摘要
络病既包括络脉功能障碍及结构损伤的自身病变,也涵盖了因络脉病变引起的继发性脏腑组织病理变化。络病与脑小血管病共同具有病位迂曲、易于阻滞,病机复杂、难以治愈,症状多样、难以辨识等特点。"初为气结在经,久则血伤入络"是络病理论的重要组成部分,也是脑小血管病的病变过程。脑小血管病初起在气,脑络郁滞;久病在血,虚瘀互结。治疗脑小血管病应在病变初期理气通络,在药物选择上宜重视辛味药的应用;久病则应通补兼施、虚实兼顾,在补气养血、荣养络脉的基础上可适当应用虫类药及解毒药。
Collateral diseases include not only the self pathological changes of collateral dysfunction and structural damage, but also the secondary visceral histopathological changes caused by collateral diseases.Collateral disease and cerebrovascular disease have the characteristics of tortuous location, easy block, complex pathogenesis, difficult to cure, diverse symptoms and difficult to identify. "Qi stagnation in the meridian at the beginning, blood injury into the collaterals after a long time" is not only an important part of the collateral disease theory, but also the pathological process of cerebrovascular disease.Small cerebrovascular disease starts from Qifen and stagnation of brain collaterals;long illness are in Xuefen, which causes intermin-gled phlegm and blood stasis.In the treatment of small cerebrovascular disease, we should regulate qi and dredge collaterals in the early stage of disease, and pay attention to the application of pungent medicine in medicine selection.If the patients are ill for a long time, they should be treated by both tonifying deficiency and removing stasis, giving consideration to both deficiency and excess.Insect medicine and detoxication medicine can be properly used on the basis of tonifying qi and nourishing blood and enriching collaterals.
作者
刘婷婷
关晓睿
秦明臻
熊雪娇
姚尧尧
高颖
LIU Tingting;GUAN Xiaorui;QIN Mingzhen;XIONG Xuejiao;YAO Yaoyao;GAO Ying(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing China 100700;Institute for Brain Disorders,Beijing University of Chinese Medicine,Beijing China 100700)
出处
《中医学报》
CAS
2022年第1期29-31,共3页
Acta Chinese Medicine
基金
国家重点研发计划——中医药现代化专项(2018YFC1705000,2018YFC1705001)。
关键词
脑小血管病
络病理论
理气通络
通补兼施
虚实兼顾
辛味药
虫类药
解毒药
cerebrovascular disease
collateral disease theory
regulating qi and dredging collateral
both tonifying deficiency and removing stasis
giving consideration to both deficiency and excess
pungent medicine
insect medicine
detoxication medicine