李妍怡教授治疗短暂性脑缺血发作经验采撷  

Discussion on Professor Li Yanyi's experience in treating transient ischemic attack

作　　者：米改香 巩婷[2] 刘旭琴[2] 侯慧敏 Mi Gaixiang;Gong Ting;Liu Xuqin;Hou Huimin

机构地区：[1]甘肃中医药大学,甘肃兰州730030 [2]甘肃省中医院,甘肃兰州730050

出　　处：《中医临床研究》2021年第24期51-53,共3页Clinical Journal Of Chinese Medicine

基　　金：甘肃省中医药管理局科研课题(GZK-2014-15);甘肃省自然科学基金(21JR7RA589)。

摘　　要：短暂性脑缺血发作属于中医学“中风先兆”范畴,是由于脑动脉一过性供血障碍引起的急性脑血管病变,影像学检查多无责任病灶,发病突然,进展迅速。西医治疗以抗血小板聚集及他汀类药物降脂为主,但出现消化道反应及出血等风险较大。李妍怡教授认为该病病机以痰瘀阻络为标,气血失和为本,自拟佛手定眩汤化裁后治疗该病急性发作期及缓解期均取得满意疗效,故总结教授经验,希望给临床中医药治疗短暂性脑缺血发作提供新思路。Transient ischemic attack belongs to the"threatened apoplexy"category of traditional Chinese medicine,it is acute cerebrovascular disease caused by transient blood supply disorder of cerebral artery,imaging examination shows no responsible lesions,and it is with sudden onset and rapid progression.Western medicine mainly focuses on anti-platelet aggregation and lipid-lowering statin drugs,but there is a greater risk of digestive tract reaction and bleeding.Professor Li Yanyi believes that the pathogenesis of this disease is based on the obstruction of collaterals by phlegm and blood stasis and the disharmony of qi and blood.After the treatment of acute attack and remission of this disease by using the self-designed Foshou Dingxuan decoction(佛手定眩汤),satisfactory effects are achieved.Therefore,the professor's experience is summarized in the hope of providing new ideas for the clinical treatment of transient ischemic attack with traditional Chinese medicine.

关 键 词：短暂性脑缺血发作 中风先兆 佛手定眩汤 预适应 

分 类 号：R255.2[医药卫生—中医内科学]