出血性中风病机再认识  

The Recognition of TCM Pathogenesis on Hemorrhagic Stroke

作　　者：院立新 陈澈[1] 李净娅[1] 张根明[2] 周莉[2] 高颖[2] 

机构地区：[1]北京中医药大学 [2]北京中医药大学东直门医院脑病研究室

出　　处：《中西医结合心脑血管病杂志》2014年第1期111-112,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：北京市科委科技计划重大基金项目(No.D101107049310003)

摘　　要：出血性中风在发病前既已形成瘀血阻滞、脉道不利的病理基础,并贯穿疾病全程。自脑脉破裂、血溢脉外后,出现瘀停脉外、神机失用,内风旋动、风火相煽,血行不畅、痰水形成,诸邪化毒、损伤脑髓等一系列急性期病机变化。恢复期和后遗症期则以精亏髓减、正虚邪藏为病机,不及时医治则有痴呆及复中风风险。Blood stagnancy and unsmooth vessels are the basis of traditional Chinese medicine（TCM） pathology for hemorrhagic stroke, which was formed before access of the disease and throughout the disease course. After cerebral vein rupture and blood over-flowing pulse,a series of pathogenesis in acute stage were appeared in succession. Firstly,the bleeding from brain vessels leads to the blockage of brain vessels. Secondly, the endogenous wind rotation leads to fire and wind evils stir up each other. Thirdly, abnormal metabolism of body fluid distribution dues to the formation of phlegm and water. Fourthly, the brain is injuried by toxic evil produced from pathogenic factors. The pathogenesis in recovery and sequel period are focus on the deficiency of essence and health qi and the sthenia of evil qi. It will be dementia and double stroke if not be treated immediately.

关 键 词：出血性中风 病机 血脉瘀滞 再认识 

分 类 号：R255.2[医药卫生—中医内科学]