从“气血”论中风病机

摘要

Objective] To explore the relationship between the pathogenesis theory of Qi and blood and stroke. [Method] The system research of ancient literature on the pathogenesis of stroke, analysis of stroke from the relationship between Qi and blood and stroke, focus on exploring the basic role of Qi and blood in the onset of stroke. [Results] Before the Tang and Song Dynasties doctors had"argument in the imaginary evil"stroke pathogenesis;Jin era, that the internal gas is stroke, or qi deficiency Erzhi phlegm blockage;Ming and Qing Dynasties, many from the deficiency of Qi and Blood Stasis Theory, gas, blood throughout the stroke always. Supplementing qi and activating blood circulation method can improve the clinical symptoms of patients with stroke, stroke with Qi and blood as the pathogenesis treatment, clinical therapeutic effect. [Conclusion] Stroke syndrome differentiation from the blood, more can promote blood regulating. The stroke engine has extremely important theoretical and clinical significance from the "blood", can provide a theoretical basis for the treatment of stroke in different stages, and guide the clinic, it is worth further study.%[目的]探讨气血与中风病病机学说理论的关系。[方法]对中风的古今文献进行系统梳理，从气血与中风病的关系分析中风病的发病机制，并着重探究气血在中风病发病中的基础作用。[结果]唐宋以前医家多以“内虚邪中”立论中风病机；金元时代，则认为中风之本乃内伤血气，或气虚血虚而致痰湿阻滞；明清医家则多从气虚血瘀论，气、血贯穿中风病始终。益气活血法可改善中风病患者的临床症状，中风病以气血为病机论治，临床疗效显著。[结论]中风从气血进行辨证施治，多能促进气血调畅。从“气血”论中风病机具有极为重要的理论及临床意义，可以为中风病不同阶段的治疗提供理论依据，并用以指导临床，值得进一步深入研究。