首页|从营卫虚滞理论探讨缺血性卒中的病机与证治

从营卫虚滞理论探讨缺血性卒中的病机与证治

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缺血性卒中是常见的脑血管疾病,具有高发病率、高死亡率和高致残率的特点,其主要病理过程为脑脉痹阻.本文结合理论及实践探讨分析,认为营卫二气与缺血性卒中密切相关,营卫既可化血,又可助血,亦能固护脉道,若营卫虚滞则气血化生不足、运行受阻,可造成气、痰、瘀、火、风、毒等邪气内生,构成缺血性卒中发生发展的关键环节.故从营卫虚滞角度探讨缺血性中风发病机制,并阐述营卫虚滞与缺血性中风内生邪气的关系,以补虚通滞、调和营卫为治法,论述防治缺血性卒中发生发展的方药,为缺血性卒中的临床辨证施治提供新的思路,并附验案1则加以佐证.
Discussion on the Pathogenesis and Treatment of Ischemic Stroke from the Theory of Deficiency and Stagnation of Both Nutrient Qi and Defensive Qi
Ischemic stroke is a common cerebrovascular disease characterized by high morbidity,mortality and disability rates,and its main pathological process is cerebral pulse obstruction.This paper combines theory and practice to conduct relevant discussion and analysis and believes that nutrient qi and defensive qi are closely relat-ed to ischemic stroke.Nutrient qi and defensive qi can not only melt blood,but also help blood,and strengthen the pulse channel;if nutrient qi and defensive qi is stagnant,the qi and blood metaplasia is insufficient and the op-eration is blocked,which can cause qi,phlegm,stasis,fire,wind,toxin and other pathogenic qi,constituting the key link in the occurrence and development of ischemic stroke.Therefore,the pathogenesis of ischemic stroke is dis-cussed from the perspective of deficiency and stagnation of both nutrient qi and defensive qi,and the relationship between deficiency and stagnation of both nutrient qi and defensive qi and ischemic stroke is expounded,and the prescription drugs for the prevention and treatment of ischemic stroke are discussed to supplement the tonifying de-ficiency and eliminating stagnation and harmonizing nutrient qi and defensive qi,so as to provide new ideas for the clinical differentiation and treatment of ischemic stroke,and attach a test case to support it.

Ischemic strokeDeficiency and stagnation of both nutrient qi and defensive qiHarmonizing nutri-ent qi and defensive qiTonifying deficiency and eliminating stagnation

罗政、李定祥、蔡昱哲、刘艺璇、雷翰霖、邓奕辉

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湖南中医药大学,湖南 长沙 410208

湖南中医药大学中西医结合心脑疾病防治湖南省重点实验室,湖南长沙 410208

湖南中医药大学第一附属医院,湖南长沙 410007

缺血性卒中 营卫虚滞 调和营卫 补虚通滞

湖南省科技创新团队项目湖南省教育厅科研项目湖南省中医药科研项目

2020RC405021A0228E2022010

2024

10.3969/j.issn.1004-745X.2024.03.016

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子：1.144
ISSN：1004-745X
年,卷(期)：2024.33(3)
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