樊永平辨证治疗老年人慢性硬膜下血肿的用药经验  

Medication experience of FAN Yong-ping in treating chronic subdural hematoma of the elderly by syndrome differentiation

作　　者：关瑞熙 仝延萍 李娜[3] 杨涛[1,2] 李珊 王昕[3] 康越之[3] 樊永平 GUAN Rui-xi;TONG Yan-ping;LI Na;YANG Tao;LI Shan;WANG Xin;KANG Yue-zhi;FAN Yong-ping(Department of Traditional Chinese Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Beijing Integrative Medicine on Encephalopathy Research Institution,Beijing 100070,China;Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]首都医科大学附属北京天坛医院中医科,北京100070 [2]北京市中西医结合脑病研究所,北京100070 [3]北京中医药大学东直门医院,北京100700

出　　处：《中华中医药杂志》2020年第3期1292-1295,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京市中西医结合专项,北京市中医管理局中医药行业发展提质增效经费。

摘　　要：慢性硬膜下血肿(CSDH)是临床上老年人易发、且手术后复发率较高的脑血管病之一。樊永平教授对CSDH的治疗有丰富的临床经验,认为从CSDH的中医证候表现分析成病机制,将其分正虚和邪实两个方面。正虚包括肾虚和气虚,邪实包括血瘀和水停。强调CSDH的治疗应当注重活血利水,于方剂中重用大剂量益母草,配伍水蛭,同时灵活结合患者自身体质及治疗后期变证情况,用药施方。Chronic subdural hematoma(CSDH)is a cerebrovascular disease that is common in the elderly with a high recurrence rate after neurosurgery.Professor FAN Yong-ping has rich clinical experience in the treatment of CSDH.Professor FAN believes the TCM pathogenesis of CSDH can be divided into asthenia healthy qi and sthenia pathogenic factor syndrome.Asthenia healthy qi includes kidney deficiency and qi deficiency,while sthenia pathogenic factor syndrome includes blood stasis and water stagnation.Professor FAN emphasizes that the key TCM treatment of CSDH is promoting blood and water circulation.He chooses large dosage of Leonuri herba mix with Hirudo in the prescription,and adjusts the prescription flexibly according to clinical symptoms and syndrome differentiation in the later stage.

关 键 词：樊永平 慢性硬膜下血肿 名中医经验 脑病 活血利水法 益母草 水蛭 

分 类 号：R249[医药卫生—中医临床基础] R277.7[医药卫生—中医学]