闫咏梅从痰瘀论治中风经验

YAN Yongmei's Experience on Treating Stroke from Phlegm and Blood Stasis

闫咏梅教授认为,痰瘀互结为中风发病之关键,贯穿疾病始终,痰邪雍盛则气机升降失职,瘀血阻滞则气血运行不畅,“痰、瘀”为中风发病过程中重要致病因素,痰可致瘀,瘀可夹痰,痰瘀胶着,相互为患,发为本病。因此在临证治疗时常从痰、从瘀辨治,一则注重祛风化痰,并擅用陈皮、半夏、茯苓、石菖蒲、远志、丹参等中药;二则注重行瘀通络,并擅用桃仁、红花、牛膝、地龙、水蛭、全蝎等中药。是以,则内风得熄,络瘀得化,风痰得消,方可事半功倍、中风告愈。

Professor YAN Yongmei believes that the interaction of phlegm and blood stasis is the key to the onset of stroke,throughout the disease.The phlegm leads to the abnormal movement of Qi and blood and blood stasis leads to the stagnation of Qi and blood."Phlegm and blood stasis"are the important pathogenic factors in the process of stroke.Phlegm can cause blood stasis and blood stasis can be complicated with phlegm and they are mutually affected,causing the disease.Therefore,in the clinical treatment,we should treat phlegm and blood stasis.First,we should pay attention to dispelling wind and resolving phlegm and be good at using traditional Chinese medicine such as Chenpi(Citri Reticulatae Pericarpium),Banxia(Pinelliae Rhizoma),Fuling(Poria),Shichangpu(Acori Tatarinowi Rhizoma),Yuanzhi(Polygalae Radix),Danshen(Salviae Miltiorrhizae Radix Et Rhizoma),etc.The second is to pay attention to resolving blood stasis and dredging collaterals and be good at using traditional Chinese medicine such as Taoren(Persicae Semen),Honghua(Carthami Flos),Niuxi(ACHYRANTHIS BIDENTATAE RADIX),Dilong(earthworm),Shuizhi(leech),Quanxie(scorpion),etc.Therefore,the internal wind will be extinguished,the blood stasis in collaterals will be resolved and the wind and phlegm will be dissipated.Only then can we get twice the result with half the effort and recover from the stroke.