缺血性中风的中医治疗与数理模型分析  

Treatment for ischemic apoplexy by Chinese medicine and mathematical analysis

作　　者：肖弥彰[1] 肖娟[2] 徐上 林琳[2] 官春云[1] 

机构地区：[1]湖南农业大学国家油料改良中心湖南分中心,湖南长沙410128 [2]中南大学湘雅医学院,湖南长沙410013 [3]黄兴医院,湖南长沙410126

出　　处：《中国中西医结合急救杂志》2006年第5期259-262,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：国家高技术研究发展计划(2003AA222101)

摘　　要：目的:研究缺血性中风的综合治疗方案与致病机制的数理模型。方法:介绍缺血性中风的综合治疗方案;通过数理模型分析缺血性中风的发病机制。结果:观察与数理模型分析表明:超出临界值的外来冲击将破坏平衡;器官间的协作维持平衡;生理功能的调整是恢复平衡的推动力。结论:缺血性中风的病因是血压过高、血液黏度偏高及血管硬化导致血脉阻滞,因风、火、痰、瘀等而加剧;慎食高盐高脂食物、戒烟戒酒、监控血压升降、控制焦虑动怒、预防风寒与感染,配以适当的营养补充与温和的健身计划是预防缺血性中风的有效措施;以辨证论治为核心的综合治疗方案据证立法,依法选方,主张强化预防以维持心血管系统的谐振,积极干预以扭转偏离;数理模型从能量角度探讨病机,认为发病由高能振动引发,与时间的周期变化并不总是密切联系。Objective： To investigate the comprehensive treatment of ischemic apoplexy and mathematical model of its pathological mechanism. Methods： Comprehensive treatment for ischemic apoplexy and illustration of its pathological mechanism with mathematical model were introduced. Results： Pathological observation and mathematical analysis showed that the cooperation among organs kept in balance, which may be broken by the external forces above the critical value. Adjustment of physiological function acted as a recovering force, which was proportional to the shift in an opposite direction. Conclusion： Hypertension, high blood viscosity and low elasticity of blood vessels are common causes of ischemic apoplexy, which are drawn worse by traditional Chinese medicine pathogenic factors of wind, fire, phlegm or stagnation. Suggestions such as declination of salty/fatty food and alcoholic drink, prevention of hypertension and cold/infection, hot temper control are effective in prevention of ischemic apoplexy when aided by nutrition supplement and moderate physical exercises. Comprehensive treatment based on syndrome differentiation of tradition Chinese varies with pathology, emphasizing on effective prevention and active intervention. The mathematical model states that ischemic apoplexy originates from fierce interference, which is not always correlated with periodic rhythm.

关 键 词：中风 缺血性 针灸 中草药 辨证论治 高血压 数理分析 

分 类 号：R255.2[医药卫生—中医内科学]