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基于血浊理论探讨风痰瘀阻型中风的发病机制及治疗思路

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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.
Exploring the pathogenesis and treatment of wind phlegm stasis type stroke based on the theory of blood turbidity
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.

blood turbid theorywind phlegm stasisstrokepathogenesistreatment ideas

刘满满、韩萍、王新陆

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山东中医药大学第一临床医学院,济南 250355

青岛市中医医院神经内科,青岛 266033

山东中医药大学,济南 250355

血浊理论 风痰瘀阻型 中风 发病机制 治疗思路

王新陆国医大师传承工作室项目山东省中医药高层次人才培育项目(2021)山东省中医药科技发展面上项目(2021)青岛市医药科研指导计划(2020)

鲁卫中医药科教字[2021]6号2021M1152020-WJZD044

2024

天津中医药
天津市中医药大学,天津中西医结合学会,天津中医药学会

天津中医药

CSTPCD
影响因子:0.998
ISSN:1672-1519
年,卷(期):2024.41(6)