内风病证与瘀血相关的理论研究
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摘要
目的:对瘀血与内风相关及其必然规律进行理论研究。方法:文献研究方法:通过整理古代文献,结合现代中西医临床、实验研究资料,论证内风病证与瘀血的关系,分析其密切相关的必然规律。结果:①瘀血是导致内风病证的重要因素。②内风病证常常继发于瘀血痼疾,基于此的内风病证必兼见瘀血。③内风病证好发于老年,“年老多瘀”,内风病证多兼见瘀血。④内风病证多缠绵难愈,“久病必瘀”,内风病证病久必兼见瘀血,瘀血可出现于内风病证每一病机中。结论:内风病证与瘀血密切相关。瘀血既可以是内风病证发病的直接原因,又可以是内风病证发病的间接因素;既可以形成于内风病证发病之前,成为内风病证的病理基础,又可以形成于内风病证发病之后,成为加重或迁延内风病证的重要因素。因此,临床用活血化瘀药物治疗内风病证符合中医辨证论治的基本规律,是中医治病求本的必然选择。
Objective: The relationship between blood stasis and endogenous wind was studied, the internal rules of this relationship were discussed. method: Document research: the necessity rule of that relationship were discussed through arranging ancient documents, modern documents of clinical and experimental research on TCM as well as western medicine, summarizing the relationship between blood stasis and endogenous wind. results:①Blood stasis was found as a very important cause for leading endogenous wind.②Endogenous wind usually occurrs after chronic malady with blood stasis, so endogenous wind disease and syndrome take on blood stasis symptoms.③Endogenous wind disease usually occurs in people’s old age, because more blood stasis syndrome in senile, so the endogenous wind disease and syndrome usually have blood stasis.④The course of the endogenous wind diseases and syndromes is long, because blood stasis occurs in the long course of chronic diseases, so blood stasis syndrome will be found in the long course of endogenous wind diseases. conclusions: Blood stasis have close relationship with endogenous wind diseases. Blood stasis can be found as the direct cause or indirect factor of the endogenous wind diseases. Blood stasis can also be found before and after the occurrence of endogenous wind diseases, it can cause the endogenous wind disease and make it worse. It is conformation to the clinical rules that using medicine with the function of activating blood and removing blood stasis to treat endogenous wind diseases. It is the inevitable choice under the guidance of the theory of“treatment of root of diseases”.
Objective: The relationship between blood stasis and endogenous wind was studied, the internal rules of this relationship were discussed. method: Document research: the necessity rule of that relationship were discussed through arranging ancient documents, modern documents of clinical and experimental research on TCM as well as western medicine, summarizing the relationship between blood stasis and endogenous wind. results:①Blood stasis was found as a very important cause for leading endogenous wind.②Endogenous wind usually occurrs after chronic malady with blood stasis, so endogenous wind disease and syndrome take on blood stasis symptoms.③Endogenous wind disease usually occurs in people’s old age, because more blood stasis syndrome in senile, so the endogenous wind disease and syndrome usually have blood stasis.④The course of the endogenous wind diseases and syndromes is long, because blood stasis occurs in the long course of chronic diseases, so blood stasis syndrome will be found in the long course of endogenous wind diseases. conclusions: Blood stasis have close relationship with endogenous wind diseases. Blood stasis can be found as the direct cause or indirect factor of the endogenous wind diseases. Blood stasis can also be found before and after the occurrence of endogenous wind diseases, it can cause the endogenous wind disease and make it worse. It is conformation to the clinical rules that using medicine with the function of activating blood and removing blood stasis to treat endogenous wind diseases. It is the inevitable choice under the guidance of the theory of“treatment of root of diseases”.
引文
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[4]黄海量.内风辨证分型与颅脑CT扫描分析相关性研究[D].山东:山东中医药大学,2002.
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[6]王克勤.震颤麻痹的中医治疗[J].中医药研究,1991,(2):35.
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[9]王厹东.430例癫痫患者舌下络脉及其相关因素分析[J].中医杂志,2003,24(3):37.
[10]孙丽平.王烈治疗小儿癫痫的经验[J].湖北中医杂志,1997,19(2):7.
[11]朱玮华.中医药治疗脑动脉硬化症78例疗效观察[J].中国中医药信息杂志,1997,4(10):27.
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[16]孙丽敏.缺血性中风先兆患者辨证分型及血液流变学指标改变的分析[J].实用中医内科杂志,2006,20(5):488.
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[18]路晟、赵建国.中风先兆发病机理的探讨[J].中医药管理杂志,2007,15(4):287.
[19]霍莉莉.小儿癫痫病因病机溯源[J].陕西中医,2006,27(10):1243.
[20]王新志,韩群英,郭学芳.中风脑病诊疗全书[M].北京:中国医药科技出版社,2000:9.
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[22]抗高血压药与卒中预防[J].国外医学脑血管疾病分册,1995,3(3):133.
[23]顾仁樾,周端.血液流变学改变与高血压病瘀血症的关系[J].江西中医药,1992,23(4):31.
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[25]胡小勤,陈利国.痰瘀相关学说在络病认识中的应用[J].辽宁中医学院学报,2004,6(1):13.
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[28]杨兰.高脂血症与肝相关性的中医理论探讨[J].辽宁中医学院学报,2005,7(4):322.
[29]钱小奇.试论高脂血症的病因病机[J].天津中医,2002,19(6):50.
[30]周美芳.从痰瘀论治高脂血症88例临床观察[J].贵阳中医学院学报,2005,27(1):43.
[31]柴瑞霭.高血脂的病因病机与治法初探[J].山西中医,1997,13(12):48.
[32]陈达芳.滋肾活血降脂汤治疗高脂血症的疗效观察[J].黑龙江中医药,1997,(3):26.
[33]钱卫民.心房纤颤的抗凝治疗[J].中国心血管病研究杂志,2006,4(4):301.
[34]周向东,孟繁忠.老年患者房颤并发脑卒中的临床特征及其预后[J].中国康复,2000,15(3):20.
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[36]周亚滨.中医辨治老年房颤[J].中医药学报,1999,27(1):13.
[37]陈国娟,冼苏.糖尿病与脑卒中[J].广西医学,1997,19(2):224.
[38]高德义.Ⅱ型糖尿病并发脑卒中43例临床分析[J].第四军医大学吉林军医学院学报,2003,25(3):160.
[39]周建扬.舌底脉络瘀血与糖尿病[J].浙江中医杂志,1999,24(3):88.
[40]林梅.从虚从瘀论治糖尿病[J].四川中医,浙江中医杂志,1999,24(3):88.
[41]蔡绍华,谌建飞.糖尿病缺血性中风中医证型与血高凝状态的关系[J].中国中西医结合急救杂志,2000,7(3):171.
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[43]李成荣.近十年中医治疗糖尿病概况[J].湖北中医杂志,1990,(6):37.
[44]朱禧星.丹参、潘生丁对糖尿病患者血小板聚集功能和微循环的影响[J].中华内科杂志,1985,(4):197.
[45]史学茂.谈尿病患者体外血栓模拟试验初步观察[J].辽宁中医杂志,1991,(5):5.
[46]沈志祥.糖尿病患者高凝状态的临床研究[J].中华内分泌杂志,1991,(5):5.
[47]张胜兰.对30例糖尿病人红细胞变形指数观察[J].中华内分泌代谢杂志,1989,(5):55.
[48]卞礼思.止消痛胶囊治疗2型糖尿病合并脑梗塞的临床研究[J].中国中医药信息杂志,2000,7(4):54.
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