基于脉络学说探讨缺血性脑卒中的病理机制及中医药治疗进展  

Exploring the Pathological Mechanisms of Ischemic Stroke and the Advancements in Traditional Chinese Medicine Treatment Based on Meridian Theory

作　　者：梁振语 张民 

机构地区：[1]内蒙古医科大学中医学院,内蒙古 呼和浩特 [2]天津市中医药研究院附属医院老年病科,天津

出　　处：《临床个性化医学》2024年第4期2525-2531,共7页Journal of Clinical Personalized Medicine

基　　金：天津市中医药研究院附属医院科研课题(2022016)。

摘　　要：IS是脑卒中的一种常见类型,其特点是脑组织因血液供应不足而迅速发生损伤,具有较高的致死率和致残率。本文回顾了脉络学说及营卫理论的构建过程和基本概念,明确了“营卫失和、脑络瘀阻”是缺血性脑卒中的主要病理机制。在治疗上,强调遵循“络以通为用”的原则,主张通过化瘀通络、益气补虚、调和营卫的方法来恢复脉络的生理功能。本研究丰富了IS的中医理论体系,为IS的防治提供了新的策略。Ischemic stroke (IS) is a common type of stroke characterized by rapid damage to brain tissue due to insufficient blood supply, with high mortality and disability rates. This article reviews the construction process and basic concepts of the meridian theory and the theory of nutrients and defenses, clarifying that “disharmony of nutrients and defenses, and obstruction of brain meridians” are the main pathological mechanisms of IS. In treatment, it emphasizes following the principle of “the meridian is used for its function of being unobstructed,” advocating for the restoration of the physiological functions of the meridians through methods of resolving stasis and dredging meridians, tonifying Qi and supplementing deficiency, and harmonizing nutrients and defenses. This study enriches the theoretical system of traditional Chinese medicine for IS and provides new strategies for its prevention and treatment.

关 键 词：缺血性脑卒中 脉络学说 营卫理论 病因病机 

分 类 号：R24[医药卫生—中医临床基础]