Banxia Baizhu Tianma Tang decoction and modified Taohong Siwu combined with Western medicine to treat a patient with severe stenosis of the middle cerebral artery: A case report

Abstract

Rationale: Intracranial artery stenosis is an important cause of ischemic stroke, and MCA is one of the most common vessels causing intracranial artery stenosis. At present, there are 3 main treatments for MCA stenosis: medical drug therapy, surgery, and endovascular interventional therapy. Patient concerns: We report a patient with severe middle cerebral artery stenosis, including his imaging and clinical manifestations. Diagnosis: Severe stenosis of middle cerebral artery. Interventions: Banxia Baizhu Tianma decoction combined with Taohong Siwu decoction combined with western medicine. Outcomes: The stenosis of M1 segment of middle cerebral artery was significantly improved, the stenosis rate was reduced from 70% to 30%, and the clinical symptoms of the patients basically disappeared. Lessons: Banxia Baizhu Tianma decoction combined with Taohong Siwu plus subtraction combined with western medicine is effective in the treatment of middle cerebral artery stenosis.