Discussion on the treatment of transient ischemic attack from"sunken pectoral Qi"
Transient ischemic attack(TIA)is a transient neurological deficit caused by local cerebral or retinal ischemia,which is manifested by transient adverse limb activity,sensory disturbance,blackness,vertigo,diplopia and other symptoms.Micro emboli theory and hemodynamic change theory are considered to be the main mechanism of its pathogenesis.With the aggravation of population aging,stroke has become the main cause of adult death and disability in China.Therefore,active prevention and treatment of TIA is essential to reduce the incidence of stroke and reduce the burden on individuals,families,and society.Westem medicine mainly intervenes in TIA through secondary prevention.Although evidence-based medicine is sufficient,the side effects brought by long-term medication cannot be ignored.TIA belongs to the categories of"stroke aura""minor stroke""brain anemia"in traditional Chinese medicine.Clinical treatment is mostly focused on the pathological factors such as"Wind,Fire,phlegm,blood stasis".Doctors either treat it with heat and blood stasis,phlegm and dampness,or blood turbidity,which have achieved certain curative effects.This paper suggests that there are many transient ischemic attacks caused by sinking of pectoral Qi(气),and we put forward that"physical and mental fatigue,and pectoral Qi is deficient"is the cause of the disease,"stagnation of Qi,Qi-blood disharmony"is the key link,"sinking of pectoral Qi,phlegm-blood stasis,obstruction of brain-luo(脑 络)"is the substance of pathology,"no loss of vitality,recovery of Qi"is the key to its prognosis.In terms of treatment,the fundamental treatment is to reinforce Qi and nourish blood to raise Yang,then to promote blood circulation,remove phlegm and blood stasis and dredge brain-luo.In terms of prevention,we propose to focus on form and spirit to prevent pectoral Qi damage.This article discusses the treatment of transient cerebral ischemia from"sinking of pectoral Qi"combined with cases,in order to provide reference for clinical practice.
Transient ischemic attackSinking of pectoral QiApoplexyPreventive medicine
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