李铁教授治疗出血性中风经验举隅  

Professor Li Tie's Experience in Treating Hemorrhagic Stroke

作　　者：周正国[1] 李铁[1] 曲芳[1] ZHOU Zhengguo;LI Tie;QU Fang(Dalian Second People's Hospital,Dalian,Liaoning 116011,China)

机构地区：[1]大连市第二人民医院,辽宁大连116011

出　　处：《大医生》2019年第13期95-96,共2页Doctor

摘　　要：总结李铁教授诊治急性出血性中风的经验,对出血性中风的治疗突破了出血性中风单一止血和过份依赖脱水剂的束缚,提出“阳明腑热、痰瘀胶结、湿热瘀毒侵袭脑髓,神机化灭”病机观,创立“清泻腑热,化治痰瘀,养阴解毒”治疗原则,弥补了传统芳香开窍醒神法之不足,守住经方以《伤寒论》中大承气汤、《奇效良方》中的涤痰汤为主,辨证施治、注意因人制宜,随症加减。以患者为中心,辩证施治,才能显著提高出血性中风病人的临床总体疗效,促进患者神经功能恢复,改善患者的临床症状。This article is aiming to summarize Professor Lee Tie’s experience in diagnosis and treatment of Acute Intracerebral Hemorrhage.He proposed the pathogenesis theory of“Yang ming fu re,Tan yu jiao jie,Shi re yu du invading the brain,gods are extinguished”and found the treatment principle of“Qing xie fu re,Hua zhi tan yu,Yang yin jie du”.This treatment of Intracerebral Hemorrhage broke through the traditional method of single hemostasis and excessive dependence on dehydrating agents.This treatment notion also makes up for the deficiency of the traditional“Fang xiang kai qiao xing shen”method and retains classic Chinese Medicine prescription.The treatment is mainly based on the“Da cheng qi Soup”of“Shang Han Lun”and the“Di tan Soup”of“Qi Xiao Liang Fang”,which has obvious effect in accordance with syndrome differentiation and the patients’individuality.This patient-centered,dialectical treatment can significantly improve the overall clinical efficiency of patients with Intracerebral Hemorrhage,promotes the recovery of neurological function and improve the clinical symptoms of patients.

关 键 词：清泻腑热 化治痰瘀 出血性中风 

分 类 号：R74[医药卫生—神经病学与精神病学]