再议中风先兆症的观察、病机与防治

Further discussion on the observation,pathogenesis,prevention and treatment of premonitory symptoms of stroke

为谋求中风病发病率与复中率的降低,复读王清任《医林改错》下卷"记未病以前之形状",分析中风先兆症的病因病机。要重视中风先兆症的症状观察,以象为主体,观象议病,重在证候思辨。病机多为元气渐亏动力不足,虚气留滞,发则血中游风内动。药以生蒲黄、天麻、佛手等二级预防的方药。

In order to reduce the morbidity and recurrence rate of stroke,the statement of"to record the clinical manifestations of patient before the occurrence of disease"in the second volume of Wang Qingren’s Yi Lin Gai Cuo(Correction of Errors in Medical Works)was reviewed.Based on that,more attention should be paid to the observation of symptoms of stroke aura.By observing Xiang(external signs),the disease can be detected and pattern differentiated.The pathogenesis mainly involves depleted yuan qi,resulting in stagnation of deficient qi,which would be induced to internal wind.The mainly medicinals include Puhuang(cattail pollen,Pollen Typhae),Tianma(tall gastrodis tuber,Rhizoma Gastrodiae)and Foshou(finger citron fruit,Fructus Citri Sarcodactylis),etc.Besides,a prescription for secondary prevention of stroke is put forward.