创伤性脑损伤急性期中医病机探讨

Exploration on pathogensis of TCM in acute stage of traumatic injury of brain

关键词:  创伤性脑损伤(TBI)  急性期  气虚血瘀  脑窍闭阻  补气化瘀开窍法

Key words:  traumatic brain injury  deficiency of qi and blood stagnation  aural obstruction of the brain  invigorating vital energy and dissolving blood stagnation and enlightening aural obstruction

摘要:

颅脑创伤,元神受损致气泄、气虚、气脱,正气大量耗伤则脏腑功能失调;正气不足,运化无力则津液停滞、痰浊凝聚,致清窍蒙蔽。而且创伤性脑损伤(TBI)突发而至,出现气机逆乱,进而气行失常,血不循经;气行失常,血不循经则血瘀。故创伤性脑损伤急性期主要病机为气虚血瘀、脑窍闭阻。据此病机,拟订创伤性脑损伤急性期的治疗大法为补气化瘀开窍法。

Abstract:

It was considered that cerebral trauma may cause qi stagnation, deficiency of vital energy, qi prostration and functional disorder of entrails. The insufficiency of qi may cause body fluid retention, phlegm and turbid agglomeration and may deceive the upper orifices. The traumatic brain injury was a suddenly occurred disease and may result in qi disorder, blood failed to circulate in the vessels and stagnation of blood. The main pathogensis of acute stage of traumatic brain injury was deficiency of vital energy and stagnation of blood and aural obstruction of the brain. The treatment principle of acute stage of traumatic brain injury was invigorating vital energy and dissolving blood stagnation and enlightening aural obstruction.