中国药物警戒 ›› 2013, Vol. 10 ›› Issue (6): 352-354.

• 综述 • 上一篇    下一篇

脑出血中医活血化瘀法治疗方案及其理论依据

张根明,周莉,马斌,崔方圆,陈颖   

  1. 北京中医药大学东直门医院脑病研究室,北京 100700
  • 收稿日期:2012-08-29 修回日期:2016-03-09 出版日期:2013-06-08 发布日期:2016-03-09
  • 作者简介:张根明,男,主任医师,博士,中医治疗脑血管病研究。
  • 基金资助:
    北京市科委科技计划重大项目“脑卒中两项中医关键治疗方案规范研究”,课题编号：D10110704931000。

The Therapeutic Method and Theoretical Evidence of Blood-activating and Stasis-removing Therapy of Intracerebral Hemorrhage

ZHANG Gen-ming, ZHOU Li ,MA Bin, CUI Fang-yuan, CHEN Ying   

  1. Encephalopathy Division, Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine, Beijing 100700, China
  • Received:2012-08-29 Revised:2016-03-09 Online:2013-06-08 Published:2016-03-09

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摘要： 脑出血的中医病理基础是瘀血,其病机涉及“瘀停脉外、压迫神机”、“津行不畅、痰水形成”、“诸邪胶结、化毒伤脑”3 个方面,其临床常见证候包括“血瘀证兼肝风内动”、“血瘀证兼痰浊阻络”、“血瘀证兼热毒内蕴”,根据脑出血中医病机特点和证候演化规律,制定脑出血活血化瘀法治疗方案以实现脑出血中医科研成果的临床转化。

关键词: 脑出血, 急性期, 活血化瘀法, 治疗方案

Abstract: Blood stasis is the basis of Traditional Chinese Medicine (TCM ) pathology for intracerebral hemorrhage. The main disease mechanism includes the following three aspects: the bleeding from brain vessels leads to the blockage of brain vessels, abnormal metabolism of body fluid distribution dues to the formation of phlegm and water, and the brain injuried by toxic evil produced from pathogenic factors. The common clinical symptoms consist of blood stasis pattern with endogenous liver wind, turbid phlegm blocking collaterals and heat-toxic stagnation. In terms of the characteristics of TCM pathogenesis and the evolution law of TCM syndromes, we have formulated the blood-activating and stasis-removing therapy in order to realize the clinical transformation of TCM research achievements for intracerebral hemorrhage.

Key words: intracerebral hemorrhage, acute stage, blood-activating and stasis-removing therapy, therapeutic scheme

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