杨沛群治疗缺血性中风后遗症经验介绍

Introduction to YANG Peiqun's Experience in Treating Sequelae of Ischemic Stroke

摘要:

介绍杨沛群教授治疗缺血性中风后遗症的临床经验。杨沛群教授认为，缺血性中风后遗症的核心病机为本虚标实，以肾虚髓亏、气血两虚为发病之基，以瘀血阻络、痰浊蒙蔽为致病之标。在治疗上主张“以经方立根基，以时方作化裁”，强调寒温并施、攻补兼顾，临证尤擅配伍虫类药以搜剔络脉，独到地运用“仲景三方”（抵当汤、桂枝茯苓丸、桂枝葛根汤） 辨治颈动脉狭窄及消融斑块，从而改善中风后遗症的病理基础并降低其复发风险。

Abstract:

Abstract： This paper introduces Professor YANG Peiqun's clinical experience in treating sequelae of ischemic stroke. Professor YANG posits that the core pathogenesis of this condition is deficiency in root and excess in manifestation， deficiency of kidney essence and depletion of the marrow sea， as well as deficiency of qi and blood， constitute the fundamental basis of the disease， while blood stasis obstructing the collaterals and phlegm turbidity clouding the orifices serve as the pathological manifestations. In terms of treatment， he advocates "taking classical formulas as the structural foundation and flexible prescriptions as the functional application， " emphasizing the simultaneous administration of cold and warm medicinals as well as simultaneous application of purging and nourishing therapeutics. He is particularly adept at employing insect-based medicinals to expel and remove pathogens within the collaterals. Furthermore， he innovatively applies the "Three Zhongjing Formulas" （Didang Decoction， Guizhi Fuling Pills，Guizhi Gegen Decoction） for the differentiation and treatment of carotid artery stenosis and plaque dissolution， thereby improving the pathological basis of sequelae of ischemic stroke and reducing the risk of recurrence.