解毒降浊、益气活瘀是治疗老年缺血性卒中的主要治则

Essential Principle in Treating Senile Ischemic Apoplexy

老年缺血性卒中在病因病机、治疗方法等方面迥异于老年前期缺血性卒中患者。根据老年人的生理病理特点结合临床实际 ,认为正虚血瘀为本 ,浊毒内蕴为标 ,毒损脑络为老年脑缺血损伤的终结 ;正虚血瘀、浊毒内蕴是老年脑缺血损伤的根本原因 ;解毒降浊、益气活血是治疗老年缺血性卒中的重要方法之一。

Senile ischemic apoplexy completely differs from senile prophase ischemic apoplexy in etiology and pathogenesis as well as in therapeutic methods. In light of the physical and pathological characters of elderly patients as well as the actual conditions, this paper holds that the root cause is deficiency of vital qi and blood stasis with presenting symptoms of internal accumulation of turbid pathogen which finally leads to injury of cerebral collaterals. The method of removing toxin and descending turbid pathogen, and replenishing qi and promoting blood flow is one of the important ones in treating such disease.