This article introduces the clinical experience of Professor

WANG Jihong

in treatment of post-stroke hypermyotonia with

Lai

's

tongyuan

therapy (therapy for removing obstruction and consolidating vital essence). Regarding the pathogenesis of this disease

Professor

WANG Jihong

emphasizes a "trinity" approach

"the mind disturbed

qi

and blood unbalanced

and

yuan

(vital essence) not consolidated". In treatment

"the unblocking

conducting and nourishing are taken as the fundamental" to "prevent from over-dredging

balancing

yin

and

yang

and avoiding over-replenishing". In clinical practice

the combined measure is adopted with acupuncture

tuina

and h

erbal medicine. In acupuncture

the acupoints are selected according to the front-back combination of the points of the conception vessel and the governor vessel (basic prescription: Yintang [GV24

+

]

Baihui [GV20

]

and Niesanzhen; prescription for promoting the governor vessel: Dazhui (GV14)

Jinsuo [GV8

]

Xinshu [BL15

]

Pishu [BL20

]

and etc.; and the prescription for consolidating the vital essence: Danzhong (CV17)

Zhongwan [CV12

]

Tianshu [ST25

]

Qihai [CV6

]

) and etc.

as well as those on the four limbs for "opening

closing and pivoting of

yin

and

yang

" (on the upper limbs of the affected side: Jiquan [HT1

]

Jianyu [LI15

]

Quchi [LI11

]

Quze [PC3

]

and etc.; on the lower limbs of the affected side: Huantiao [GB30

]

Liangqiu [ST34

]

Xuehai [SP10

]

Yanglingquan [GB34

]

) and etc. The above points co-act on regulating the conception vessel and the governor vessel

and balancing

yin

and

yang

.

Tuina

is delivered on the governor vessel

the bladder meridian of foot-

taiyang

and wind points on the area between the head and nape

so as to promote the governor vessel

benefit the orifices

strengthen the spine and relax tendons. Herbal medicine works on nourishing the liver to soften tendons

nourishing blood to remove wind

regulating

qi

to replenish the spleen

consolidating the root to cultivate the vital essence

activating blood circulation to unblock meridians

and removing stasis to resolve phlegm.

Tongyuan

therapy provides a certain instruction in treatment of post-stroke hypermyotonia.