The Academic Thought Summary Of Li Li Treated The Acute Phase Of Ischemic Stroke And Clinical Research For The Treatment Of The Remove Heat And Dredge Vein Soup To Ischemic Stroke

Research backgroundIschemic stroke is a clinical common emergency encephalopathy division with frequently-occurring,high incidence, high mortality and high morbidity and high recurrence rate,which could cause great harm to patients, family and the social. Effective treatment in acute stage of ischemic stroke is of great significance to prevent disease progression and promote the body function recovery and reduce sequela. Li li, director of the physician is the fifth batch of old Chinese medicine expert academic experience inheritance guidance teacher who engaged in more than 30 years with enrich clinical experience, has profound attainments in traditional Chinese medicine treatment of ischemic stroke.I learned from her as a successor to summary the academic thought of how to treat the acute phase of ischemic stroke with clinical research,and to raise the level of traditional Chinese medicine treatment of ischemic stroke.Objective:Summary the academic thoughts and clinical experience of tutor for the treatment of the acute phase of ischemic stroke,observe the clinical curative effect of the remove heat and dredge vein soup for early treatment of ischemic stroke,test and summary the clinlcal experience of the tutor furtherly.MethodsTheoretical research part Through a variety of forms such as clinical study,summarize the clinical data and listening to the tutor, I learning about stroke of all previous dynasties Chinese medicine literature, and traces the tutor academic origin, refer to the modern medical theory, summarize the tutor's academic thoughts and clinical experience for etiology and pathogenesis, therapeutic principle and the formulas in the acute phase of drug characteristics of acute phase of ischemic stroke, induction, extracting mentor for ischemic stroke.Clinical research part There are 80 cases accord with the standard of ischemic stoke,divide them into treatment group and control group meanly.Both of them are given basic western treatment,when treatment group is also given the remove heat and dredge vein soup.The period is 28 days.To observe clinical curative effect and TCM syndrome before and after the treatment.To mark the defected neural function with the national institutes of health stroke scale(NIHSS) and daily living ability after stroke(Barthel index),and observe the adverse reactions.ResultsTheoretical research part 1.Academic origin: Mentor deck Qi Huang, zhong-jing classical theory, follow the sun simiao in tang dynasty, and the dollar a subject such as Ming and qing dynasties Liu Wansu, by streams, Miao Zhong Chun, Fei Bo Xiong, Ye Tianshi all say, inheriting predecessors' fiery chih-chung attaches great importance to the disorder of viscera, qi inverse chaos, alternating knot factors such as phlegm and blood stasis on the pathogenesis of ischemic stroke in the process of role theory, combined with modern research and the development and innovation.2.The teacher treat academic thoughts and clinical experience in the acute phase of ischemic stroke sorting and research.Include:(1) analysis of mentor to ischemic stroke, etiology and pathogenesis of insights.(1)The place of ischemic stroke disease is in the brain, its onset is due to internal damage, dysfunction, produce the wind fire, phlegm and blood stasis lead to cerebral vein bizu, further aggravate the brain damage, affects brain function caused by god.(2)The phlegm and blood stasis is the basic pathogenesis of ischemic stroke, and throughout the course of the disease.Ischemic stroke are mostly in cerebral atherosclerosis and stenosis and carotid atherosclerosis plaque formation or the basis of carotid stenosis and cerebral atherosclerosis and carotid atherosclerotic plaque formation, blood relation belongs to the endogenous remove lump accumulation caused by "pulse", on the basis of plaque rupture or fall off, lead to thrombosis, blocking cerebral arteries and cause ischemic infarction in the brain tissue.Therefore, in terms of etiology and pathogenesis, phlegm and blood stasis knot in each pulse deposition is the basic pathogenesis of ischemic stroke, and throughout the course of the disease.