基于心主血脉理论对中风发病机制的探讨

Discussion on the Disease Mechanism of Stroke Based on the Theory of Heart Governing Blood and Blood Vessels

文章基于中风病在血脉,损及脑髓神机的病机理论,探讨心主血脉失常与中风发病的内在联系。在心脑一脉相承,共主神明的认识基础上,分析中风发病机制,结合当代研究进展,阐述心主血脉与中风病机的相关性。认为心主血脉失常是中风发病的基础病理损害,主要涉及心脏病变,心率、心律、心脏瓣膜病变及其形态学改变、血压、血流动力学、血液、血脂、血管特别是动脉病变。凡此均责心主血脉失常,终致血脉损伤,血行不利,痰浊瘀血阻滞,脑脉闭塞或血溢脉外,发生中风。心脑一脉相通,心主血脉失常是中风最常见的病机,维护心、血、脉结构与功能的正常状态是预防中风的着眼点。

Based on the disease mechanism that the disease location of stroke is the blood and blood vessel,and brain and mental activities are affected,the relationship between heart failing to govern blood and blood vessels and stroke was discussed. Disorder of heart governing blood is the primary pathological damage,usually involving heart,like heart rate,heart rhythm,heart valve,morphological changes of heart,blood pressure,hemodynamics,blood,blood lipids,blood vessels,especially arteries. All the disease lesions are due to heart failing to govern blood and blood vessels. Finally there would be the damage of blood vessels,unsmooth blood circulation,impediment by phlegm and blood stasis,resulting into cerebral vessel occlusion or blood overflowing blood vessels. Heart and brain are closely related. Heart failing to govern blood and blood vessels are the most common disease mechanism of stroke,and therefore maintaining the normal structure and function of heart,blood and vessels is a key point for preventing stroke.