中风刍议

Superficial Discussion on Stroke

关键词:  中风  卒中期  恢复期

Key words:  stroke  acute period  recovery period

摘要:

指出真中与类中、外风与内风有其相关性;瘀热阻窍是中风急性期的基本病理环节;卒中多属标实本虚,但以标实为其病性特点。阐明中风的辨证分类和治疗方法,即首分卒中期、恢复期(附后遗症期),卒中期分为中血脉、中腑、中脏3类;恢复期则按虚实而分证。强调无论出血、缺血,凡属“瘀热阻窍”证候者,均可采用凉血通瘀法,以分解瘀热相搏之势。介绍通腑泄浊三要诀,即下燥热、下痰火、下瘀热。

Abstract:

It is pointed out in the article that a correlation exists between real stroke similar stroke,external wind and internal wind. Stasis and heat obstructing the orifice are the basic pathogenic factor of acute stroke. Stroke usually belongs to excessive superficiality and deficiency of origin,but the former is its chief pathologic character. It explains the syndrome differentiation type and treatment methods of stoke. It is firstly divided into stroke period,recovery period (sequelae period). Among the stroke period there are three types again,i.e. stroke in blood and channel,stroke in FU-viscera and stroke in ZANG-organ. During recovery periods, type is sorted according to excess and deficiency. It is in this article emphasized that methods of "cooling blood and removing stasis" should be applied to patients with "Stasis and heat obstructing the orifice" no matter ischemic or haemorrhagic changes in order to decompose accumulation state of stasis and heat. The author introduces three key methods for eliminating turbid fluid and smoothing the bowels,that is purging dryness and heat,purging phlegm and fire,discharging stasis and heat.