TCM China:

   Rehabilitation of Paralysis Due to Apoplexy

         

 

11.9cm¡Á18.4cm

128pages; 2005

ISBN

7-119-01495-1

Author, Chang Weizhen

Published by Beijing Foreign Languages Press.

Contents

 Chapter 1 General Introduction

1. Differentiation of disease

2. Differentiation of syndrome

3. Dysfunction

4. Rehabilitation of hemiplegia

 

Chapter 2 Illustrated Explanation of the Movements of the Main Joints in the Human Body

1. Head and neck

(1) Bending of the altantooccipital articulation (anterior bending of the head)

(2) Extension of the altantooccipital articulation (posterior bending of the head)

(3) Lateral bending of the altantooccipital articulation (lateral bending of the head)

(4) Rotation of the atlantooccipital articulation (lateral bending of the head)

2.  Waist and back

(1) Bending of the spine (anterior bending of the waist)

(2) Extension of the spine (posterior bending of the waist)

(3) Lateral bending of the spine (lateral bending of the waist)

(4) Rotation of the spine (rotationof the waist)

3. Upper limbs

(1) Bending of the shoulder joint

(2) Extension of the shoulder joint

(3) Abduction of the shoulder joint

(4) Adduction of the shoulder joint

(5) Eversion of the shoulder joint

(6) Intorsion of the shoulder joint

(7) Bending of the elbow joint

(8) Extension of the elbow joint

(9) Pronation of the radioulnar joint (pronation of the forearm)

(10) A supine position of the radioulnar joint (a supine position of the forearm)

(11) Bending of the radiocarpal joint (bending the wrist)

(12) Extension of the radocarpal joint (extension of the wrist)

(13) Abduction of the radiocarpal joint

(14) Adduction of the radiocarpal joint

(15) Bending of the thumb joint

(16) Extension of the thumb joint

(17) Abduction of the thumb joint

(18) Adduction of the thumb joint

(19) Palmar opposition of the thumb joints

(20) Bending the 2nd-5th phalangeal joints

(21) Extension of the 2nd-5th phalaneal joints

(22) Abduction of the 2nd-5th phalangeal joints

(23) Adduction of the 2nd-5th phalangeal joints

4. Lower limbs

(1) Bending the hip joint

(2) Extending the hip joint

(3) Abducting the hip joint

(4) Adducting the hip joint

(5) Eversion of the hip joint

(6) Intorsion of the hip joint

(7) Bending the knee joint

(8) Extending the knee joint

(9) Eversion of the knee joint

(10) Intorsion of the knee joint

(11) Bending the ankle joint

(12) Extending the ankle joint

(13) Eversion for the ankle joint

(14) Intorsion of the ankle j oint

(15) Bending the toe joint

(16) Extending the toe joint

 

Chapter 3 Illustrated Explanation of Correct Lying Positions

1. Basic body position for supine lying

2. Abducting the shoulder in a supine position

3. Extending the elbow in a supine position

4. Bending the elbow in a supine position

5. Semi-supine position

6. Lying on the affected side

7. Lying on the affected side

8. Semi-prone position

9. Prone position

10. Passive change from a supine to a pronce position

11. Passive change from a prone to a supine position

12. Active change from a supine to a prone position

13. Active change from a prone to a supine position

 

