| 摘要: |
| 风痰瘀阻证是临床缺血性脑卒中急性期的证型之一，传统中医治法疗效欠佳，预后不良，致残率高，因此寻求新的治疗思路对于改善患者预后具有重大意义。文章基于血浊理论对其发病机制进行探讨，阐述了血浊致脏腑虚、脑髓伤为发病之基，致风痰瘀阻、脑络伤为核心病机；结合现代研究证实血浊为该病的病理枢纽，提出在传统治则加用化浊行血中药治疗风痰瘀阻型中风，以期提高临床疗效。 |
| 关键词: 血浊理论 风痰瘀阻型 中风 发病机制 治疗思路 |
| DOI：10.11656/j.issn.1672-1519.2024.06.02 |
| 分类号:R255.2 |
| 基金项目:王新陆国医大师传承工作室;2021年山东省中医药高层次人才培育项目专项经费资助(鲁卫中医药科教字[2021]6号);2021年度山东省中医药科技发展项目面上项目(2021M115);2020年度青岛市医药科研指导计划项目(2020-WJZD044)。 |
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| Exploring the pathogenesis and treatment of wind phlegm stasis type stroke based on the theory of blood turbidity |
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LIU Manman1, HAN Ping2, WANG Xinlu3
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1.The First Clinical School of Shandong University of Traditional Chinese Medicine, Jinan 250355, China;2.Department of Neurology, Qingdao Hospital of Traditional Chinese Medicine, Qingdao 266033, China;3.Shandong University of Traditional Chinese Medicine, Jinan 250355, China
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| Abstract: |
| The syndrome of wind-phlegm-stasis is one of the syndrome types in the acute stage of clinical ischemic stroke. The traditional Chinese medicine treatment has poor curative effect and poor prognosis and high disability rate. Therefore，it is of great significance to seek new treatment ideas to improve the prognosis of patients. Based on the theory of blood turbidity，this paper discussed its pathogenesis，and elaborated that blood turbidity caused zang fu deficiency and brain pulp injury as the basis of the pathogenesis，and wind phlegm stasis，brain collateral injury as the core pathogenesis. Combined with modern research，it is confirmed that blood turbidity is the pathological hub of the disease，and proposed that traditional Chinese medicine for removing turbidity and promoting blood circulation was added in the treatment of wind-phlegm-stasis type stroke in order to improve the clinical effect. |
| Key words: blood turbid theory wind phlegm stasis stroke pathogenesis treatment ideas |
