中医学报2026，Vol.41Issue(5)：990-993,4.DOI:10.16368/j.issn.1674-8999.2026.05.146
从"窠囊"理论辨治特鲁索综合征相关性脑梗死
Differentiation and Treatment of Trousseau Syndrome Related Cerebral Infarction Based on"Ke Nang"Theory
摘要
Abstract
Trousseau syndrome related cerebral infarction is a disease with a high mortality rate and poor prognosis.It is considered a combination of malignant tumors and hypercoagulable states.Essentially,it is tumor-associated thrombosis,and it can also be regarded as a chronic disseminated intravascular coagulation,leading to venous thromboembolism and arterial thrombosis in patients with malig-nant tumors,with a mortality rate second only to the tumors themselves.The term of"Ke Nang"refers to Phlegm,Dampness and blood stasis generated internally in the body,which congeal and are hidden deep within the body,making the disease complex,characterized clinically by variable symptoms and difficulty in eradication.Imaging,as a special method of the four diagnostic approaches,plays a key role in the early diagnosis and differential diagnosis of Trousseau syndrome-related cerebral infarction.Combined with imaging tech-niques,MRI findings of spotty or patchy infarcts mainly indicate Qi stagnation and blood stasis,whereas spotty or patchy infarcts com-bined with large-area infarcts mainly indicate phlegm,stasis,and toxicity.Clinical treatment should follow syndrome differentiation:strengthening the body's vital energy and consolidating the foundation,regulating Qi to treat the root cause,resolving Phlegm and break-ing stasis,detoxifying,and dispersing nodules to address the source.关键词
特鲁索综合征/脑梗死/"窠囊"理论/斑点或斑片型梗死灶/混合型梗死灶Key words
Trousseau syndrome/cerebral infarction/"Ke Nang"theory/spotty or patchy infarct focus/mixed-type infarct focus分类
医药卫生引用本文复制引用
高梦霞,宋连英,唐璐,朱陵群,李鹏,万继峰,吴军,赵子珺..从"窠囊"理论辨治特鲁索综合征相关性脑梗死[J].中医学报,2026,41(5):990-993,4.基金项目
国家自然科学基金面上项目(81573926,81173235) （81573926,81173235）
北京中医药大学教育教学研究课题项目(XJY22074) （XJY22074）
