Promoting blood circulation to remove blood stasis to hemorrhagic stroke

CuiJunBo ChenBaoGui doctor of Chinese medicine studio

Tianjin university of Chinese medicine qing affiliated hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        Stroke is a general designation of acute cerebrovascular disease, it includes hemorrhagic stroke and ischemic stroke. Hemorrhagic stroke which is not traumatic brain hemorrhage essence, namely, cerebral hemorrhage, occupy all of stroke by 20% ~ 30%. The main cause of disease for high blood pressure, and the other by amyloid vascular degeneration, aneurysm, arteriovenous malformations causes. ChenBaoGui teacher in forty years of clinical work, and realize the blood stasis in hemorrhagic stroke play an important role in promoting blood circulation to remove blood stasis method, give priority to treatment of hemorrhagic stroke, clinical curative effect is distinct.

        Etiology and pathogenesis

        Traditional Chinese medicine in the prevention and control of stroke and shows unique academic advantage, and in the world gradually produce certain effect, ChenBaoGui think: hemorrhagic stroke belongs to from the blood, blood stasis in the house, the brains supplement hysteresis, yuan god was surrounded, the gods was cast, the loss of system, organs of the body gas closed, body estrangement, pathogenesis, though complicated, but always from one end of the blood stasis. Hemorrhagic stroke blood overflow pulse outside, produce blood stasis, blood stasis can cause blood run suffocate suffocate, qi disorder, not normal to lose cloth body fluid, which led to the mutual and phlegm and blood stasis. Phlegm and blood stasis mutual knot, closed brain opening hemorrhagic stroke is the main pathological changes, so hemorrhagic stroke in the acute phase of treatment, can be used for activating blood circulation and eliminating stasis method. TangRongChuan pointed out: "both blood stasis, and with blood stasis syndrome of healers, according to the card rule, no fear resistance." So hemorrhagic stroke is not promoting blood circulation to remove blood stasis of contraindication, cerebral hemorrhage patients use blood drug beneficial to the recovery.

        Combined with the modern pathophysiology, ChenBaoGui pointed out that the brain hematoma decomposition of thrombin is produced after intracerebral hemorrhage tissue damage and edema weighting of the main pathological physiology mechanism, and cerebral hemorrhage brain edema is cerebral hemorrhage patients take a turn for the worse and death of the important reasons, clinical data shows that thrombin from intracranial blood clot release after intracerebral hemorrhage from the start and lasts 2 weeks. And cerebral hemorrhage brain tissue ultrastructure of the study show that: incidence after 24 hours and 72 hours and 4 ~ 7 days the three time all can be found around the hematoma is of different degree of ischemic brain damage, and with the bleeding time extension and aggravating, around the hematoma after intracerebral hemorrhage with half dark the presence of early for clinical use of drugs to improve microcirculation organization provides basis for the use of promoting blood circulation to remove blood stasis, traditional Chinese medicine compound preparation or provide the pathophysiological basis. So in cerebral hemorrhage in the acute phase, not to stop bleeding for primary task, and should be to reduce hematoma oppression, improve cerebral ischemia oxygen as the center purpose, promoting blood circulation to remove blood stasis method can eliminate cerebral edema, improve blood circulation, protect nerve cells from damage.

        Drug characteristics

        ChenBaoGui think, clinical blood use method need to pay attention to the following: (1) the method of promoting blood circulation should be based on syndrome differentiation and treatment of application. If it is only in the treatment for some cause or local lesion single therapy, it is not correct systemic disorders and improve the clinical effect. (2) the drug should grasp opportunity. The early hemorrhagic stroke, hand pneumatic, qi and blood inverse disorderly material, the wind for Yang evil, easy to rise movability, promoting blood circulation to remove blood stasis drugs XinWen go there more than the product, premature perhaps have actuating liver wind risks rise again. As long as the inverse gas return, gas complex smooth and not the reverse, and no significant bleeding tendency can timely application of promoting blood circulation method. (3) the period according to the different, choose specific drug. In the cerebral hemorrhage disease may occur within 24 hours of hematoma enlargement or to bleed again, at this time when selecting drugs can choose freely with eliminating stasis and hemostasis of the dual function of promoting blood circulation to remove blood stasis kind of Chinese traditional medicine, such as notoginseng powder, rhubarb, cattail pollen, madder, flower stone, lotus root section, etc. For 24 hours after give salvia miltiorrhiza, ligusticum wallichii, safflower and drugs, had better be in 1 week after onset to promoting blood circulation to remove blood stasis and traditional Chinese medicine injection. (4) pay attention to promoting blood don't hurt. Stroke patient Yin blood partial failure, promoting blood circulation to remove blood stasis character of many temperature drying, loss of blood, the disadvantages in the course of treatment should also pay attention to invigorate the circulation of blood do not hurt the blood, can choose the product nature peace, such as peach kernel, safflower, salvia miltiorrhiza, hawthorn fruit, red paeony root, ligusticum wallichii, caulis spatholobi, etc.

        If hemorrhagic stroke exist in the following several ways one of temporary deprecated activating blood circulation method: (1) the age < fifty years old. (2) the clotting time extension, platelet acuities 100 x 109 / L. (3) long-term drinking cause liver function abnormal or spleen function hyperthyroid. (4) the high blood pressure does not drop person, systolic blood pressure was 170 MMHG or/and diastolic blood pressure was 100 MMHG. (5) the subarachnoid hemorrhage, a large number of hemorrhage (lobes or bleeding and ml, small cerebral hemorrhage > 10 ml, brain stem hemorrhage > 5 ml), cranial pressure increases, unconsciousness, and gastrointestinal bleeding, epistaxis and hematuria, etc, such as the internal hemorrhage.

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