Treatment based on syndrome differentiation of post-stroke fatigue based on"fire and primordial qi incompatibility"
Post-stroke fatigue is common complication of stroke,and persistent subjective fatigue in patients affects rehabilitation training process,leading to poor overall rehabilitation efficacy and seriously affecting daily living ability and quality of life of patients in recovery period.Post-stroke fatigue belongs to category of deficiency and fatigue in traditional Chinese medicine,"fire and primordial qi incompatibility"is closely related to repeated attacks and aggravation of post-stroke fatigue.Li Dongyuan believes that spleen and stomach are the foundation of vital energy,the deficiency of vital energy of spleen and stomach is the foundation of its pathogenesis,and the dominance of yin and fire is the key to its pathogenesis.Patients with post-stroke fatigue suffer from spleen and stomach qi deficiency and internal yin fire generation,clinically manifested as overall deficiency and fatigue.Based on the principles of nourishing spleen and stomach,promoting yang qi and eliminating yin fire,the use of Bupiwei Xieyinhuo Shengyang Decoction,Shengyang Sanhuo Decoction,and Buzhong Yiqi Decoction can reduce recurrence rate of post-stroke fatigue,facilitate the completion of rehabilitation training,and improve quality of life.
Post-stroke fatiguePrimordial qiYin fireLi Dongyuan