李军从痰瘀论治脑病经验

Li Jun's Experience in Treating Encephalopathy from Phlegm and Blood Stasis

李军教授认为脏腑功能失调、气血津液代谢障碍使痰浊、瘀血内生是脑病形成的真正原因,其对脑病痰瘀的辨证分为宏观和微观两个方面,宏观方面就是以痰证和瘀证的临床表现为依据,抓住痰证和瘀证的证候特点,重点突出舌象尤其是舌下脉络的变化对痰瘀证做出诊断;微观方面就是结合现代医学,明确血脂与痰的联系以及血液高黏高凝的特点与瘀的关系。其治疗脑病时以活血化瘀为治疗原则,常以脑泰通汤为基础方加减治疗。

Professor Li Jun considers that the real cause of encephalopathy is the disorder of visceral function and the metabolic obstacle of qi,blood and fluid-humor,which have made the phlegm and blood stasis occur.His syndrome differentiation for the phlegm and blood stasis can be divided into two aspects： macro and micro.From the macro aspect,on the basis of the phlegm syndrome and blood stasis syndrome,he diagnoses the phlegm and blood stasis according to the characteristics of the phlegm syndrome and the stasis syndrome,and the tongue picture,esp.the changes of venation under the tongue,is emphasized.From the micro aspect,he definites the link between the blood lipid and phlegm and the relationship between characteristics of blood hyperviscous and hypercoagulation and stasis combined to modern madicine.He treats encephalopathy with modified Qingnao Tongluo Decoction,according to the principle of activating blood and resolving stasis.