清里通下活血化瘀在脑出血急性期的应用

脑出血急性期先以清里通下,凉血化瘀法治疗,待腑气通,热火泻下后再以益气活血化瘀法治疗,总有效率达85%,痊愈加显效率为65%。脑出血急性期,止血不是首要问题,防止再出血的关键在于血压应得到理想的控制,治疗的核心为消除血肿,清里通下与活血化瘀在降压和消除血肿方面起到很好的协同作用。

Acute Stage of Cerebral Hemorrhage Treated With Clearing Away Interal-heat to Relax Bowels & Promoting Blood Circulation to Remove Stasis

For the treatment of cerebral hemorrhage in acute stage,the methods of clearingaway internal-heat to relax bowels with cooling blood and removing blood stasis were used first,themethods of reinforcing Qi and promoting blood circulation to remove stasis were used secondly.The totaleffective rate was 85%.Instead of hemostasis,the properly control of blood pressure is the key to pre-vent bleeding again,in the acute period.The cooperative therapy of eliminating hematoma,clearingaway internal-heat to relax bowels and promoting blood circulation to remove stasis has the good effectof bringing down blood pressure and removing hematoma.