脾胃理论在脑卒中治疗中的应用

Application of spleen and stomach theory in treatment of stroke

从3个方面阐述脾胃在脑卒中发生、发展中的重要作用:胃主通降,气机逆乱致腑实不通是脑卒中急性期的病机关键,据此确立通腑法给邪以出路,予星蒌承气汤加减治疗;脾为生痰之源,痰浊为脑卒中的重要病理因素,故治以化痰健脾,根据疾病所处分期及具体证型不同,辨证用药;脾胃亏虚可致脑卒中,脑卒中日久可致气虚血瘀,需以健脾益气为治法,予补阳还五汤等加减治疗。

The important role of spleen and stomach in the occurrence and development of stoke was discussed from three aspects:Based on the theory of stomach in control of dredging and descending,the pathogenesis of acute stroke was fu-organs excess due to qi disturbance,so the dredging fu-organs therapy was established to eliminate pathogenic factors,and Xinglou Chengqi Decoction was recommended;Because the spleen was the source of phlegm production,and phlegm was an important pathological factor of stroke,so eliminating phlegm and strengthening spleen should be applied.According to the period of the disease and the specific syndrome type,medication should be used differently;Spleen and stomach deficiency could cause stroke and stroke for a long time could result in qi deficiency and blood stasis.It was necessary to apply the method of invigorating spleen and benefiting qi,and Buyang Huanwu Decoction was recommended.