中风临床诊断框架的构建

Construction of Clinical Diagnostic Framework of Stroke

梳理《黄帝内经》以降的古代文献,总结中风及其分类分型的临床诊断体系,在此基础上提出中风临床诊断框架的构想:中风分类为真中风(有偏瘫型脑卒中)和类中风(无偏瘫型脑卒中),真中风分型为中经络(无意识障碍)和中脏腑(有意识障碍),类中风分型为风痱(四肢无力)、风癔(失认失语)、风痹(肢体麻木或疼痛)、风眩(晕动失衡)、风呆(反应迟钝)、风痫(痫样发作)。重建中风的临床诊断框架对促进中风学术发展和精准化防治具有积极意义。

The Inner Canon of Yellow Emperor（ 《黄帝内经》） and later ancient literature was sorted out,and the clinical diagnosis system of stroke and its classification were summarized. Based on above methods,the author proposed the concept of a clinical diagnosis framework for stroke. Strokes were classified as true stroke（ stroke with hemilegia） and apoplectic stroke（ stroke without hemilegia）. The classification of true stroke was meridian stroke（ without disturbance of consciousness） and visceral stroke（ with disturbance of consciousness）,and apoplectic stroke was classified as apoplectic aphasia（ limb weakness）,apoplectoid hysteria（ agnosia and aphasia）,migratory arthralgia（ numbness or pain in the limbs）,wind vertigo（ motion sickness）,apolectic dementia（ lack of alertness）,wind epilepsy（ epileptic seizure）. This new clinical diagnostic framework for stroke has positive significance for the promotion of academic development and precise treatment of stroke.