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2013年09月23日
Flat liver Yang qi and treat cerebral arteriosclerosis
Yu Wentao NieJinTao Studio Yang Muxiang name of hebei medical university institute of traditional Chinese medicine
China's traditional Chinese medicine to
Cerebral atherosclerosis is based on the pathological changes of systemic arteriosclerosis, cerebral artery diffuse atherosclerosis occurs, luminal stenosis, small vessel occlusion, thus reduce blood flow of brain parenchyma, nerve cell dysfunction caused by a series of nervous and mental symptoms. Cerebral atherosclerosis is the main pathogenesis of ischemic cerebrovascular disease, its formation and lipid metabolic disorders, hemal wall itself metabolic abnormalities, hemodynamic changes and platelet accumulation and other factors.
Liver and kidney deficiency as the wind phlegm and blood stasis for the fire
No "cerebral atherosclerosis disease" in TCM, according to its vertigo as the main clinical manifestations, much to the traditional Chinese medicine "vertigo" category. The element theory of ask to be really big "records:" the wind off the computer, all belong to the liver ", points out the vertigo disease is given priority to with the liver, the theory of pivot, the article puts forward "insufficient medullary sea", suggests that the disease is still involving the zang-fu organs such as liver and kidney and brain. There are actual deficiency of the disease, many empirical phlegm turbidity and blood stasis, deficiency of Yin deficient or blood lose money, often with each other between the actual and the proof of the cost of virtual to real. Jin Liu Wansu by "element asked mystery original illness type, five main disease that the disease is due to wind fire him, a" wind fire Yang, Yang and more, Yang master on the move, two Yang muscle, turn "of the discourse; Yuan dynasty Zhu Zhenheng by "Dan brook, loading head dizzy," "no sputum not being dizzy" is put forward, aiming at "cure phlegm first" vertigo. In Ming dynasty, doctor zhang jingyue in the JingYue encyclopedia, dizziness, emphasizes "virtual not being dizzy," vertigo when to cure deficiency are put forward. These theories from different angles to clarify the etiology and pathogenesis of vertigo.
Yang Muxiang believes that the disease in elderly patients. Because of the kidney essence deficiency and medullary sea empty, brain displaced, but see dizziness tinnitus, insomnia forgetful, etc. For hepatorenal homology, kidney and liver, involving the Yin of the liver blood also, water does not contain the wood, liver Yang syndrone, what is in the autumn zephyrlily move, so the desire to see dizziness servant, strong limbs quiver, gait is not straight, etc. So the pathogenesis of the disease is liver and kidney Yin deficiency, so that the essence of liver Yang, wind or liver Yang, because of its pathogenesis of pathological process longer, "blood stasis" long illness, and phlegm dampness, blood stasis block, form of this virtual the actual card. So the disease syndrome types are different, the pathogenesis is one, namely, liver and kidney deficiency for the disease, phlegm dampness, blood stasis, the wind fire for the disease. Especially vein blood stasis resistance, the end result in the whole process of pathogenesis, cannot be ignored. In different syndrome types, just different from the degree of blood stasis block. Cerebral artery sclerosis laboratory more high serum cholesterol levels and blood is sticky high coagulation state, small fundus artery circuity, and glance arterial enhancement, and venous pressure trace, also suggests that the disease is more like blood stasis block.
Mainly nourishing liver and kidney and activating blood know luo
Based on the above understanding, Yang Muxiang with nourishing liver and kidney, liver latent Yang ping, invigorate the circulation of t2dm as the main treatment, since the quasi vertigo party give priority to party. Drug composition: gastrodia 10 grams, 15 grams of uncaria (after), 15 grams of tribulus terrestris, selfheal 15 grams, 15 grams of motherwort, batryticated silkworm 10 grams, bile south star 10 grams, 15 grams of fructus ligustri lucidi, dry grass 15 grams, 15 grams of salvia miltiorrhiza, giant knotweed 15 grams, dilong 10 grams, 30 grams of mulberry parasitism, radix achyranthis bidentatae 15 g. Party in fructus ligustri lucidi, dry lotus herb, radix achyranthis bidentatae, mulberry parasitism of nourishing liver and kidney to culture the book; Gastrodia elata, uncaria, selfheal, tribulus terrestris flat liver latent Yang; Salvia miltiorrhiza, motherwort, giant knotweed, lumbricus promoting blood circulation to remove blood stasis, collaterals; Star, batryticated silkworm extinguish wind expectorant, bile south to its standard.
Patients with clinical, according to the physical differences, viscera of the actual situation, fire and wind phlegm and blood stasis of mixed weight, flexible cutting add and subtract. Such as tinnitus and stone calamus 10 grams, turmeric, 10 g to XieYu begin to understand; Add polygala 10 grams, insomnia zizyphus jujube kernel 15 grams, in yangxin nerves; Nausea and vomiting, and inula spend 10 grams (Fried), stem 10 grams, in inverse anti-nausea; Dizziness for servants and cassia seed 15 grams, 30 grams of raw keel (Fried) first, 30 grams of raw oysters (Fried) first, with flat liver latent Yang extinguish wind; Upset and gardenia 10 grams, rhizoma coptidis 10 grams, to call on in addition to the pest. White greasy tongue coating, genus of phlegm dampness, clear pinellia 10 grams, 15 grams, Fried atractylodes with spleen dry wet expectorant; Red tongue less moss, Yin fire, with raw radix rehmanniae 15 grams, 10 grams of cortex phellodendri, ziyin send fire; Have a purple tongue, autumn zephyrlily clip stasis, reuse of salvia miltiorrhiza, giant knotweed, promoting blood circulation to remove blood stasis. If encounter dark purple tongue, stasis as obvious, repeatedly not cure effect, ZhuoJia raw leech, scorpion, such as insect medicine, chase to invigorate the circulation of blood stasis, pick out complex, but should be in disease; in case of injury. And instruct patients should avoid mental stimulation, keep optimistic mood, give priority to with delicate food, diet acrimony fat products, will help to treatment.
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2013-09/19/content_77833.htm