What medicine should I take for post-concussion syndrome

When a person's brain is hit hard by external force, it will experience temporary functional impairment, which is a concussion. When a concussion occurs, a person will feel a temporary brain blank and a sense of loss of consciousness. In fact, concussion is a relatively mild brain injury. With effective treatment, it can recover quickly without leaving serious sequelae. However, after a concussion, you still need to use the correct medication to avoid any problems.

Traditional Chinese Medicine

The prescription is a modification of "Tongnaoyu Decoction". 15 grams of Sophora japonica, 10 grams of Acorus calamus, 15 grams of Xishencao, 30 grams of Millettia reticulata, 10 grams of Zedoariae rhizome, 10 grams of Paeonia lactiflora, and 6 grams of Ligusticum chuanxiong. People with empty marrow sea will suffer from headaches, dizziness, forgetfulness, dull eyes and slow reactions. Over time, their bones will become weak and they will suffer from hemiplegia and disability. The treatment is to replenish essence and nourish the brain. The prescription is Dabuyuan Decoction with modifications. Among them, there are 10 grams of placenta, 15 grams of longan meat, 30 grams of mulberry, 18 grams of Rehmannia root, 15 grams of Pseudostellaria baicalensis, 15 grams of Salvia miltiorrhiza, 9 grams each of red and white peony root, 12 grams of Curcuma aromatica, 9 grams of Acorus calamus, 9 grams of Polygala tenuifolia, 9 grams of Poria cocos, and 12 grams of raw Puhuang.

Those with phlegm and turbidity blocking their orifices will have dull consciousness, aphasia, epilepsy, vomiting and loss of appetite; their tongue coating is thick and greasy, and their pulse is stringy and slippery. The treatment is intended to resolve phlegm and open the orifices. Erchen Decoction is used to warm and resolve cold phlegm; Fritillaria, Rhizoma Anemarrhenae, Bamboo Juice, and Alum are used to clear and resolve hot phlegm; realgar, iron ore, cinnabar, and magnet are used to calm the nerves and remove blood stasis; Acorus calamus, Polygala tenuifolia, and Alum are used to resolve phlegm and open the orifices; Gastrodia elata, Arisaema consanguineum, Rhizoma Cibotii, and Antelope Horn are used to calm wind and resolve phlegm.

Those with hyperactivity of Yang and wind will suffer from crooked mouth and eyes, tremors in limbs, headaches and dizziness, nausea and vomiting, and flushed face and eyes. The treatment is to calm the liver and suppress yang, extinguish wind and dredge the meridians. The prescription is Tianma Uncaria Decoction with modifications, including 12 grams of Gastrodia elata, 30 grams of Uncaria rhynchophylla, 15 grams of Semen Cassiae, 30 grams of mother of pearl, 6 grams of Bombyx batryticatus, 20 grams of Rhizoma Cyathulae, 12 grams of Scrophularia ningpoensis, and 30 grams of Chrysanthemum.

People with qi and blood deficiency suffer from dizziness and numbness of limbs. In severe cases, they become paralyzed and useless, have a dull complexion, insomnia, frequent dreams, poor appetite and fatigue. Their tongue is pale with white coating and their pulse is deep and thready. The treatment is to replenish qi and nourish blood, calm the mind and stabilize the spirit. The prescription is Guipi Decoction with modifications, including 15 grams of Codonopsis pilosula, 15 grams of Atractylodes macrocephala, 10 grams of Astragalus membranaceus, 10 grams of Angelica sinensis, 15 grams of Poria, 15 grams of Polygala tenuifolia, 10 grams of longan meat, 12 grams of donkey-hide gelatin (melted), 15 grams of lotus seeds, 15 grams of almonds, and 6 grams of roasted licorice. Acupuncture: The acupoints of Taiyang and Waiguan are matched with Fengchi and Sidu, Yintang and Hegu are matched with Shangxing and Lieque, Yamen and Houxi are matched with Kunlun and Quchi, Yongquan and Yamen are matched with Zusanli and Hegu. If hiccups do not stop, add Zhongwan. If insomnia is severe, add Shenmen and Sanyinjiao. Use both tonifying and purgative methods, once a day.

Massage: The patient takes a sitting position, and the healer stands behind the patient, holding the forehead with one hand and using the other hand to massage from the front hairline to the back of the head for 3 to 5 times. Then take Fengchi and Naokong, and use the ribs of your thumbs to rub the sternocleidomastoid muscles on both sides of the neck alternately from top to bottom 7-10 times before pressing. The doctor stands in front of the patient, and uses the thumbs of both hands to rub Yintang, Qingming, Yingxiang and Chengjiang respectively; then uses the thumbs to push the Jiaosun point, alternating between the front and back of the ear for about 15 times; then uses both palms to push from the front to the back of the ear for about 15 times; then presses the back of the pillow with the base of both palms, and uses the base of the palms to pat the fontanelle 3 times, and then cooperates with hot and moist compress on the top of the head to end the treatment.

Treatment Tips

During treatment, the following issues should also be noted:

To achieve good results in the treatment of post-concussion syndrome, the diagnosis must be correct first.

The diagnosis of concussion is relatively easy, and the main basis is: a history of head trauma; a brief disturbance of consciousness (generally less than 30 minutes) and recent amnesia; and no abnormalities in neurological examination. In addition, there are symptoms such as headache, dizziness, nausea, vomiting, insomnia, memory loss, and inability to concentrate after a concussion. It should be noted that a comprehensive neurological examination should be performed to rule out possible intracranial and extracranial lesions that may have been missed. Especially for patients who are suspected of having hematoma caused by chronic intracranial hemorrhage and are in the intermediate stage of consciousness, the changes in their condition should be closely observed to avoid delaying treatment. After a concussion occurs, do not suggest that the patient may have post-concussion symptoms. After the sequelae of concussion are formed, treatment should be actively carried out. Avoid being hasty and never treat the patient with contempt or sarcasm. The patient's doubts should be relieved and more care and encouragement should be given to enhance the patient's confidence in recovery.