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2013年10月14日
From the surrounding vascular disease and blood stasis treatment
Guo Yanzhou Cui Yan Wu Jianping henan college of traditional Chinese medicine YiFuYuan
China's traditional Chinese medicine to
Although peripheral vascular disease can be divided into peripheral artery disease, venous disease, small vascular disease and other diseases, but clinical either all can appear the commonness of blood stasis, blood stasis, bruises, ischemia, swelling, atheromatous plaque, thrombosis, and vascular stenosis, limb arterial loop obstacle, even ulcer and gangrene, or vein expansion, thrombus caused limb swelling, dark, though YuJi dermatitis, ulcers, venous dysfunction. Cui Gong to summarized the clinical signs of common pathological changes as unclean the blood of the blood stasis, long illness into blood for blood stasis of collaterals, from the blood and blood stasis. Cui Gong let the qi deficiency blood stasis as blood stasis, qi and blood stasis, blood stasis and phlegm turbidity haemorrheological nature of blood stasis and toxic heat and blood stasis. For the treatment of blood stasis, we adopt yiqi huoxue method, the qi huoxue method, eliminating phlegm to invigorate the circulation method, WenTong huoxue method, jiedu huoxue method, etc, in order to achieve "pulse way to tong, flesh is line".
Treating artery disease
Artery disease common peripheral vascular disease are: buerger's disease, vasculitis, white plug multiple aorto arteritis disease, vasculitis, systemic lupus erythematosus (sle), scleroderma vasculitis, nodular vasculitis, nodular polyarteritis, occlusive arterial sclerosis, diabetes, limb arterial occlusion disease, arterial thromboembolism disease, etc. The limb arterial ischemic diseases have in common is: due to different limb ischemia degree, limb pain of different level, light person acid bilges, intermittent claudication, then rest pain, serious enough to sit, awake, pain if the soup and the fire burning, can appear pale, cyanosis, blushing though, what is a zombie sample prints. Because of a shortage of limb blood flow, the skin temperature decreased obviously, the degree of skin temperature drop is proportional to the degree of limb ischemia. Peripheral artery vascular stenosis or occlusion, so the pulse can be weaken or disappear completely; Muscle contracted organization dystrophy: limb ischemia, hair, skin coarse, thin and onyx, even gangrene, or legacy is difficult to healing of ulcer. These can use a word summary, namely "stasis". In the treatment of limb ischaemia disease, Cui Gong let the arterial ischemic disease is divided into clinical type 4:
Cold dampness resistance type winding
This type of sun be the spirit is weak, cold evil invasion, haemorrheological nature and blood stasis, block of main and collateral channels, like present a Yin is cold. Clinical symptoms: light person limb afraid of cold, warm afraid of cold, acromegaly pale or flush, numb the pain, encounter cold pain, limping, steps, pale tongue, thin white coating on the tongue, pulse heavy fine or slow; The person that weigh complexion, dark face, mental fatigue, chills to the cold, muscle atrophy, cold skin, the skin cadaverous, limb necrosis, the organization has rot, but less ichor, rotting flesh dry, pulse number or sink sink acerbity, red or red crimson tongue, moss thin yellow, dry yellow or black.
Therapeutic principle: light to cure the cold warm, invigorate the circulation of t2dm; Heavy with tonifying qi and blood, complementing the vigor, warm, cold blood know luo.
Agent: light using pulse blood flux tonga, astragalus, codonopsis, lateral root, rehmannia glutinosa. Those heavy replacement Yang also five tonga, angelica, astragalus, codonopsis, cassia twig, twotooth achyranthes root, rhizoma atractylodis, pangolin scales, black snake, etc. For severe cold evil invasion, the body's internal injuries, with Yin jin depletion, should also be appropriate action with drugs of nourishing Yin, such as radix asparagi, dwarf lilyturf, caulis dendrobii, jade bamboo, etc.
Blood stasis resistance type
This type of sun be the spirit is weak, cold evil invasion, haemorrheological nature, poor blood flow, blood stasis resistance. Limb clinical symptoms such as regular pain, acromegaly purple, dark red, or purple, bruises or petechiae. Tongue red or red crimson petechiae, moss thin white, pulse sink or heavy fine acerbity.
Therapeutic principle: promoting blood circulation to remove blood stasis t2dm.
Syndromes: invigorate the circulation of tonga unclogged arteries. Qi deficiency and astragalus, codonopsis, poria cocos. Pixu (spleen deficient) and dangshen, poria cocos, atractylodes, yam; The person that weigh blood stasis with three edges, leeches, peach kernel, pangolin scales, earthworm. Pain is weighed and frankincense, myrrh, dragon's blood, notoginseng. Stasis and fever plus honeysuckle, radix scrophulariae, caulis dendrobii, radix rehmanniae, cortex moutan. Yin deficiency and radix rehmanniae, rhizoma anemarrhenae, radix asparagi, solomonseal rhizome, radix trichosanthis. And add dried tangerine or orange peel, radix linderae, radix aucklandiae, sichuan and fruit, etc.
Toxic heat flourishing type
Poison evil invasion, qi and blood, and blood stasis of heat for a long time, the hotness of rotting meat, an image of different toxic heat. Clinical symptoms: light person limb skin flush, swelling, fever, pain, acromegaly has small ulcers or gangrene, tongue is red crimson, moss yellow dry or Huang Hou, pulse count or flood; Se limb severe swelling, the whole body heat, god faint delirious speech, skin redness fever, or hair black hair and dark skin, heat swelling pain, pus, and a stench, red purple tongue, yellow greasy moss or yellow dry or black dry, flood control and pulse number or string.
Therapeutic principle: heat cool blood or been detoxification detoxification.
Syndromes: four wonderful yong Ann tonga subtraction. Toxic heat ablaze with raw radix rehmanniae, dandelion, herba violae, forsythia, rhizoma coptidis. Mouth thirst for drinkers and radix trichosanthis, rhizoma anemarrhenae, japonica rice, plaster stone. Edema, urine short red, glabrous greenbrier rhizome, grifola, alisma, rice bean, cogongrass rhizome. Constipation is more yellow, orange, glauber's salt. Also can use huanglian jiedu decoction, bezoar sedative bolus, four wonderful huoxue soup treatment, etc. At the same time as appropriate with choroid ning, qing spirit and so on an intravenous drip.
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