的病人要降血压。他强调胆固醇、高血脂会造成高血压，可是忽略了一点， 胆固醇、血脂肪是没有能力调血压的，血压高不是胆固醇、血脂造成的，是胆固醇和血脂造成血液粘稠度增加，血流速度减慢，是身体把血压钓上来的，不是胆固醇去调，胆固醇没有那个能耐。当身体发现血流速度变慢的时候不得不把血压调上来。身体调高血压是要话费很大的力气的。如果这个时候你随便地开始吃降压药，意味着身体花了好大的力气，因为身体的细胞没有营养，在呼喊“赶快把养分送过来”，于是身体不得不把血压调上来。这个时候你去降压，你不是在帮助你的身体，你是在跟你的身体作对。因此如果你的身体会说话，一定会跳起来，打你两个耳光，问你‘搞什么鬼!我好不容易把血压调上来，为了保护你，你却跟我作对！’正所谓是我们有生命的身体的自愈能力丫！这是事实，这是为什么这么多高血压成了不治之症，为什么高血压病人要吃一辈子的药。高血压药吃的药不是来治病，而是用来跟身体作对的，而且还要作对一辈子，甚至有些吃了降压药控制了血压多年，最后还免不了中风？

Many medical officers emphasize that it is a must to lower the pressure whenever there is high blood pressure. Often when results shows high blood cholesterol, they would assume that cholesterol became the cause of high blood pressure, yet neglected that cholesterol and blood lipids increases the blood viscosity, making slower blood flow and thus the body tries to protect itself by making adjustment in increasing the blood pressure. At this time, if a patient suddenly takes medication of lowering blood pressure, it will worsen the conditions and make the cells deprive from nutrients when blood flow is interrupted. Thus, going against the body needs, only makes you life long dependent on medication instead of treating it! And if the conditions continue, with long term deprive of nutrients it might cause a risk in the occurrence of stroke.

第二，中风后遗症的轻重与后来的康复进程直接关系。一般脑出血型的病人，后遗症比较重，而血栓塞型的患者，则可能比较轻，康复也比较快。当然，也要看受影响和损伤的部位而定。

Secondly, the severity of the sequel of Stoke is closely related to the rehabilitation process. The sequel of hemorrhagic typed stroke is usually severe, while ischemic typed stroke gives a faster recovery rate. Also, it is necessary to consider the location of the injuries.

第三，在中风发生时，若有人帮助于指尖（十个手指尖）放血，无论是出血性，还是血栓塞型的病人，后遗症都相对比较好，康复起来比较快。

Thirdly, WHAT TO DO WHEN A STROKE HAPPENS RIGHT IN FRONT OF YOU! At the onset of the Stoke attack, Blood-letting is to be done on the 10 fingers(at the tip of the finger), this is an emergency treatment as it can reduces the severity of sequel, and recovery process of the patient will be faster. Then seek a doctor for regulation as soon as possible.

Shi Xuan acupoints are used during emergency, to dispel various Heat disorder.

第四，手术应能免则免，因为有许多患者，虽然从CT或MRI上看，出血部位和出血量并不严重，但后遗症却非常难缠！毕竟手术的风险、失手的损伤是存在的，然而这种手术的损伤（二度伤害）远远比原发中风脑出血来得无奈，后遗症堪忧！

Fourth, Avoid surgery when possible. This is because in many patients, the bleeding location and amount of bleeding may seems not serious through the CT and MRI scans but may unfortunately ends up with complicating lingering sequel after surgery. After all, there are risks of surgery, and secondary injury from surgery is more difficult to handle compared to primary hemorrhagic typed stroke.

第五，中风后遗症，一般认为越早进行治疗，效果越好、越快，这是无可否认的！因为新病，趁人体正气未耗损过多，尽快配合治疗当然疗效比较明显！但所谓“黄金时期”的刻板概念，认为过了“黄金治疗期”神经损伤不可修复的概念却不可取！因为每个人的生命力有差别，是否能够得到康复，是因人而异的，同时和医生的水平也有莫大关系。

Fifthly, get a prompt treatment for a better efficacy at the sequel stage of Stroke! This is because at the early stage of the new disease while the human body Qi is not over consumed by the diseases, prompt treatment will definitely shows obvious results. Besides that, each patient’s vitality (生命力) differs, thus recovery rate is still dependable on patient’s vitality and the physician’s skills.

第六，中风与情绪、睡眠、排便相关。情绪不遂，过于担心、焦虑、忧愁，睡眠不实、不足，或睡眠时间不规律，并且排便不畅，或便硬，或数日一行，导致气机运动不畅，这些都是诱发中风的因素。

Sixthly, Stroke is also very closely related to emotions, sleep and regular defecation. Over worrying, anxiety, sadness, poor sleeping habits, lack of sleep, irregular sleep habits, hard defecation, or regular constipation may relate to the unsmooth flow of Qi mechanism, these likely to cause Stroke if not properly taken care of.

ACT FAST!

中风并不可怕，可怕的是患者在疾病面前悲观消极，不积极治疗。有的患者没有找到真正能治疗中风的有经验的医生，耽误黄金治疗时间。病人三天打鱼两天晒网，不配合医生积极治疗，有的则急功近利希望短时间内见效，几天不见效果就悲观失望，放弃治疗，因此病人的这些态度都会影响到中风的治疗效果。

Truthfully, Stroke is not scary. What's even worst is when a patient gives up and feeling all down, become pessimistic after being diagnosed with Stroke. Certain patients did not manage to get the right doctor and delaying the important time for treatment. While, some are rather panic and gave up treatment when progress is slow. Thus the attitude of the patients during whichever treatment plays an important role in the efficacy of the treatment.