中毒性脑病的辨证论治

DIAGNOSIS AND TREATMENF OF TOXIC ENCEPHALOPATHY

探讨本病的发病机理、病理特点、临床分期及辨证分型施治。认为外感六淫邪毒、内蕴痰热湿浊是主要发病因素;痰、热、风、惊交炽是主要病机。急性期病在心肝,属热证、实证、阳证,以高热、神昏、抽搐为主证,清热解毒、平肝熄风、豁痰开窍为主要治法;恢复期病在肝肾,属虚证、寒证、阴证,以虚热、虚风、虚惊及后遗症为主要表现,补气阴、益肝肾、化痰湿、活血化瘀通络为主要治法。

This article approaches the pathogenesis, pathologic charateristics, clinical stage, differential diagnosis and treatment of the disease. It holds that the six exogenic pathogens and interior phlegm and heat are the mainly pathogeny. The major pathogenesis is the interaction of phlegm, heat, wind and fear. The disease refers to heat, excess and Yang syndromes during acute stage and the disease attack the heart and liver. It is manifested by high fever, delirium tic. Clearnng away heat and toxic material, soothing the liver and dispelling wind, dissolving phlegm and inducing resuscitation are the therapeutic principle. In the convalescence, the disease attack the liver and kidneys, it refers to deficiency, cold and Yin syndromes. Clinically, it is mainly marked by deficiency of heat, wind, fear and sequelae. Replenishing Qi and Yin, invigorating the liver and kidneys, dissolving phlegm and dampness, promoting blood circulation and removing blood stasis are major principles.