Clinical Observation On Treatment Of Aphasia Due To Stroke With Therapeutics Of Bloodletting

Aphemia is caused by organic pathological changes in special area of cerebrum due to cerebrovascular disease(CVD). The syndrome is speaking ability deficiency, that is, difficult in oral expression, writing expression and understanding. Acute CVD is one of familiar diseases in our country. Upward 1/3 patient after CVD has aphasia at different levels. Now, it is thought that whether hemorrhagic stroke or ischemic stroke, they have a similar dangerous factor of CVD. Brain lacking blood and oxygen caused by cerebral hemorrhage or cerebral infarction can increase the permeability of the capillary wall of brain, and then lead to brain edema. It is thus clear that cerebral hemorrhage and cerebral infarction have common pathogenesy of brain damage, and the parhogenetic condition of aphemia will relieve with the improving of the damage degree of brain.Many study show that NO, ET, CGRP participate the blood flow control of brain and they are important on the blood circulation of brain. Therapeutics of bloodletting is one method of acupuncture. Clinical practice proved that this method has effects such as awaking brain and enlightening, reducing heat and detumescence, dredging meridian, relieving pain and so on. So we choosed therapeutics of bloodletting as a main therapeutic tool of aphemia.Objective To study the effect of therapeutics of bloodletting in points of Jinjin and Yuye on aphemia due to stroke and the effect on contents of ET and CGRP of patients. Approach the possible treatment mechanism of aphemia with therapeutics of bloodletting.Method In accordance with the diagnistic criteria established in the fourth nationwide academic congress of CVD in 1995,62 cases of aphemia were enrolled into the research and divided randomly into 32 cases as bloodletting group and 30 cases as traditional-body-acupuncture group. Standardized Aphasia Battery of Chinese (ABC) was used to examined 62 cases of aphemia to assess the aphasia quocient(AQ), the Chinese functional communication(CFCP), Boston diagnostic aphasia examination(BDAE). Main points of bloodletting group: Jinjin Yuye. Coordination of acupoints:Jianyu, Quchi, Hegu for the hemiparalysis of upper limb; Biguan, Zusanli, Sanyinjiao for hemiparalysis of lower limb. Main point of traditional-body-acupuncture group: Yamen, Lianquan,...