益气活血逐瘀法治疗脑小血管病的理论探析

Analysis of the Theory of Treating Cerebral Small Vascular Disease by the Method of Invigorating Qi and Activating Blood Circulation and Removing Blood Stasis

随着人口老龄化的加剧,脑小血管病发病率越来越高,已成为当前研究的热点及难点。以中医理论为依据,结合现代医学研究,探讨脑小血管病的发病机制,提出气虚血瘀为脑小血管病的基本病机之一,阐述益气活血逐瘀法为脑小血管病病情波动期的主要治法,认为根据疾病特点及其病因病机进行动态管理能及时截断病情进展,减少脑内病灶的产生,防止神经功能受损。益气扶正与活血逐瘀并举,标本兼顾,为脑小血管病的治疗提供新的思路。

With the aggravation of population aging,the incidence of cerebral small vessel disease is getting higher and higher,which has become a hot and difficult issue in current research.Based on the theory of traditional Chinese medicine,combined with modern medical research,this paper discusses the pathogenesis of cerebral small vessel disease,puts forward that qi deficiency and blood stasis are one of the basic pathogenesis of cerebral small vessel disease,and expounds that the method of invigorating qi and activating blood circulation and removing blood stasis is the main treatment of cerebral small vessel disease in fluctuating period.Dynamic management based on the characteristics of the disease and its etiology and pathogenesis can cut off the progress of the disease in time,reduce the generation of brain lesions,and prevent damage to nerve function.Replenishing vital energy,promoting blood circulation,eliminating blood stasis simultaneously,taking consideration of specimen,provide new ideas for the treatment of cerebral small vessel disease.