急性脑梗死补气活血行气通滞治则确立的思路与方法

基于对中医学气血关系学说和中风病"气虚血瘀"理论的认识与探讨,通过初期临床观察,认为元气亏虚、脑络瘀阻是急性脑梗死的病机重点,血瘀又可加重气虚,导致气滞,气虚、血瘀、气滞相互为患.提出对本病的治疗除应活血化瘀、清除脑络瘀血外,更需强调气血兼顾,补气行滞与活血祛瘀相辅相成,使气旺而血运,气行而瘀除,瘀去而新生.补气活血、行气通滞是急性脑梗死的重要治则之一.

Thought and Method of Establishing Therapeutic Principle (Tonifying Qi, Promoting Blood Circulation and Qi Circulation to Remove Stagnation) for Acute Cerebral Infarction

According to the relationship of qi and blood and the theory (blood stasis due to qi deficiency) of wind-stroke in TCM, after primary clinical observation it was considered that inborn qi deficiency and blood stasis-obstruction in cerebral collateral were the main mechanism of acute cerebral infarction. Blood stasis could make qi deficiency worse and cause qi stagnation. So the therapeutic principle would be promoting blood circulation and removing blood stasis from the cerebral collateral. But it was more important to regulating qi and blood simultaneously. Tonifying qi and promoting qi circulation were good method for blood circulation and removing blood stasis. After blood stasis removed, the new blood could be produced. So tonifying qi and promoting blood circulation and qi circulation was one of the most important therapeutic principles of acute cerebral infarction.