从血脉康复理论探析脑卒中后认知障碍

Analysis on the Treatment of Cognitive Impairment after Stroke from the Theory of “Blood and Vessel Rehabilitation”

分析脑卒中后认知障碍的风险因素,以调理血脉为切入点。脑梗死患者大脑多缺血缺氧、脉道不通导致关键区域损害或代谢障碍而发生认知功能障碍。其病性多属本虚标实,以髓海不足、肾精亏虚为本,痰浊、瘀血闭阻清窍为标;病机多为气血失衡,脉道不通,痰瘀上蒙清窍致神明失用。血脉康复理论是治疗脑卒中后认知障碍的关键,运用针电结合疗法,在调神的基础上重脏腑,调精血,疏通经络,调理血脉,使病灶脉道通利,血气充沛,髓海充足,从而促进缺血性脑卒中后认知功能得以改善。

Through the analysis of risk factors of treatment of cognitive impairment after stroke,the blood and vessel conditioning was taken as a pointcut.Cognitive dysfunction in patients with cerebral infarction caused by multiple cerebral ischemia and hypoxia and impassability of pulse channel leading to damage of key areas or metabolic disorder.The nature of disease is believed to be "benxu Biaoshi"(asthenia in origin and asthenia in superfi ciality),the deficiency of brains and kidney is "ben"(root),phlegm turbid and blood stasis is "biao"(surface).Most of the pathogenesis is imbalance of qi and blood,impassability of pulse channel and phlegm turbid.This paper argues that the theory of blood and vessel rehabilitation is the key to the treatment of cognitive impairment after stroke,through the use of electroacupuncture on the basis of mental conditioning,focus on the viscera,essence and blood,"benxu Biaoshi"(meridian),blood and vessel,so as to promote the improvement of cognitive function after ischemic stroke with deoppilation blood vessels,abundance of qi,blood and brain.