基于“诸湿肿满,皆属于脾”探讨颈动脉粥样硬化斑块中医病机及防治思路

Pathogenesis and Prevention of Carotid Atherosclerotic Plaque in Traditional Chinese Medicine Based on "All Dampness Syndromes with Swelling and Fullness Being Ascribed to the Spleen"

颈动脉粥样硬化斑块加大了缺血性脑血管疾病的发病率、致残率及死亡率,目前临床药物治疗虽有疗效,但须长期服药,且不良反应较多。基于《素问》“诸湿肿满,皆属于脾”的理论,探讨颈动脉粥样硬化斑块的中医病因病机及防治思路,以期为临床诊疗提供依据。中医认为本病病机为脾虚失运,痰湿瘀阻脉络,痰瘀互化、胶着日久而发病,治疗上宜益气健脾、温阳运脾、祛痰化瘀,并根据临床特点,随证配伍,以收到更好的临床疗效。

Carotid atherosclerotic plaque increases the incidence,disability rate and mortality of ischemic cerebrovascular diseases.Although the current clinical medicinal treatment is effective,it must be taken for a long time,and has more adverse reactions.Based on the theory of"all dampness syndromes with swelling and fullness being ascribed to the spleen"in Su Wen(Basic Questions),this paper discusses the etiology,pathogenesis and prevention of carotid atherosclerotic plaque in traditional Chinese medicine,so as to provide basis for clinical diagnosis and treatment.According to traditional Chinese medicine,the disease is due to long-going inter-conversion of phlegm and stasis caused by deficient spleen failing to transport and phlegm-damp stasis obstructing vessels.In order to achieve better clinical effect,the basic treatment is to boost qi and fortify the spleen,warm yang and transport the spleen,and dispel phlegm and dissolve stasis.