重症急性脑损伤“颅脑水瘀”源流及临床应用探讨

Exploration of Origin and Clinical Application of "Craniocerebral Fluid-Stasis" in Severe Acute Brain Injury

摘要:

笔者通过梳理先秦至明清时期“血水同病”理论的发展脉络，并回顾“颅脑水瘀”理论在中医脑病的临床应用与基础研究进展，结合现代医学对重症急性脑损伤后“脑水肿-颅内高压-脑疝形成”的关键病理变化，认为基于“颅脑水瘀”理论，应用活血利水法治疗重症急性脑损伤，可为临床提供新的治疗思路。

Abstract:

Abstract：By tracing the development of the "blood-fluid co-disease" theory from the pre-Qin period to the Ming and Qing dynasties， and reviewing the clinical application and fundamental research progress of the "craniocerebral fluid-stasis" theory in traditional Chinese medicine for treating brain disorders， combined with modern medical understanding of the key pathological changes of "cerebral edema-intracranial hypertension-herniation formation" after severe acute brain injury，the authors propose that applying the principle of promoting blood circulation and dispelling fluid retention based on the "craniocerebral fluid-stasis" theory can offer a new therapeutic approach for managing severe acute brain injury in clinical practice.