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中西医结合脑心同治论治大面积脑梗死合并冠心病的体会
作者姓名:袁春云  伍大华  谢乐
作者单位:湖南省中医药研究院附属医院脑病科, 湖南 长沙 410006,湖南省中医药研究院附属医院脑病科, 湖南 长沙 410006,湖南中医药大学研究生院, 湖南 长沙 410208
摘    要:脑卒中是我国主要致残、致死性疾病,大面积脑梗死是其中预后较差的一类,且常合并冠心病。本文从中西医结合脑心同治理论阐述大面积脑梗死合并冠心病的治疗体会,主张急性期“闭证宜开”、“脱证宜固”以治其标,后期当滋养肝肾、化痰通络以治其本,并结合西医治疗,取得良好疗效,值得借鉴。

关 键 词:大面积脑梗死  冠心病  脑心同治  闭证  脱证  中西结合
收稿时间:2016/1/5 0:00:00

The Experience of Preserving Pathogenesis Theory based on Integrated Chinese and Western Medicine in Treating Massive Cerebral Infarction Combined with Coronary Heart Disease
Authors:YUAN Chunyun  WU Dahua and XIE Le
Institution:Neurology Department, the Affiliated Hospital of Hunan Institute of Chinese Medicine, Changsha, Hunan 410006, China,Neurology Department, the Affiliated Hospital of Hunan Institute of Chinese Medicine, Changsha, Hunan 410006, China and Graduate School, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China
Abstract:Stroke is a high morbidity and mortality disease in China. Massive cerebral infarction, which often combine with coronary heart disease, has a poor prognosis. Here we present the experience of treating brain and heart simultaneously with integrated Chinese and Western medicine in massive cerebral infarction combined with coronary heart disease. "The open treatment principles ought be used in blocking syndrome" and "The astringent therapy ought to be used in collapsed syndrome" were proposed to merely alleviate the symptoms in the acute phase. Nourishing liver and kidney, removing phlegm, and dredging collaterals ought to be used in the late phase. The treatment combined with Western medicine show good effect.
Keywords:massive cerebral infarction  coronary heart disease  preserving pathogenesis theory  blocking syndrome  collapsed syndrome  integrated Chinese and Western medicine
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