从脑腑“以通为补”论治出血性脑卒中  

Treatment of Hemorrhagic Stroke Based on Eliminating Pathogens for Balancing and Replenishing Brain

作　　者：陈国超[1] 张根明[1] 陈璐[1] 余汉霖 院立新 

机构地区：[1]北京中医药大学东直门医院脑病科,北京100700

出　　处：《安徽中医药大学学报》2015年第5期10-12,共3页Journal of Anhui University of Chinese Medicine

基　　金：北京市科委科技计划重大项目(D101107049310003)

摘　　要：出血性脑卒中以"瘀血阻滞、脉道不利"为基础,在"血溢脑脉之外"后相继发生瘀血压迫脑髓,内风化火上炎,瘀血化为痰水上蒙清窍,毒损脑髓的病理过程。诸邪弥漫脑腑,阻遏脑络气机,脉道不利,血液减少,脑髓不充,诸症蜂起,实为脑窍被扰失养所致。根据叶天士胃腑"以通为补"的理论,通调脑之气血阴阳,去瘀生新,恢复脑司元神之职,从而达到"阴平阳秘,精神乃治"的状态。Based on the blood stasis and disorder of vessels, hemorrhagic stroke contains a series of patho- logical events in succession after cerebral vein rupture and blood overflow. Firstly, the static blood compresses the brain. Secondly, endogenous wind transforms into fire and flares up. Thirdly, orifices are confused by phlegm derived from the static blood. Finally, the brain is damaged by toxicity. All pathogenic factors diffuse in the brain and block the functional activities of qi in the brain. In fact, it is the interruption and malnutrition of brain orifices that cause disorder of vessels, reduction in blood, insufficiency of the brain, and rapid development of various symptoms. According to the theory of Tianshi Ye, which is eliminating pathogens for balancing and replenishing the stomach, relatively balanced yin and yang, and recov ered spirit can be achieved by adjusting the qi, blood, yin, and yang in the brain, removing blood stasis for promoting tissue regeneration, and restoring the role of the brain in controlling the primordial spirit.

关 键 词：出血性脑卒中 脑腑 以通为补 

分 类 号：R255.2[医药卫生—中医内科学] R743.3[医药卫生—中医学]