论脑梗死之发病机理及对腔隙性脑梗死的不同见解

Analyzing on the Etiopathology of Cerebral Infarction and Holding Different Views about Lacunar Infarction

以中医学气血理论探析脑部血液供应障碍而引发脑梗死的原因,其一为痰瘀阻滞,二为气血亏虚。基于此,推论动脉粥样硬化性脑梗死为痰瘀阻滞所致,腔隙性脑梗死为气血亏虚所致。对以高血压为腔隙性脑梗死的重要致病环境或因素的理论提出质疑。探讨高血压是机体出现血运不畅时,作为相伴症状出现的机体的自救措施。

Analyzing on reasons of cerebral infarction induced by brain blood supply bottleneck according to Chinese medicine theory of qi and blood.One of them is stagnation of phlegm-stasis and another is deficiency of qi and blood.Based on this viewpoint,atherosclerotic cerebral infarction（ACI）is induced by stagnation of phlegm-stasis and lacunar infarction is induced by deficiency of qi and blood.Question about the theory that hypertension is an important pathogenic environment or factor of lacunar infarction.Discuss the idea hypertension is an associated symptom for self-help measure of organism in poor blood supply.