Can Hei Shun Pian treat the sequelae of stroke?

Apr 14, 2025 Source: Cainiu Health

Dr. Zhang Xiuhong

Introduction

Stroke refers to cerebral apoplexy. Under normal circumstances, Heishunpian (Black顺片) can, to some extent, treat the sequelae of stroke. Heishunpian has the effects of warming yang to dispel cold, strengthening the heart, and restoring yang. It is commonly used to treat conditions caused by yang deficiency and excessive cold. Heishunpian may help improve blood circulation and promote recovery of nerve function, thereby alleviating symptoms of stroke sequelae to some extent; however, medication should be taken under medical guidance.

Stroke refers to cerebral apoplexy. Under normal circumstances, Heishunpian (Black Prepared Slices of Aconite Root) can, to some extent, treat the sequelae of stroke, but it should not be used as a standalone treatment. Detailed explanation is as follows:

Heishunpian has the effects of warming yang, dispersing cold, strengthening the heart, and restoring yang. It is commonly used to treat conditions caused by excessive cold due to yang deficiency. Some patients with stroke sequelae, especially those diagnosed as having yang deficiency with cold coagulation according to TCM syndrome differentiation and treatment, may benefit from Heishunpian, which can help improve blood circulation, promote recovery of nerve function, and thus alleviate stroke sequelae to some extent.

However, Heishunpian generally should not be used alone to treat stroke sequelae. A comprehensive approach considering the patient's specific condition is necessary to develop an individualized treatment plan. Heishunpian can be used as one component in a compound formula, combined with other herbs to provide an auxiliary therapeutic effect and enhance the overall efficacy of the prescription.

It is recommended to use Heishunpian or any other Chinese herbal medicine for treating stroke sequelae under the guidance of a qualified TCM physician. Self-medication should be avoided to prevent potential adverse effects on health.

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Patients with post-stroke sequelae may experience symptoms such as hemiplegia, aphasia, dysarthria, dysphagia, dizziness, and memory impairment. These sequelae result from brain tissue damage caused by cerebral infarction, and the optimal recovery period is within three months after onset. Therefore, patients with cerebral infarction should begin rehabilitation exercises as soon as their condition stabilizes.

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What Are the Symptoms of Post-Stroke Sequelae?

Post-stroke sequelae may manifest as facial and oral deviation—a relatively prominent symptom. Many patients experience muscle spasms leading to facial paralysis, resulting in drooping of the mouth corner, exposure of teeth, and a curved mouth corner, which can cause drooling and slurred speech. Disturbances in consciousness are also prominent manifestations of post-stroke sequelae and pose significant risks to health. Additionally, many patients may develop coma.

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What medication should be taken for post-stroke sequelae?

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.

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Acupuncture Prescription for Post-Stroke Sequelae

If acupuncture is chosen as a treatment for post-stroke sequelae, specific acupoints are usually selected according to the patient's symptoms. Common symptom types include: cold limbs type, limb weakness type, aphasia disorder type, and consciousness disturbance type. It should be noted that the acupoints mentioned above are for reference only; the actual selection of acupoints must be determined based on the individual patient's condition and under the guidance of a qualified traditional Chinese medicine practitioner.

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Main Symptoms of Post-Stroke Sequelae

Post-stroke sequelae include motor dysfunction, sensory impairment, cognitive impairment, and speech disorders. Typically, motor dysfunction primarily manifests as hemiplegia—for example, an inability to grasp objects or write; sensory impairment may present as numbness or pain on one side of the body; and cognitive impairment may involve failure to recognize family members or inability to perform simple arithmetic operations such as addition and subtraction.

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What medications are effective for post-stroke sequelae?

First, take medications to prevent stroke recurrence, including antiplatelet agents such as aspirin and clopidogrel, and anti-atherosclerotic agents such as atorvastatin and rosuvastatin. Second, take medications to control risk factors for stroke, including antihypertensive drugs, antidiabetic drugs, and lipid-lowering agents.

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Treatment strategies for post-stroke sequelae vary depending on the underlying cause; however, the overarching treatment principles and goals remain the same: to maximize functional recovery and prevent recurrence. Patients should also strictly manage their diet, avoiding spicy and irritating foods—particularly those that are highly pungent. Such foods can not only exacerbate brain tissue damage but also increase the risk of recurrence of post-stroke sequelae.

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What causes dizziness as a sequela of cerebral infarction?

In general, dizziness as a sequela of cerebral infarction may be caused by psychological factors, aging, postural changes, insufficient cerebral blood supply, hypertension, and other reasons. Symptomatic management through general treatment and medication is required. It is recommended to engage in moderate daily exercise, such as tai chi or Baduanjin, which are gentle forms of physical activity that can help enhance cardiopulmonary function, promote blood circulation, and improve cerebral blood supply.

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