从“痰瘀互结”论治缺血性中风  

Treating Ischemic Stroke from Perspective of“Interaction of Phlegm and Blood Stasis”

作　　者：李志更[1] 岳利峰 马培[3] 杨冬妹[2] 王京 奚胜艳[4] 谭欣[2] 杨保林[2] LI Zhigeng;YUE Lifeng;MA Pei;YANG Dongmei;WANG Jing;XI Shengyan;TAN Xin;YANG Baolin(Institute of Basic Theory for Traditional Chinese Medicine,China Academy of Chinese Medicine Science,Beijing 100700,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Institute of Medical Plant Development,Chinese Academy of Medical Sciences,Beijing 100193,China;School of Medicine,Xiamen University,Xiamen 361102,Fujian,China)

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700 [2]北京中医药大学东直门医院,北京100700 [3]中国医学科学院药用植物研究所,北京100193 [4]厦门大学医学院,福建厦门361102

出　　处：《辽宁中医杂志》2023年第12期55-57,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82174046);北京中医药大学青年名医培育项目和杰出青年人才项目(BUCM-2019-QNMYB011,BUCM-2019-JCRC007)。

摘　　要：随着人口老龄化和肥胖人群的加剧,中风已成为我国主要的致残和致死类疾病,其中缺血性中风人群约占80%,更应引起高度关注。中医药防治中风有悠久的历史和优势。缺血性中风的病因主要涉及“风、火、痰、虚、瘀”,基本病机为“本虚标实”,“本虚”包罗“气血虚损、阴虚阳衰、肝肾不足”等,而“标实”却离不开“痰瘀互结”,常因气机受阻,气血不畅,生痰致瘀,痰瘀互结,闭阻脑络,发为中风。“痰瘀互结”构成中风的高危病因、关键病机和干预核心。临床从“痰瘀互结”论治缺血性中风,在杨保林教授“调五脏养脑髓”的基础上,化痰通络,达到气机通畅、气血调和的状态,不管哪种类型的缺血性中风,都能起到很好的防治效应。今后需进一步关口前移,治未病,减少发病率、复发率,尽可能获益最大。With the aging of the population and the increase of obese people,stroke has become a major disabling and fatal disease in our country.Among them,the population of ischemic stroke accounts for about 80%,which deserves more attention.Traditional Chinese medicine has a long history and advantages in preventing and treating stroke.The etiology of ischemic stroke mainly involves wind,fire,phlegm,deficiency and blood stasis.The basic pathogenesis is“deficiency in origin and excess in superficiality”.“Deficiency in origin”includes“deficiency of Qi and blood,deficiency of Yin” and Yang,and insufficiency of liver and kidney.However,“excess in superficiality”is inseparable from the“interaction of phlegm and blood stasis”,blockage of Qi and blood,obstruction of Qi and blood,and obstruction of the veins,which constitute the susceptibility syndrome,high risk factors and key pathogenesis.Clinically,it treats ischemic stroke effectively by“expelling phlegm and promoting blood circulation”with the instructions of Prof.YANG.In the future,it is necessary to move forward to prevent the disease,reduce the incidence rate and recurrence rate and benefit greatly.

关 键 词：痰 瘀 痰瘀互结 缺血性中风 

分 类 号：R255.2[医药卫生—中医内科学]