文档介绍：2012 年 7 月 1 日第 7 期中医学报第 27 卷总第 170 期
No. 7 1 Jul. 2012 CHINA JOURNAL OF CHINESE MEDICINE Vol. 27 Serial No. 170
缺血性脑卒中 269 例中医辨证分型研究*
269 Cases of TCM Zheng Differentiation-Classification Research on Cerebral Ischemic Stroke
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植昌嘉 Zhi Changjia 黄大红 Huang Dahong 张念希 Zhang Nianxi 陈浦 Chen Pu 蔡灵波 Cai Lingbo 陈钦培 Chen Qinpei
韶关市中医院康复科,广东韶关 512026
Rehabilitation Department of Shaoguan Country Traditional Chinese Medicine Hospital,Shaoguan,Guangdong,China 512026
摘要目的探讨广东韶关地区缺血性脑卒中患者中医证型特点,为缺血性脑卒中中医针灸辨证取穴提供依据。方法将 269
例我院门诊及住院部确诊为缺血性脑卒中患者按照中医四诊收集患者信息和中医证型资料进行中医辨证分型并分析各型所
占比例。结果韶关地区缺血性脑卒中中医证型特点有一定规律。急性期以中经络为主,其中痰热腑实证最多恢复期及后
遗症期以中经络为主,且均以气虚血瘀证多见。结论韶关地区缺血性脑卒中患者急性期以痰热腑实证为主,恢复期及后遗
症期以气虚血瘀证为主。针灸治疗应根据其证型,辨证取穴。
Abstract Objective To study the distribution features of TCM symptom of cerebral ischemic stroke in Shaoguan. For ischemic stroke
TCM acupuncture differentiation location provides the basis. Methods Analyze the proportion of 269 cases with cerebral ischemic stroke
according to four diagnostic methods and pattern of syndrome. Results Pattern of syndrome of cerebral ischemic stroke in Shaoguan has
a certain rule. Acute phase mainly shows apoplexy involving both collateral and meridian,especially Tanrefushi syndrome. Convales-
cence and sequelae phase mainly show apoplexy involving both collateral and meridian,especially qi asthenia and blood stasis.