Thinking on treating ischemic stroke from spleen

ZHANG Yuechan; ZHANG Yunyun; CAO Mengxin; MEI Jianing; ZHEN Xiaomin

doi:10.16305/j.1007-1334.2023.2209079

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Thinking on treating ischemic stroke from spleen

更新时间：2023-03-21

- Thinking on treating ischemic stroke from spleen
- Shanghai Journal of Traditional Chinese Medicine Vol. 57, Issue 3, Pages: 49-52(2023)
- 作者机构：
  
  1.上海中医药大学附属岳阳中西医结合医院（上海 200437）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2023.2209079
  CLC：
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张月婵,张云云,曹孟欣,等.从脾论治缺血性脑卒中的思考[J].上海中医药杂志,2023,57(3):49-52.

ZHANG Yuechan,ZHANG Yunyun,CAO Mengxin,et al.Thinking on treating ischemic stroke from spleen[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(3):49-52.
张月婵,张云云,曹孟欣,等.从脾论治缺血性脑卒中的思考[J].上海中医药杂志,2023,57(3):49-52. DOI： 10.16305/j.1007-1334.2023.2209079.

ZHANG Yuechan,ZHANG Yunyun,CAO Mengxin,et al.Thinking on treating ischemic stroke from spleen[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(3):49-52. DOI： 10.16305/j.1007-1334.2023.2209079.

摘要

从中医“脾脑相关”理论、中风病中医理论以及前期临床实践和研究方面，阐述从脾论治缺血性脑卒中的依据和策略。缺血性脑卒中病因病机复杂，涉及多个脏腑，“虽五脏相关，但脾为机要”。脾功能障碍引发缺血性脑卒中的机制主要为脾虚邪中，脑络闭阻；脾失健运，痰瘀阻络；脾不统血利脉，脑络郁滞；脾胃失和，气机逆乱。故健脾扶正法应贯穿于缺血性脑卒中防治的全过程。

Abstract

From the aspects of traditional Chinese medicine theory spleen-brain correlation and apoplexy， preliminary clinical practice and research， this article expounded the thinking of treating ischemic stroke from the spleen. The etiology and pathogenesis of ischemic stroke were complex， involving multiple zang-fu organs. “Although five zang-fu organs are related， the spleen is pivotal”. The mechanism of ischemic stroke caused by spleen dysfunction was mainly in pathogen excessiveness and spleen deficiency causing cerebral occlusion； spleen failing to transform properly， phlegm and blood stasis blocking collaterals； spleen failing to manage blood and vessel， brain collaterals stagnation； incoordination between spleen and stomach， qi movement disorder. Therefore， invigorating spleen and strengthening healthy energy should be applied the whole process of ischemic stroke prevention and treatment.

关键词

缺血性脑卒中中风脾健脾扶正中医药疗法

Keywords

ischemic strokeapoplexyspleeninvigorating spleen and strengthening healthy energytraditional Chinese medicine therapy

references

ORNELLO R， DEGAN D， TISEO C， et al. Distribution and temporal trends from 1993 to 2015 of ischemic stroke subtypes： a systematic review and meta-analysis［J］. Stroke， 2018 ， 49（4）： 814-819.

FONAROW G C， SMITH E E， SAVER J L， et al. Timeliness of tissue-type plasminogen activator therapy in acute ischemic stroke： patient characteristics， hospital factors， and outcomes associated with door-to-needle times within 60 minutes［J］. Circulation， 2011， 123（7）： 750-758.

CAMPBELL B C， HILL M D， RUBIERA M， et al. Safety and efficacy of solitaire stent thrombectomy： individual patient data meta-analysis of randomized trials［J］. Stroke， 2016， 47（3）： 798-806.

上海市卫生局. 上海市中医病证诊疗常规［M］. 2版.上海：上海中医药大学出版社，2003： 75-76.

程峥青，杜程昊，张云云，等. 不同中医证型脑卒中患者的危险因素、临床特点和预后［J］. 中医杂志，2009， 50（9）： 826-830.

张云云，张海梅，郭德莹. 168例缺血性脑卒中患者体质特点研究［J］. 上海中医药杂志，2008， 42（2）： 31-34.

甄晓敏，陈曦，郭德莹，等. 中医体质与缺血性脑卒中的相关性研究［J］. 中国中医急症，2015， 24（4）： 650-652.

张利丹，谢雁鸣，高阳，等. 2 558例缺血性脑卒中患者中医证候与体质的相关性［J］. 中医杂志，2021， 62（16）： 1416-1420.

HE M Q， LIU L， JIE M， et al. Risk factors and clinical features in ischemic stroke patients with different tongue conditions［J］. Chin J Integr Med， 2016， 8（22）： 1-9.

高利，刘萍，罗玉敏. 舌苔的研究进展［J］. 中西医结合心脑血管病杂志，2011， 9（9）： 1102-1103.

张声生，胡玲，李茹柳. 脾虚证中医诊疗专家共识意见（2017）［J］. 中医杂志，2017， 17（58）： 1525-1530.

李萌青. 脾虚证和非脾虚证缺血性脑卒中患者临床特点和预后的比较［D］. 上海：上海中医药大学，2020.

YOU Y， LUO L， YOU Y， et al. Shengmai Yin formula modulates the gut microbiota of spleen-deficiency rats［J］. Chin Med， 2020， 15（1）： 114.

徐文，高丕明，虞亚明，等. 脾气虚质大鼠模型免疫学指标研究［J］. 中国血液流变学杂志，2018， 28（2）： 135-137.

SINGH V， ROTH S， LLOVERA G， et al. Microbiota dysbiosis controls the neuroinflammatory response after stroke［J］. Neurosci， 2016， 36（28）： 7428-7440.

YAMASHIRO K， TANAKA R， URABE T， et al. Correction： gut dysbiosis is associated with metabolism and systemic inflammation in patients with ischemic stroke［J］. PLoS One， 2017， 12（4）： e0176062.

刘友章，刘江凯，弓淑珍，等. 中医“脾主肌肉”与骨骼肌舒缩运动中能量代谢关系的探讨［J］. 江苏中医药，2009， 41（4）： 5-7.

LI Y， SUN J， WU R， et al. Mitochondrial MPTP： a novel target of ethnomedicine for stroke treatment by apoptosis inhibition［J］. Front Pharmacol， 2020， 25（11）： 352.

王宇，周家伟，马洁，等. 中风中医经典方药分析［J］. 辽宁中医药大学学报，2018， 20（11）： 118-121.

高媛. 补中益气汤加减治疗低灌注性脑梗死临床观察［J］. 光明中医，2018， 331（12）： 1730-1731.

周家伟，李想，马洁，等. 中医干预缺血性脑卒中观察研究［J］. 亚太传统医药，2020， 16（7）： 130-134.

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