(3)Hot chih-chung is the pathogenesis of acute ischemic stroke. Because the disorder of viscera, qi-blood operation impeded, endogenous phlegm and blood stasis, cementing attached to the reef, affect blood flow, the lack of fire can be the wind. Heat wind, the wind fire disturbance in the context of the bizu brain, phlegm and blood stasis and further injury of the brain, affects brain god, the disease and stroke. After the onset of ischemic stroke due to cerebral arteries and veins, qi and blood, phlegm, blood stasis, ease, such as water, gas and fire wind, aggravating further damage to the brain, brain god, so hot chih-chung is the pathogenesis of acute ischemic stroke. After the occurrence of acute ischemic stroke, due to the qi, phlegm and blood stasis, endogenous and depressive and fire; After the occurrence of ischemic stroke, brain vein impassability, body fluid, and can produce water wet, water stasis knot in the brain, the formation of local brain edema. Due to ischemic stroke is on the basis of long-term mutual junction phlegm and blood stasis, hot, inside heat wind, disturbance bizu cerebral arteries and veins, phlegm and blood stasis injury of the brain, brain god and acute onset, for the wind fire, etc. The result of the interaction with phlegm and blood stasis.(2)Tutor experience for the treatment of acute ischemic stroke.(1)Mentor overall therapeutic principle for the treatment of acute ischemic stroke. Acute phase of ischemic stroke treatment when qing hot first, with a sudden and clear and the evil, lowering Xi Feng, huoxue phlegm t2 dm is its fundamental law, And pay attention to the soft firm fights And depending on the real fire, the production of body fluid, as well as part of the brain is formed after the patient is sick in the inland waters stasis junction, the characteristics of each, respectively, give corresponding clinical treatment.(2)Mentor common experience for the treatment of acute ischemic stroke. The remove heat and dredge vein soup(composition:honeysuckle,chrysanthemum,bile south star, tianzhu yellow,scorpion,centipede,batryticated silkworm,earthworm,leech,oysters,salvia miltiorrhiza,rhizoma zedoariae,wine rhubarb,paulswort grass,sweet attached)to treat the ischemic stroke acute phase interference, phlegm and blood stasis resistance network card in the fire;yuyin xifeng and dredge vein soup(composition:vinegar turtle version, vinegar turtle shell, root of herbaceous peony, radix rehmanniae, uncaria, rhizoma anemarrhenae, raw oysters, gastrodia, earthworm, radix achyranthis bidentatae, cortex moutan, salvia miltiorrhiza,dried tangerine or orange peel)to treat acute ischemic stroke of Yin deficiency wind, phlegm and blood stasis resistance collaterals syndrome;Ziyin huoxue lishui soup(composition:Rehmannia glutinosa, medlar, jade bamboo, turtle shell(fried) first, radix cyathulae, notoginseng, leech powder, alisma, ze lan, betel nut, rhubarb, cassia twig, dried tangerine or orange peel)to treat ischemic stroke acute phase of liver and kidney Yin deficiency, blood stasis water dampness stagnation syndrome.(3)The characteristics of tutor treat the ischemic stroke acute phase characteristics. There are skilled at using drugs of the medicinal characteristics and clever compatibility to recuperate, pay attention to protect the spleen and stomach, and attaches great importance to the inner parts and make free with insect medicine, attaches great importance to the early application of the centralizer, etc. So, form the treatment of ischemic stroke acute phase full of France medicine system.Clinical research part After treatment,clinical efficacy,TCM syndrome curative effect,the reduce of NIHSS score,and the improvement of Barthel index are better than control group(P<0.05,P<0.01).Conclusion:Li li, director of the physician to inherit the traditional Chinese medicine theory, combined with modern medicine's understanding, proposed ischemic stroke in the brain, phlegm and blood stasis and each time which creates a "product" of arteries and veins, within the blood is the basic pathogenesis of ischemic stroke into a disease, because of the hot wind, phlegm and blood stasis bizu cerebral vein, or to the brain in the inland waters stasis knot, cause brain damage, cause brain dysfunction and sudden onset of ischemic stroke acute phase god all CARDS. This is the traditional succession and development of the "hot" said. So, lowering Xi Feng, huoxue phlegm solution of t2 dm, pay attention to the soft firm product, stick to the acute phase of ischemic stroke disease pathogenesis, the precise positioning, qualitative ", more relevant to clinical practice. Through clinical study also found that early application functions of t2 dm soup treatment of ischemic stroke, can significantly improve the clinical curative effect, Chinese medicine syndrome curative effect, help to promote the recovery of neural function in patients with, improve nerve function defect symptoms and improve the ability of daily life activities, and the indicators are better than the control group. Li li, director of the physician to treat the acute phase of ischemic stroke academic ideas, developing and perfecting the theory of Chinese medicine on etiology and pathogenesis of ischemic stroke, form a complete system of French drug, broadening the ways and means of treatment of ischemic stroke, raised the level of Chinese medicine in the treatment of ischemic stroke and the treatment effect.