Chapter 4 Illustrated Passive Functional Exercises at the Acute Stage

1. Upper limbs

(1) Anterior bending and lifting of the shoulder joint

(2) Adbucting and adducting the shoulder joint

(3) Intorsion and eversion of the shoulder joint

(4) Anterior bending and intorsion of the shoulder joint

(5) Rotation of the forearm with the bending and extending of the elbow joint

(6) Abducting the shoulder with the bending and extending of the elbow

(7) Palmar and dorsal bending of the wrist joint

(8) Ulnar and radial bending of the radiocarpal joint

(9) Abducting, adducting, bending and extending the thumb joint

(10)Bending and extending the joints of the four fingers

(11)Adducting and abducting the joints of the four fingers

2. Lower limbs

(1) Abducting and adducting the hip joint

(2) Intorsion and eversion of the hip joint

(3) Bendign and extending the hip and knee joints

(4) Dorsal and metatarsal bendign of the ankle joint

(5) Eversion and intorsion of the talocalcaneal articulation

(6) Extending and bending the metatarsophalangeal joint

Chapter 5 Illustrated Explanation of Correct Body Positions

1. Functional sitting position

2. Passive change from a lying position to a sitting position

3. Passive change from a sitting position to a lying position

4. Active change from a lying position to a sitting position

5. Active change from a sitting position to a lying position

6. Functional standing

7. Passive change from a sitting position to a standing position

8. Passive change from a standing position to a sitting position

9. Active change from a sitting position to a standing position

10. Active change from a standing position to a sitting position

11. Functional walking

12. Passive change from a s tanding position to a walking position

13. Active change from a standing position to a walking position

Chapter 6 Illustrated Rehabilitative Techniques at the Convalescence Stage

1. Passive functional exercise done by the patients themselves

(1) Upper limbs (lying position)

1) Anterior bending and upward lifting of the shoulder joint

2) Abducting and adducting the shoulder joint

3) Eversion and intorsion of the shoulder joint

4) Bending and extending the elbow joint

5) Pronation and a supine position of the forearm

6) Dorsal and palmar bending of the wrist joint

7) Abducting, adducting, bending and extending the thumb joint

8) Bending and extending the finger joints

(2) Lower limbs (lying position)

1) Bending and extending the hip joint

2) Abducting and adducting the hip joint

3) Bending and extending the hip and knee joints

4) Dorsal bending and extroversion of the ankle

5) Sit-ups

6) Bending and extending the knee joint

(3) Upper limbs (sitting position)

1) Anterior bending and lifting of the shoulder joint

2) Anterior bending, abducting and adducting of the shoulder joint

3) Eversion and intorsion of the shoulder joint

4) Bending and extending the shoulder and elbow joints

5) Bending and extending the elbow joint

6) Palmar and dorsal bending of the wrist joint

7) Abdcuting, adducting, bending and extending the thumb joint

8) Bending and extending the joints of the four fingers

2. Active functional exercise by the patients themselves

(1) Head and neck (lying position)

1) Anterior bending and posterior extending of the neck

2) Bilateral bending of the neck

3) Anterior and posterior rotation of the neck

(2) Upper limbs (lying position)

1) Anterior bending and lifting of the shoulder joint

2) Abducting and adducting the shoulder joint

3) Eversion and intorsion of the shoulder joint

4) A supine position and pronation of the forearm

5) Dorsal and palmar bending of the wrist joint

(3) Lower limbs (lying position)

1) Bending and extending the hip joint

2) Abducting and adducting the hip joint

3)      Bending the hip and extending the knee

4)      Bending the knee and rotating the hip joint

5)      Dorsal and metatarsal bending of the ankle joint

6)      Bending the knee and suspending the waist

7)      Sit-ups

8)      Bending and extending the knee joint

9)      Half push-up

(4)    Head and neck (sitting position)

1)      Anterior bending and posterior extending of the neck

2)      Bilateral bending of the neck

3)      Anterior and posterior rotation of the neck

(5)    Upper limbs (sitting position)

1)      Anterior bending and lifting of the shoulder joint

2)      Abducting and lifting the shoulder joint

3)      Bending and extending the shoulder and elbow joints

4)      Dorsal and palmar bending of the wrist joint

5)      Radsial and ulnar bending of the wrist

6)      Palmar opposing abduction of the thumb joints

7)      Bending and extending the finger joints

(6)    Lower limbs (sitting position)

1)      Bending the hip and extending the foot

2)      Bendign the knee and ratating the hip

3)      Bending and extending the knee joint

4)      Bending the knee and lifting the foot

5)      Abducting and adducting the foot

(7)    Left and right rotation of the waist (sitting position)

(8)    Head and neck (standing position)

1)      Posterior extending and anterior bending of the neck

2)      Left and right bending of the neck

(9)    Upper limbs (standing position)

1)      Abducting and lifting the shoulder joint

2)      Bending and extending the shoulder and elbow joints

3)      Dorsal and palmar bending of the wrist joint

4)      Extending and bending the finger joints

5)      Lifting the shoulders and extending the fingers

6)      Touching the waist with the dorsum of the hand

(10)Waist and abdomen (standing position)

1)      Posterior extending and anterior bending of the waist

2)      Left and right rotation of the waist

(11)Lower limbs (standing position)

