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What medication should be taken for post-stroke sequelae?

Dec 29, 2022 Source: Cainiu Health
Dr. Jiang Weimin
Introduction
Medications for treating sequelae of stroke are divided into Western medicine and traditional Chinese medicine (TCM). Western medicines include neurotrophic agents, citrulline-containing drugs, and agents that improve cerebral metabolism such as oxiracetam and enicetam. Traditional Chinese medicines include blood-activating agents such as Salvia miltiorrhiza preparations, Panax notoginseng preparations, and Ginkgo biloba preparations. TCM decoctions should be prescribed according to the patient's specific pattern differentiation; for dizziness, Tianma Gouteng Yin may be used.

In daily life, stroke can significantly affect people's normal activities. Even after treatment, it may leave lasting aftereffects. So, what medications are used for post-stroke sequelae?

What Medications Are Used for Post-Stroke Sequelae?

Medications for treating post-stroke sequelae fall into two categories: Western medicine and traditional Chinese medicine (TCM). Western medicines include neurotrophic agents, citrulline-based drugs, and agents that improve cerebral metabolism such as oxiracetam and ernisitam. TCM options include blood-activating formulations such as Salvia miltiorrhiza (Danshen), Panax notoginseng (Sanqi), and Ginkgo biloba extracts. TCM herbal decoctions should be prescribed according to the patient’s specific syndrome pattern—for dizziness, Tianma Gouteng Yin or Zhen Gan Xi Feng Tang may be used; for prolonged hemiplegia due to qi and blood deficiency, Bu Yang Huan Wu Tang (modified) is commonly recommended. For facial paralysis,牵正散 (Qian Zheng San) with modifications may be applied. Specific medication use should be determined in clinical practice and under the guidance of a physician.

Stroke, also known as cerebrovascular accident, is a disease caused by cerebral ischemia and hypoxia. It is classified into hemorrhagic types such as subarachnoid hemorrhage and ischemic types such as cerebral thrombosis. Stroke develops suddenly and has a high mortality rate. Symptoms include headache, vomiting, dizziness, sudden abnormalities in one side of the body or face, drooling from the mouth corner, sudden visual disturbances, slurred speech, and choking while swallowing. With timely treatment, most patients can achieve good recovery. Common post-stroke sequelae include hemiplegia, limb paralysis, unilateral physical disability, difficulty walking, hemianopia, speech disorders, headaches, dizziness, and loss of bladder or bowel control. Rehabilitation methods should be chosen based on individual conditions.

It is important to maintain good self-care and strengthen immunity to prevent diseases. If you experience any discomfort, seek medical attention promptly. We hope this information is helpful. Wishing you good health and a happy life!


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