从血浊理论浅析短暂性脑缺血发作的诊治

Discussion on the diagnosis and treatment of transient ischemic attack based on the blood turbidity theory

短暂性脑缺血发作(Transient Ischemic Attack,TIA)是极易发生的一类神经内科疾病。患者症状多呈一过性、可逆性,发作时间短,易反复。临床上TIA与脑梗死有极其密切的联系,可独立引发脑梗死。西医治疗该病以“双抗”和稳定斑块为主,疗效不佳,且长期服用西药会有诸多不良反应。山东中医药大学附属医院王新陆教授总结出“血浊论”,为这两种疾病建立起了桥梁。血浊是TIA前期发生、发展的重要病理基础,后期又可加重病势。王教授认为,治疗上当以清化血浊为基本原则,辅以化痰、祛瘀、温阳等治法,方可使浊邪祛除,气血调和。文章结合案例,介绍王教授以“血浊论”治疗TIA的成功经验,以期为临床提供参考。

Transient ischemic attack(TIA) is a type of neurological disorder that is prone to occur,with transient and reversible symptoms,short duration of attack,and easy recurrence.Clinically,TIA is closely related to cerebral infarction and can cause cerebral infarction independently.Western medical treatment of the disease is based on antiplatelet aggregation,anticoagulation,and plaque stabilization,which is not ideal,and its long-term use can cause many adverse effects.Professor WANG Xinlu from the Affiliated Hospital of Shandong University of Traditional Chinese Medicine summarizes that the theory of turbid blood has built a bridge between these two diseases.Blood turbidity is an important pathological basis for the occurrence and development of TIA in the early stage,and it can aggravate the disease in the late stage.Professor WANG believes that the basic principle of treatment is to clear up and remove the turbid blood,supplemented by methods such as removing phlegm,removing blood stasis and warming Yang(阳),so as to remove the turbid evil and harmonize Qi(气) and blood.This paper combines the case to introduce Professor WANG's successful experience in the treatment of TIA based on the blood turbidity theory,in order to provide clinical reference.