Stroke should stage drug use

LiXinFu Chongqing general hospital in general

China's traditional Chinese medicine (TCM) for

        Stroke is a common disease and frequently. See come on urgent, disease, changes quickly, she grew heavy, long duration, life-threatening, mortality and disability rate is very high. Stroke covers the western medicine of traditional Chinese medicine of cerebral infarction and cerebral hemorrhage, subarachnoid hemorrhage, cerebral vascular accident. The author in the long-term clinical practice seriously study the pathogenesis of stroke, combined with western medicine cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage, the characteristics of pathological changes, and the latest achievements in western medicine treatment of cerebrovascular accident, summarized on the basis of syndrome differentiation type medicine experience in stages as follows.

        The acute phase

        Pay attention to take off of qi, use mend angry medicine

        The acute phase is key to judge ischemic or hemorrhagic stroke. Outpatient or hospitalization should do the emergency disposal, closely observe heart rate, respiration, blood pressure, body temperature, such as vital signs, as soon as possible to do brain CT, judgment is ischemic or hemorrhagic cerebral accident, the site of intracerebral hemorrhage, bleeding, surgical indications and cerebrovascular accident patients. Patients with surgical indications shall be immediately turn neurosurgery surgery treatment.

        Stroke patients medical use Chinese and western medicine treatment, more prominent characteristics of traditional Chinese medicine, giving full play to the advantages of traditional Chinese medicine in the treatment of stroke. Dialectical points: the first cause of main and collateral channels or in the zang-fu organs, meridian in general no coherent light changes, viscera common in mind is not clear and critically ill. Followed by distinguishing closed certificate and certificate: the main symptoms of the zang-fu organs for suddenly fainted, unconscious, have intelligence obstacle, neural check there are positive signs, according to making things are closed certificate and certificate of difference. Closed certificate and certificate are gravely ill, different treatment, clinical must points clear, in order to formulate correct rescue plan.

        Shut the l/c is given priority to with evil in real close, is empirical. Main symptoms for suddenly fainted, unconscious, trismus, mouth keep silent, his hands grip, urine close, limb spasm, according to the presence of hot, a very short moment shut and Yang shut. Yang shut is hot like, such as hot mouth naked, rich, calm crosstalk, moss yellow greasy, pulse string and number. Yin closed more performance for face white lip dark, sprawling don't bother, no temperature, sputum saliary supplement, white greasy moss, pulse heavy sliding.

        Card off she grew serious, have no conscious symptoms, suddenly fainted, unconscious, eyes shut, the nose to snore interest, hand and cold limbs, sweat is much, incontinence, body softy, confused, tongue veins thin or weak.

        Closed certificate and certificate are different, but both can and at the same time, can into each other again. Shut the syndrome differentiation and treatment than or disease, or are very evil, power off, to take off the card. Off syndrome after treatment, the symptoms disappeared gradually, upright, gradually eliminate pathogenic outside of the illness. Under normal circumstances, the closed card to open and close many, take temporary solution is given priority to, Take off the certificate is given priority to with solid to take off the undesired side effect a permanent cure. Shut off shown, to weigh the primary and secondary, both.

        Stroke is the root cause is the approach to avoid the, the vitality deficiency, blood stasis resistance, often involving the heart, liver, kidney, spleen meridians, and blood. Stroke in the acute phase in critical condition, change quickly, often associated with disorders of consciousness, in the use of western medicine dehydration, antihypertensive drugs, protect brain cells at the same time, also can choose pure spirit, open and static, such as traditional Chinese medicine intravenous drip.

        Yang shut his treasure available Dan, palace bezoar pills, nasal feeding on prescriptions, and Yang closed have region empirical syndrome, available large bearing soup decoction nasal feeding or enema, cleaning intestines and stomach tangible things, 釜底抽薪, they go to is. Yin closed should phlegmy XiFeng, world XinWen goose, urgent need Sue styrax pill on hydration temperature open irrigation clothing (or nasal feeding), with temperature through opening, at the same time can be filling for polyester phlegm.

        From the l/c available and attached injection or shenmai injection, shenmai injection intravenous drip. Conventional 20 ~ 40 ml to 250 ml 10% glucose injection, intravenous drip in 15 minutes 1, 1, 3 ~ 5 times, pay attention to the total input quantity. Patients with intracranial pressure is high to strictly control the total intravenous infusion. Can also nasal feeding alone and soup or wheat soup, and wheat soup. Back to Yang save inverse, convergence of scattered outside the vitality. "Gas" is power and source of the life activities of the human body, is the performance of viscera and the zang-fu organs and activity of the product. Stroke in the acute phase, especially in the breath of the zang-fu organs to take off the card, pay special attention to the take off of qi on treatment.

        early

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