提高中风病辨治水平的探讨  

An Exploration on Improving the Level of Syndrome Differentiation and Treatment in Apoplexy

作　　者：黎成科[1] 

机构地区：[1]广东省广州市红十字会医院

出　　处：《新中医》2003年第11期3-6,共4页New Chinese Medicine

摘　　要：从中风病的定义、病机、临床分期、辨证施治等方面对提高中风病辨治水平进行探索。明确界定中风病为急性脑血管病,是气血逆乱、痰瘀内阻造成脑络破裂出血或脑络痹阻所致的局限性功能异常,其病机是脑络破裂血溢瘀血浸淫压迫脑髓,或脑络痹阻而致脑髓失荣所致的脑髓损害。临床分为急性期、缓解期、恢复期、后遗症期。并将中风后昏迷超过24小时者定为中风重症,辨证首辨闭证与脱证,再辨闭证之顺与逆。强调中风病取效关键在于急性期和缓解期及时正确的治疗和护理,而并发症应防重于治。The Definition, pathogenesis, clinical stages and Treatment according to syndrome differentiation of apoplexy for improving the level of its clinical management were explored. It was firmly believed that apoplexy is an acute cerebrovascular disease with local functional disorder caused by disturbance of qi and blood and stagnation of phlegm leading to rupture and bleeding of brain collateral of stagnation of brain collateral. Its palhogenesis is the rupture of pram collateral with bleeding and blood stasis compressing the cerebral medulla or malnutrition of cerebral medulla due to stagnation of brain collateral. The disease is ctassifide to acute stage, remission stage, convalescent stage and sequela. Apoplectic coma more than 24h was considered as serious case. Syndrome differentiation should first distinguish excess - type or collapse - type of coma, then the excess - type be farther distinguished to favourable or deteriorated case. The author put stress that the key of effective treatment is the correct management and nursing during the acute and convalescent stages and the prevention of complication is more important than the treatment.

关 键 词：中风 诊断 中医辨证 分期 中医治法 

分 类 号：R255.2[医药卫生—中医内科学]