摘要
虚为脑卒中发病之本,风、火、痰、瘀等为其病理因素,气机逆乱为脑卒中发生的主要诱因,亦是胃肠功能障碍的重要影响因素,脑与胃肠在生理病理上相互联系、相互影响。历代医家关于脑卒中的病因病机及预后的研究颇多,但是对脑卒中胃肠功能障碍的发病机理探讨较少,治疗方面大多只是针对胃肠功能障碍的临床表现对症治疗。西医多从脑-肠轴及肠道微生态方面探讨二者之间的联系,治疗也多采用抑酸护胃、促进胃肠动力、调节肠道菌群等支持疗法。今后,应从中医相关病因病机方面探讨二者之间的联系,寻求规范的中医治疗思路与方法,充分发挥中医药疗法的优势。
Deficiency is the root cause of cerebral apoplexy;Wind,fire,phlegm and blood stasis are the pathological factors;qi disorder is the main inducement,and also an important influencing factor of gastrointestinal dysfunction.Brain and gastrointestinal physiology and pathology are interrelated and influence each other.There are a lot of researches on the etiology,pathogenesis and prognosis of cerebral apoplexy,but there are few ones on the pathogenesis of gastrointestinal dysfunction in it.Most of the treatments are symptomatic treatment for the clinical manifestations of gastrointestinal dysfunction.Western medicine mainly focuses the relationship between brain-gut axis and intestinal microecology,and adopts supportive therapy such as inhibiting acid and protecting stomach,promoting gastrointestinal motility and regulating intestinal flora.In the future,the relationship between them should be discussed from the aspects of etiology and pathogenesis of TCM,and the standardized thinking and methods of TCM treatment should be sought,and the advantages of TCM therapy should be fully exerted.
作者
汪志伟
段军
侯文肖
陈晴晴
WANG Zhi-wei;DUAN Jun;HOU Wen-xiao;CHEN Qing-qing(Beijing University of Chinese Medicine,Beijing,China,100029;China-Japan Friendship Hospital,Beijing,China,100029)
出处
《河南中医》
2021年第5期684-687,共4页
Henan Traditional Chinese Medicine
基金
北京协和医学院学科建设项目外科重症医学科(SICU)学科建设项目(xhxk201904)。
关键词
脑卒中
胃肠功能障碍
病因病机
cerebral apoplexy
gastrointestinal dysfunction
etiology and pathogenesis
