基于血浊理论探讨痰瘀内阻型进展性卒中的中医辨证施治

Exploration on syndrome differentiation and treatment of progressive stroke with phlegm and stagnation based on the theory of blood turbidity in traditional Chinese medicine

进展性卒中(SIP)是一种难治性脑梗死,具有较高的致残率和致死率,目前对SIP尚缺乏特异性的治疗手段。文章从血浊角度探讨了SIP的病因病机及治疗,阐述了血浊成痰生瘀是导致卒中进展的关键病理环节。提出早期运用化痰祛瘀泄浊法清除血中浊气,可防止血浊向痰瘀等其他病理因素转化,能有效控制卒中的病情进展,达到未病先防,既病防变的目的,也体现了中医治未病的观念。

Progressive stroke(SIP)is a refractory cerebral infarction with a high rate of disability and death,and there is a lack of specific treatment for SIP.The article discusses the etiology and treatment of SIP from the perspective of blood turbidity and illustrates that blood turbidity becomes phlegm and generates stasis as the key pathological link leading to stroke progression.It is suggested that early removal of blood turbidity by removing phlegm and eliminating stasis and draining turbidity can prevent the transformation of blood turbidity into other pathological factors such as phlegm and stasis,which can effectively control the progression of stroke and achieve the goal of prevention stroke before it occurs and prevent existing disease from changing,and also reflect the concept of treating the disease before it occurs in traditional Chinese medicine.