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动脉瘤性蛛网膜下腔出血后遗症期治验心悟

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动脉瘤性蛛网膜下腔出血属中医学"中风"范畴,起病急,预后差,术后常遗留不同程度的后遗症.李道昌教授认为,该病患者发病前肾精肝血先亏,外邪乘机袭身致厥逆中风;术后患者真元激破,正气大虚,诸邪乘势而入.故治疗应以补肝肾精血为要,兼顾驱邪,据此化裁出七位一体汤基础方,临证斟酌加减,疗效显著.
Experience and Inspiration with Treatment of the Sequelae Stage of Aneurysmal Subarachnoid Hemorrhage
Aneurysmal subarachnoid hemorrhage belongs to the category of"stroke"in TCM,which has a rapid onset and poor prognosis.Postoperative patients often have sequelae of varying degrees.Professor Li Daochang believes that before the onset of the disease,the kidney essence and liver blood are deficient,and external factors take advantage of the opportunity to attack the body and cause the reverse stroke.After surgery,the patients'true archaeus break violently and healthy atmosphere extremely deficient,all the pathogenic factors seize the opportunity to invade,so the treatment should be aimed at nourishing kidney essence and liver blood,furthermore supplemented by exorcising.Accordingly,professor Li Daochang develops the basic prescription of"Qiwei Yiti Decoction",and then considered the modification of specific clinical symptoms,showing remarkable efficacy.

aneurysmal subarachnoid hemorrhagestrokedeficiency of healthy qi is fundamentaltreatment from liver and kidneyQiwei Yiti Decoction

李艳霞、李道昌

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安徽中医药大学研究生院,安徽 合肥 230012

六安市中医院,安徽 六安 237006

动脉瘤性蛛网膜下腔出血 中风 正虚为本 从肝肾论治 七位一体汤

第七批全国老中医药专家学术经验继承工作项目(2021年)

2024

中国中医药图书情报杂志
中国中医科学院中医药信息研究所

中国中医药图书情报杂志

影响因子:0.556
ISSN:2095-5707
年,卷(期):2024.48(2)
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