中风病发病阶段“毒损脑络”临床特征的初步分析

Clinical characteristics of brain collateral damage by internal toxin in onset period of stroke

目的从临床角度研究中风病"毒损脑络"的表征,探讨研究的思路和方法,并初步分析中风病毒损脑络的症状特征。方法结合中风病发病前后的临床特点,参照风邪致病的临床特征表达,分析中风病发病前后非特征性症状和体征的特点和变化,以及相关症状的强度、范围和持续时间变化。探讨这些临床特征与毒损脑络的关联关系。结果在症状层面,困倦感、头昏沉、反应迟钝、面色晦暗,食欲、睡眠、情绪的变化,舌象和脉象的变化,是需要关注的临床表征。结论随着研究的不断深化,毒损脑络的临床表征有迹可寻。毒损脑络的临床表征,可能是相关症状、体征、症状的变化和理化指标的有机组合。

Objective To study the superficial signs of brain collateral damage by internal toxin of stroke in clinic, to discuss the thought and method, and to analyze initially the symptom characteristics of brain collateral damage by internal toxin of stroke. Method The clinical characteristics of stroke before and after its onset were integrated with clinical features of pathogenic wind in causing diseases. The changes of equivocal symptoms and signs, and intensity, range and period of relevant symptoms were analyzed before and after the onset of stroke. The relationship between these clinical characteristics and brain collateral damage by internal toxin were investigated. Result In the aspect of symptom some clinical symptoms and signs should be paid attention to, such as fatigue, dizziness, bad-response, dim complexion, and changes of appetite, sleep, mood, tongue and pulse. Conclusion The clinical superficial signs of brain collateral damage by internal toxin of stroke can be observed along with the study development, which may be an organic combination of relevant symptoms, signs, symptom changes and physiochemical indexes.