动脉瘤性蛛网膜下腔出血后遗症期治验心悟

Experience and Inspiration with Treatment of the Sequelae Stage of Aneurysmal Subarachnoid Hemorrhage

动脉瘤性蛛网膜下腔出血属中医学“中风”范畴,起病急,预后差,术后常遗留不同程度的后遗症。李道昌教授认为,该病患者发病前肾精肝血先亏,外邪乘机袭身致厥逆中风;术后患者真元激破,正气大虚,诸邪乘势而入。故治疗应以补肝肾精血为要,兼顾驱邪,据此化裁出七位一体汤基础方,临证斟酌加减,疗效显著。

Aneurysmal subarachnoid hemorrhage belongs to the category of“stroke”in TCM,which has a rapid onset and poor prognosis.Postoperative patients often have sequelae of varying degrees.Professor Li Daochang believes that before the onset of the disease,the kidney essence and liver blood are deficient,and external factors take advantage of the opportunity to attack the body and cause the reverse stroke.After surgery,the patients’true archaeus break violently and healthy atmosphere extremely deficient,all the pathogenic factors seize the opportunity to invade,so the treatment should be aimed at nourishing kidney essence and liver blood,furthermore supplemented by exorcising.Accordingly,professor Li Daochang develops the basic prescription of“Qiwei Yiti Decoction”,and then considered the modification of specific clinical symptoms,showing remarkable efficacy.