脑出血中医活血化瘀法治疗方案及其理论依据

The Therapeutic Method and Theoretical Evidence of Blood-activating and Stasis-removing Therapy of Intracerebral Hemorrhage

脑出血的中医病理基础是瘀血,其病机涉及"瘀停脉外、压迫神机"、"津行不畅、痰水形成"、"诸邪胶结、化毒伤脑"3个方面,其临床常见证候包括"血瘀证兼肝风内动"、"血瘀证兼痰浊阻络"、"血瘀证兼热毒内蕴",根据脑出血中医病机特点和证候演化规律,制定脑出血活血化瘀法治疗方案以实现脑出血中医科研成果的临床转化。

Blood stasis is the basis of Traditional Chinese Medicine（TCM） pathology for intracerebral hemorrhage. The main disease mechanism includes the following three aspects： the bleeding from brain vessels leads to the blockage of brain vessels, abnormal metabolism of body fluid distribution dues to the formation of phlegm and water, and the brain injuried by toxic evil produced from pathogenic factors. The common clinical symptoms consist of blood stasis pattern with endogenous liver wind, turbid phlegm blocking collaterals and heat-toxic stagnation. In terms of the characteristics of TCM pathogenesis and the evolution law of TCM syndromes, we have formulated the blood-activating and stasis- removing therapy in order to realize the clinical transformation of TCM research achievements for intracerebral hemor- rhage.