李英杰活血化瘀法治疗非痴呆性血管性认知障碍经验

Chief Physician Li Yingjie to Treat Non Dementia Vascular Cognitive Impairment by Promoting Blood Circulation to Remove Blood Stasis

非痴呆性血管性认知功能障碍与瘀血证关系密切,多从气、热、痰几个方面治疗。因气致瘀者,治疗旨在求"和",即调气以和血,调血以和气;因热致瘀者,当首辨虚实;阴亏血少、中焦阳虚发热致瘀者治以补泻兼施;五志化火致瘀,热瘀胶结,难解难清者以清热凉血法伍以活血散瘀法,邪祛而瘀散;痰瘀交阻者,以荡痰汤及抵当汤化裁治疗,祛邪扶正。

The relationship between vascular cognitive impairment non dementia and blood stasis syndrome is closely. The treatment from Qi,heat,phlegm on treatment of vascular cognitive impairment non dementia of blood stasis syndrome. Because of blood stasis caused by Qi,treatment aimed at seeking ＂ balance＂,namely ＂ reconcile Qi and blood＂,namely,regulating Qi to reconcile blood,regulating blood for Qi; heat induced blood stasis when first distinguish deficiency and excess： Yin deficiency of less blood,spleen Yang deficiency and fever inducing stasis treatment to tonification and purgation in combination,heat generated by five kinds of emotion caused to blood stasis,heat and blood stasis cementation,difficult to clear,for reducing heat and cooling blood method in combination with activating blood circulation and removing blood stasis method,eliminating evil and eliminating stasis;phlegm blood stasis cross resistance,the treatment of phlegm must be used to break the blood.