中西医结合脑心同治论治大面积脑梗死合并冠心病的体会

The Experience of Preserving Pathogenesis Theory based on Integrated Chinese and Western Medicine in Treating Massive Cerebral Infarction Combined with Coronary Heart Disease

脑卒中是我国主要致残、致死性疾病,大面积脑梗死是其中预后较差的一类,且常合并冠心病。本文从中西医结合脑心同治理论阐述大面积脑梗死合并冠心病的治疗体会,主张急性期"闭证宜开"、"脱证宜固"以治其标,后期当滋养肝肾、化痰通络以治其本,并结合西医治疗,取得良好疗效,值得借鉴。

Stroke is a high morbidity and mortality disease in China. Massive cerebral infarction, which often combine with coronary heart disease, has a poor prognosis. Here we present the experience of treating brain and heart simultaneously with integrated Chinese and Western medicine in massive cerebral infarction combined with coronary heart disease. ＂The open treatment principles ought be used in blocking syndrome＂ and ＂The astringent therapy ought to be used in collapsed syn-drome＂ were proposed to merely alleviate the symptoms in the acute phase. Nourishing liver and kidney, removing phlegm, and dredging collaterals ought to be used in the late phase. The treatment combined with Western medicine show good effect.