Traditional Chinese Medicine for Cerebral Infarction Treatment

Understanding TCM in Cerebral Infarction Management

Traditional Chinese Medicine (TCM) offers a unique approach to treating cerebral infarction, with strategies tailored to the specific stages of the condition. In the ultra-early phase, patients who meet the criteria for thrombolytic therapy are advised to undergo this intervention first, as it can significantly improve clinical outcomes. During the acute stage, when the patient's condition is often unstable, Western medical treatments are typically prioritized, with TCM used as a complementary approach.

Integrative Treatment for Specific Cases

For patients with critical symptoms, particularly those classified under TCM as having "visceral involvement," Western medicine remains the primary treatment modality. However, for milder cases categorized as "meridian involvement," an integrative approach combining both Western and Chinese medicine can be highly beneficial. This dual approach not only addresses immediate symptoms but also supports long-term recovery and neurological function improvement.

Recovery Phase: TCM's Strong Suit

When it comes to the recovery phase, TCM shines as a powerful therapeutic option. Oral herbal decoctions aimed at nourishing qi, calming the liver, tonifying the kidneys, and resolving blood stasis can be effectively used. Additionally, external applications that promote blood circulation, relieve pain, and reduce muscle spasms are often applied topically. Acupuncture is also widely employed to stimulate meridian pathways and accelerate nerve regeneration.

Monitoring Recovery and Prognosis

Patient progress is typically evaluated using standardized clinical scales such as the National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), and Barthel Index. These tools help assess functional improvements and guide further treatment. The first six months after stabilization are considered the optimal window for neural repair and rehabilitation. Beyond six to twelve months, the focus shifts to managing complications and preventing secondary issues. After one year, most residual symptoms become more permanent, making significant recovery increasingly unlikely.