瘀血致风的理论研究
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摘要
本文较为系统地对“瘀血致风”进行了研究。中风是一个古老的疾病,许多古代文献都有记载,对中风病因病机的认识是一个从片面到全面的不断充实与完善过程。目前,临床广泛运用活血化瘀的方法治疗中风,但是涉及瘀血与中风关系的理论阐述很少。本论文在深入、系统地对古代文献整理和研究的基础上,结合西医学对中风的认识以及现代中医药学对中风的研究进展,根据中风作为内风病证的证候特点,运用中医学的辩证思维,对瘀血与中风的关系进行分析,提出了瘀血致风的概念,即由瘀血导致内风,是一切以血液运行不畅,或局部血液凝聚,或体内离经之血为主因,引发以眩晕、动摇、手足麻木、震颤,昏仆、半身不遂等为主症的一类内风病机。通过总结瘀血致风的病理特点,分析瘀血致风与其它内风病机的关系,进而确立了瘀血致风作为一个相对独立的内风病机存在的必要性。本文立论于此,旨在完善、充实目前中医理论领域对内风病机理论的认识不足,为临床治疗相关的内风病证提供理论依据。
This thesis discusses about "the wind pattern caused by static blood". Wind stroke has a long history, which is recorded by many archaic literatures. The cognition about the etiology and pathogenesis of wind stroke is a continual progressive course from unilateralism to all-side. Nowadays, using the methods of activating blood circulation and removing blood stasis to treat wind stroke is widespread in clinic. However, the theoretical expatiation about the relationship of static blood and wind stroke is very less. This thesis has coordinated and researched archaic literatures thoroughly and systemically. According to the characters of wind stroke as the internal wind pattern, and using the differentiation methods of Traditional Chinese Medicine (TCM), the thesis analyses the relationship of static blood and wind stroke. Meanwhile, the thesis combined the knowledge about wind stroke from west medicine with modern research progress of TCM to advance the conception of the wind pattern caused by static blood: it is a kind of internal wind differentiation combined with static blood syndromes. This pattern occurs mainly as a result of unsmooth circulation, or partial stagnation of blood and retention of bled blood inside of the body. The main syndromes including dizziness, stir, numbness of the limbs, thrill, clouding collapse, hemiplegia, etc. We summarized the characters of wind pattern caused by static blood, and analyzed the differences of pathogenesis between the wind pattern caused by static blood and other wind patterns. Accordingly, we educed that the relative existence of the wind pattern caused by static blood is inevitable. It is the contention of this thesis. We intend to consummate and substantiate the present theories of internal wind pathogenesis in the TCM field, and to provide theoretical basis for the clinic treatment of internal wind.
This thesis discusses about "the wind pattern caused by static blood". Wind stroke has a long history, which is recorded by many archaic literatures. The cognition about the etiology and pathogenesis of wind stroke is a continual progressive course from unilateralism to all-side. Nowadays, using the methods of activating blood circulation and removing blood stasis to treat wind stroke is widespread in clinic. However, the theoretical expatiation about the relationship of static blood and wind stroke is very less. This thesis has coordinated and researched archaic literatures thoroughly and systemically. According to the characters of wind stroke as the internal wind pattern, and using the differentiation methods of Traditional Chinese Medicine (TCM), the thesis analyses the relationship of static blood and wind stroke. Meanwhile, the thesis combined the knowledge about wind stroke from west medicine with modern research progress of TCM to advance the conception of the wind pattern caused by static blood: it is a kind of internal wind differentiation combined with static blood syndromes. This pattern occurs mainly as a result of unsmooth circulation, or partial stagnation of blood and retention of bled blood inside of the body. The main syndromes including dizziness, stir, numbness of the limbs, thrill, clouding collapse, hemiplegia, etc. We summarized the characters of wind pattern caused by static blood, and analyzed the differences of pathogenesis between the wind pattern caused by static blood and other wind patterns. Accordingly, we educed that the relative existence of the wind pattern caused by static blood is inevitable. It is the contention of this thesis. We intend to consummate and substantiate the present theories of internal wind pathogenesis in the TCM field, and to provide theoretical basis for the clinic treatment of internal wind.
引文
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