1)      Bending and extending the hip and knee joints

2)      Bending and extending the knee joint

3)      Squatting with hip rotation

4)      Metatarsal and dorsal bending of the ankle joint

(12)Raing the arm and foot, squatting with hip rotation

(13)Turning the body, walking backward and going up and down stairs

1)      Passive change from walking to turning the body

2)      Active change from walking to turning the body

3)      Passive change from standing to backward walking

4)      Active change from standing to backward walking

5)      Passive change from standing to going up stairs

6)      Passive change from standing to going down stairs

7)      Active change from standing to going up stairs

8)      Active change from standing to going down stairs

3.       Self-massage

1)      Stroking the upper limbs

2)      Kneading and pinching the upper limbs

3)      Kneading and pinching the shoulder and neck

4)      Kneading and pressing Jianjing point

5)      Kneading and pinching the shoulder and arm

6)      Kneading and pinching shoulder acupoints

7)      Pressing and kneading three acupoints on the arm

8)      Kneading and pressing the forearm

9)      Flicking Xiaohai

10)   Kneading and pressing Hegu

11)   Kneading and pressing the palm

12)   Pushing and pinching the fingers

(2) Chest and abdomen (lying position)

1) Holding and pinching thoracic muscles

2) Patting the chest and rib-side

3) Stroking the chest and rib-side

4)Patting the abdomen

(3) Lower limbs (lying position)

1) Percussing Zusanli

2) Percussing Yanglingquan

3) Rubbing Weizhong with the toes

4) Rubbing and massaging the toes

(4) Upper limbs, waist and back (sitting position)

1 Kneading and pinching the hand and neck

2) Pressing and kneading Tianzong

3) Patting the back and waist

4) Stoking the waist

(5) Shaking the scrotum with the palm

(6) Shaking and rubbing both breasts

(7) Lower limbs (sitting position)

1) Stroking the lower limbs

2) Holding the muscles on the medial side of the thigh

3) Holding and pinching the muscles on the thigh

4) Flicking and rubbing Weizhong

5) Flicking the shank

6) Pressing and rubbing Zusanli

7) Flicking Yanglingquan

8) Holding and pinching the shank

9) Pressing and rubbing the shank

10) Pinching and holding the Achilees tendon

11) Pressing and rubbing Taichong and Yongquan

12) Combing and massaging the foot

13) Rubbing and pinching the medial side of the foot

14) Holding and pinching the toes

15) Percussing the lower limbs

(8) Percussing the shoulder and patting the waist (standing position)

(9) Lower limbs (standing position)

