急性脑梗死中医病机初探  

Preliminary Analysis on TCM Pathogenesis of Acute Cerebral Infarction

作　　者：苏占清[1] 张毅欣[1] 杨宁[1] 陶家平[1] 康冰[1] 

机构地区：[1]南京医科大学附属脑科医院中医科,江苏南京210029

出　　处：《辽宁中医药大学学报》2014年第3期175-177,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的 :探析急性脑梗死的中医病机。方法 :对64例急性脑梗死患者首次汤剂中所用中草药进行归类统计,计算其出现频次及构成比;对患者白细胞(WBC)、红细胞(RBC)、血红蛋白(Hb)、血清总胆固醇(TC)进行描述统计。结果 :祛邪药出现频次约为补虚药的4.98倍,祛邪药以熄风、化瘀、化痰、清热、理气、渗湿等药居多。补虚药以补血、补气药为主。患者WBC、RBC、Hb均值在正常范围内,TC均数值为4.47 mmol/L。结论 :风、瘀、热、浊(痰、湿)诸邪交互激荡,气机失调,脑脉闭阻、脑胞受损进而脑府失司,导致急性脑梗死的发生。Objective： To explore the TCM pathogenesis of acute cerebral infarction （ ACI ）. Methods ： The Chinese herbs used by 64 ACI patients were categorized and their frequency and constitnent ratios were calculated, and meanwhile patients＇ WBC, RBC, Hb and TC were given descriptive and statistical analysis. Results：The frequency of expelling herbs, mainly wind-calming, stasis-removing, phlegm-removing, heat-clearing, qi-regulating, dampness-draining herbs, was 4.98 times of tonifying herbs which were mainly tonifying blood and qi herbs. Means of WBC, RBC and Hb were normal, while TC mean level was 4.47 mmol/L. Conclusion ： Pathogens, such as wind, stasis, heat, turbid pathogen （ phlegm, dampness, etc. ）interact with each other, bring about qi movement disorder, cerebrovascular obstruction, neuron and astrocyte damage, and result in acute cerebral infarction.

关 键 词：脑梗死 急性 中医 病机 

分 类 号：R743.33[医药卫生—神经病学与精神病学]