从“态靶结合”探讨中风病的辨治策略  

Difffferentiation and treatment strategy of stroke from the perspective of"state-target combination"

作　　者：黄燕[1] 王睿弘 HUANG Yan;WANG Ruihong(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China;The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广东省中医院,广州510120 [2]广州中医药大学第二临床医学院,广州510120

出　　处：《吉林中医药》2024年第1期10-14,共5页Jilin Journal of Chinese Medicine

基　　金：广州市校联合资助项目(202102010248)。

摘　　要：“态靶结合”辨治是将中医传统宏观理念与现代研究的微观标靶相结合的辨治模式,为中风病的临床治疗提供了新思路。中风病分为缺血中风和出血中风两大类型,根据病程发展的先后顺序,缺血中风可分为“郁”-“闭”-“虚”三个阶段,出血中风可分为“亢”-“火”-“虚”三个阶段。在明确各阶段的“态”后可结合临床证候、中医证型、药理学研究成果找到“态靶同调”的方药,实现精准化治疗。The"state-target combination"strategy is a treatment mode that combines the traditional macroscopic concept of TCM with the microscopic manifestation targets of modern research,which is expected to provide new ideas for the clinical treatment of stroke diseases.Stroke can be divided into two main types:ischemic stroke and intracerebral hemorrhage.According to the sequence of the disease development,ischemic stroke involves three stages:"depression","closure",and"deficiency",while intracerebral hemorrhage also features three stages,i.e.,"hyperactivity","fire",and"deficiency".After defining the"state"of each stage,a precise treatment can be achieved by combining clinical evidence,TCM syndromes,and pharmacological research results to draw up prescriptions for"regulating both the state and the target".

关 键 词：态靶结合 中风病 缺血中风 出血中风 

分 类 号：R255.2[医药卫生—中医内科学]