1) Percussing the popliteal fossa

2) Percussing the shank

4. Tuina therapy in TCM

1) Forked pushing before the forehead

2) Pressing Shangguan and Xiaguan

3) Pressing Wangu

4) Point-pressing the lateral sides of the chest and abdomen

5) Squeezing and pushing the lateral side of the abdomen

6) Rubbing and pinching the medial side of the thigh

7) Rubbing Zusanli

8) Rubbing and pinching the medial side of the dhank

9) Pushing the lateral side of the foot

10) Dorsal bending of the ankle

11) Pushing Sanyang of the upper arm

12) Pushing Sanyang of the forearm

13) Pushing Sanyin of the upper arm

14) Pushing Sanyin of the forearm

15) Pressing Neiguan and Waiguan

16) Pinching neck muscles

17) Pushing Dazhui and Yangguan

18) Transverse stroking of the waist

19) Forking the waist with palms

20) Pressing Huantiao

21) Pushing the posterior side of the thigh

22) Holding Kunlun

(2) Combination of the manipulations

1) Wind-phlegm blocking the collaterals

Pressing Zhongfu and Yunmen

Sroking and pressing the upper abdomen

Pressing the middle of the abdomen

Holding and lifting the abdominal muscles

Pressing the medial side of the skeleton

Rubbing Xuanzhong

Shaking the big toe

Pressing Jiquan

Forked pushing of the occipital region

2)Sudden hyperactivity of liver-Yang

Forking the ribs

     Forked stroking of the hypochondriac region

     Minor Qi-dispersing method

     Pressing the medial side of the thigh

     Rubbing Sanyinjiao

     Stroking and pressing the hypochondriac region

     Stroking the back

     Qi-smoothing method

     Chest-expanding method

3)      Sthenia-Fu syndrome due to phegm-heat

     Pressing the sternum

     Pushing the upper abdomen

     Transverse stroking beside the navel

     Stroking and pressing the lower abdomen

     Major Qi-dispersing method

     Rubbing around the knee

     Combing the dorsum of the foot

     Combing the dorsum of the hand

     Longitudinal stroking of the waist

4)      Blood stasis due to Qi deficiency

     Binding the chest

     Pressing Tianshu

     Binding the abdomen

     Stroking around the navel

     Pressing Qichong

     Pressing the medial side of the shank

     Rubbing Laogong

     Knocking the rib for supplementing qi

     Perpendicular pushing of the waist for supplementing Qi

5)      Disturbance of wind due to Yin deficiency

     Pressing the head rom both sides

     Pinching Sishencong

     Expanding the chest

     Internal and external rotation of the ankle

     Rubbing Yongquan

     Rubbing Mingmen

     Pressing the waist with piled palms

     Forking the waist with fingers

     Rubbing the sides of the waist

     Rubbing Weizhong

Chapter 7 Illustrated Techniques for Correcting Deformity at the Sequelae Stage

1.       Lifting the hip for oblique orthopedic treatment

(1)    Bending the hip and knee joints for intorsion of the hip

(2)    Bending the hip and knee joints for adduction of the hip

(3)    Rubbing and pinching the medial side fo the thigh

(4)    Squatting for hip rotation

(5)    Bending and extending the hip and knee joints

2.       Orthopedic treatment for swinging the leg and walking side ways

(1)    Bending and extending the knee joint (lying position)

(2)    Pushing the posterior side of the thigh

(3)    Walking with both knees

(4)    Bending and extending the knee joint (sitting position)

(5)    Passive change from standing position to backward walking

3.       Orthopedic treatment for swinging the shank in walking

(1)    Bending the knee and rotating the hip

(2)    Rubbing around the knee

(3)    Bending the hip and extending the foot

(4)    Squatting with forward lunge

(5)    Percussing the popliteal fossa

4.       Orthopedic treatment for foot droop and strephenopodia

(1)    Dorsal bending and eversion of the ankle

(2)    Rubbing Zusanli

(3)    Dorsal bending of the ankle

(4)    Bending the knee and lifting the foot

(5)    Metatarsal and dorsal bending of the ankle joint

(6)    Kneeling down with forward lung

5.       Orthopedic treatment for shoulder and hand syndreome

(1)    Anterior bendign and lifting of the shoulder joint

(2)    Pressing Jiquan

(3)    Pressing around the shoulder

(4)    Bending, adducting and abducting of the shoulder joint

(5)    Combing the dorsum of the hand

6.       Orthopedic treatment for semi-dislocation of the shoulder joint

(1)    Pressing and stroking around the shoulder

(2)    Holding and lifting the region around the shoulder

(3)    Abducting and lifting the shoulder joint

(4)    Pushing and pressing the three Yangming acupoints

(5)    Touching the waist with the dorsum of the hand

Chapter 8 Twenty Questions Concerning Apoplectic Patients

1.       How should the patients treat themselves with Chinese medicinal bathing

2.       How should the patients train themselves in using the brain

3.       How should the patients train themselves in using language

4.       How should the patients train themselves in daily life

5.       What problems should the patients take into consideration in the process of rehabilitation?

6.       How to reasonable arrange home-based rehabilitation for the patients?

7.       How should the patients scientifically arrange their home-based rehabilitation?

8.       What care should be taken when helping the patients in the toilets?

9.       What care should be taken when helping the patients to bathe?

10.   What care should be taken when helping the patients to wash?

11.   How should the patients select food?

12.   What medicinal foods are suitable for patients with paralysis?

13.   What is the relationship between protein and wind stroke?

14.   What is the relationship between smoking and drinking and wind stroke?

15.   Can the patients drink tea?

16.   How to treat the patients with psychological therapy?

17.   Can wind stroke occur among patients with cervical vertebral disorder?

18.   Why can hypotension lead to wind stroke?

19.   Can the vessels be dredged after the treatment of cerebral thrombosis?

20.   Why is wind stroke hereditary?

Appendix 1 Figures indicating the muscles that dominate the movement of the main joints in the human body

Appendix 2    Location of the commonly used acupoints on the human body