王永炎活血、化瘀、通络三步法

WANG Yongyan's Three-Step Method of Invigorating the Blood,Dissipating Blood Stasis and Dredging Collaterals

王永炎院士认为,活血、化瘀、通络法虽同治血瘀证,但作用层次不尽相同,活血、化瘀、通络是针对3种血液瘀滞状态而采取的三步法。临床运用活血、化瘀、通络法治疗各种脑病时,常根据瘀滞状态之轻重,病变病位之浅深,采取不同层次的祛瘀治法。血气不和者,病程较短、病情较轻,宜调气活血;血聚成瘀者,病程相对较长、病情较重,宜活血化瘀;血瘀络脉者,病程更久、病情缠绵反复,宜化瘀通络。用药层层深入,疗程逐渐延长,使药达病所,瘀疾可除。

Academician WANG Yongyan suggests that although the method of invigorating the circulation of blood, dissipating blood stasis and dredging collaterals are all used on blood stasis syndrome, they aim on different layers of depth. That is, invigorating the circulation of blood, dissipating blood stasis and dredging collaterals are three steps to treat different states of blood stasis. The method of invigorating the circulation of blood, dissipating blood stasis and dredging collaterals, the severeness of blood stasis and the depth of pathological location were usually taken into consideration on choosing different treatment to dissipate blood stasis. Syndrome of disharmony in Qi and blood has a relatively shorter course of disease and less severe conditions, so regulating Qi and invigorating the blood is adapted ; syndrome of blood accumulating to stagnation has a relatively longer course and more severe conditions, so invigorating the blood and dissipating blood stasis is appropriate; syndrome of blood stasis clotting collaterals has the longest course with lingering relapses, so dissipating blood stasis and dredging should be applied layer by layer in depth, while treatment time should be longer cine reach pathological locations and expell the disease of stasis. collaterals is in order. Medication and longer, so as to make the medicine reach pathological locations and expell the disease of stasis.