从“虚-瘀-毒”探讨出血中风的核心病机  

To Explore the Core Pathogenesis of Hemorrhagic Stroke from“Deficiency-Blood Stasis-Toxic”

作　　者：郭绮华 崔菀真 李梦真 杨杰聪 卢云[2] 唐广海[3] 夏章勇[4] 郭建文[5] Guo Qihua;Cui Wanzhen;Li Mengzhen;Yang Jiecong;Lu Yun;Tang Guanghai;Xia ZhangYong;Guo Jianwen(Guangzhou University of Traditional Chinese Medicine,Guangdong,Guangzhou 510000,China.)

机构地区：[1]广州中医药大学,广东广州510000 [2]成都中医药大学附属医院,四川成都610072 [3]辽宁省血栓病中西医结合医疗中心,辽宁沈阳110000 [4]山东省聊城市人民医院,山东聊城252000 [5]广东省中医院,广东广州510000

出　　处：《中国中医急症》2022年第2期242-246,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家重点研发计划(2018YFC1704100,2018YFC1704102);广东省重点领域研发计划(2020B1111100009)。

摘　　要：出血中风是一种严重脑血管疾病类型之一,其致死、致残率高,严重危害人类生命健康,现代医学暂无有效治疗方法。郭建文教授基于全国名中医陈绍宏教授的中风核心病机论,综合历代医家的学术观点,结合临床实践,提出出血中风的核心病机为"虚-瘀-毒"。即元气亏虚,因虚致瘀,因虚致痰,痰瘀互结,化生诸邪,聚而为毒,腑实不通,毒损脑络,血溢脉外,其中元气亏虚为发病根本,毒损脑络发为发病的最终发病机制,血瘀是发病核心环节,腑实为常候。治疗上应以复元醒脑、破血逐瘀、通腑解毒为法。Hemorrhagic stroke,one of the most serious cerebrovascular diseases,has a high rate of death and disability.Without effective treatment in modern medicine,it seriously endangers human life and health.Based on the core theory of pathogenesis of stroke and academic thought of several generations of physicians,Professor Guo Jianwen has put forward the core pathogenesis ofhemorrhagic stroke as“Deficiency-Blood Stasis-Toxic”.When people are over forty years old,deficiency of primordial qi causes blood stasis and phlegm.If the body cannot egest these pathogenic substances,they gather together and form the toxic,which may damage the vessels and re⁃sult result inintracerebral hemorrhage.Among the core pathogenesis of hemorrhagic stroke,deficiency of primordi⁃al qi is the primary cause of hemorrhagic stroke.The final pathogenesis is that the toxic causes cerebrovascular damage.Patients with hemorrhage stoke usually suffer from constipation which results in the fu-viscera excess,and the core link is blood stasis which running through the whole period of hemorrhagic stroke.Therefore,recover⁃ing the primordial qi and restoring consciousness,removing the blood stasis,resolving phlegm and detoxifying are the treatment rule.

关 键 词：出血中风 核心病机 虚-瘀-毒 

分 类 号：R743.3[医药卫生—神经病学与精神病学]