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基于"血瘀-浊毒"论治缺血性脑卒中OA

Treating Ischemic Cerebral Stroke Based on the Theory of"Blood Stasis and Turbid Toxin"

中文摘要英文摘要

缺血性脑卒中病机为五脏虚损、阴阳偏胜导致心火亢盛或肝阳化风,引起气血逆乱,脑髓受损,神机失用,正气亏虚是其发病基础,血瘀、浊毒是重要发病因素.浊毒与血瘀既可作为病因导致疾病发生,又可作为病理产物存在于人体,对人体造成伤害,两者互为因果,相互兼夹,相互转化.气虚血瘀是始动因素,浊毒是病理产物,浊毒、血瘀胶结不解是疾病迁延不愈的主要病理机制.对该病的治疗,从气虚、血瘀、浊毒入手,以益气活血、化浊解毒为治则,对恢复患者脑神经功能缺损,降低复发率,提高患者生活质量具有重要意义.

The pathogenesis of cerebral ischemic stroke is the result of deficiency of the five-zang organs,imbalance of yin and yang,leading to excessive heart fire or liver yang leading to disorder of qi and blood,damage to the brain marrow,impairment of the function of the spirit.Deficiency of qi and blood is the underlying cause.while blood stasis and turbid toxins are important pathogenic factors.Turbid toxins and blood stasis can both serve as causes of diseases and exist in the human body as pathological products,causing harm to the body.They are mutually causal,intertwined,and transformable.Qi deficiency,blood stasis are the initiating factors,while turbid toxins are pathological products.Turbid toxins and blood stasis adhering together and not dissolving are the main pathological mecha-nisms leading to the prolonged course of the disease.The treatment should start from deficiency of qi,blood stasis,and turbid toxins,with the principle of replenishing qi and activating blood,dissolving turbidity and eliminating toxins.This is of great significance for the re-covery of brain nerve function impairment,reducing the recurrence rate,and improving the quality of life of patients.

单婷;赵见文

承德医学院,河北 承德 067000河北省沧州中西医结合医院,河北 沧州 061001

中医学

缺血性脑卒中"血瘀-浊毒"气虚

cerebral ischemic stroke(CIS)"blood stasis-turbid toxin"qi deficiency

《河南中医》 2024 (012)

1818-1821 / 4

10.16367/j.issn.1003-5028.2024.12.0327

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