中风病脑水肿治疗新探

Advances in treatment of stroke with cerebral edema

从理论方面初步探讨了中医药对脑水肿的作用可能与以下3种假说有关:凉血通窍可利水;通腑泻浊可逐水;平肝熄风可行水。并具体阐述了可能的作用机制:凉血通窍可散瘀利水;通腑泻浊可使腑气通畅、气血得以敷布,以达到通窍达络、缓解脑水肿的目的;平肝熄风可达到熄火、顺气、和血、散血、止痉等多种功效,从而调和气血控制或缓解脑水肿。

It is discovered in massive clinical practices that Chinese medicine intervention in the acute stage of stroke can make enormous improvement in stroke prognosis, moreover in many cases, which is prompted to be related with the improvement of hydrocephalus in the acute stage of stroke. This article makes a preliminary theoretical discussion that the function of Chinese medicine to hydrocephalus is possibly related with the following three hypotheses： removing the blood heat and dredging the orifices can promote diuresis; catharsis and clearing turbidity can remove water; clearing the liver and suppressing wind can facilitate water. And elaborate the possible mechanisms in details： removing the blood heat and dredging the orifices can remove the blood stasis and promote diuresis; catharise and cleating turbidity can smooth Fu-qi and make qi and blood spread, and achieve the goal of dredging the orifices to free the collaterals and alleviate hydrocephalus; clearing the liver and suppressing wind may have many kinds of effects such as suppressing fire,smoothing qi,harmonizing blood,removing the blood stasis and stopping convulsion ,and then smooth qi and blood to control or alleviate hydrocephalus.