从脑腑以通为补论治出血性脑卒中

出血性脑卒中以瘀血阻滞、脉道不利为基础,在血溢脑脉之外后相继发生瘀血压迫脑髓,内风化火上炎,瘀血化为痰水上蒙清窍,毒损脑髓的病理过程。诸邪弥漫脑腑,阻遏脑络气机,脉道不利,血液减少,脑髓不充,诸症蜂起,实为脑窍被扰失养所致。根据叶天士胃腑以通为补的理论,通调脑之气血阴阳,去瘀生新,恢复脑司元神之职,从而达到阴平阳秘,精神乃治的状态。

Treatment of Hemorrhagic Stroke Based on Eliminating Pathogens for Balancing and Replenishing Brain

Based on the blood stasis and disorder of vessels, hemorrhagic stroke contains a series of pathological events in succession after cerebral vein rupture and blood overflow: Firstly, the static blood compresses the brain. Secondly, endogenous wind transforms into fire and flares up. Thirdly, orifices are confused by phlegm derived from the static blood. Finally, the brain is damaged by toxicity. All pathogenic factors diffuse in the brain and block the functional activities of qi in the brain. In fact, it is the interruption and malnutrition of brain orifices that cause disorder of vessels, reduction in blood, insufficiency of the brain, and rapid development of various symptoms. According to the theory of Tianshi Ye, which is eliminating pathogens for balancing and replenishing the stomach, relatively balanced yin and yang, and recovered spirit can be achieved by adjusting the qi, blood, yin, and yang in the brain, removing blood stasis for promoting tissue regeneration, and restoring the role of the brain in controlling the primordial spirit.