血瘀证和活血化瘀治疗临床研究17672(ppt).ppt

血瘀证和活血化瘀治疗临床研究Clinical Research on Blood-stasis Syndrome (BSS) and Activating-blood- circulation (ABC) Treatment  本文由：黄道益活络油   网址： BSS, Xue Yu Zheng Oketsu Syndrome Eohyul (血流不畅，血液淤滞的一种证候） 具有中国传统医学特色的一种综合征诊断 国际传统医学界认同 涉及病种多,临床实践指导意义大 多种病可归入血瘀证范畴(1)Many kinds of modern diseases and/or their clinical manifestations could be diagnosed within BSS category 心血管系统：冠心病心绞痛，急性心肌梗死，风湿性心脏病，心力衰竭，各类脉管炎等 神经精神系统：脑中风，脑外伤，慢性头痛，震颤麻痹，周围神经疾病，精神分裂症 血液系统疾病：真性红细胞增多症，紫癜，再障，弥漫性血管内凝血，高粘血症等 消化系统：溃疡病，胃炎，消化道出血，慢性肝炎，肝纤维化 呼吸系统：慢性阻塞性肺疾病，高原反应等 泌尿系统：急慢性肾炎，血尿等 免疫系统：硬皮病，红斑狼疮，类风湿性关节炎，荨麻疹，血管神经性水肿等 多种病可归入血瘀证范畴(2)Many kinds of modern diseases and/or their clinical manifestations could be diagnosed within BSS category 代谢系统：高脂血症，糖尿病神经血管并发症等 结缔组织系统：灼伤及外伤性皮肤瘢痕，角膜瘢痕等 妇产科：功能性子宫出血，痛经，子宫内膜异位症，宫外孕，盆腔炎，子宫肌瘤等 儿科：新生儿硬肿症，肝炎及紫癜等 皮肤科：红斑结节类病，色素沉着性病，酒糟鼻 眼科：视网膜血管阻塞病，眼部免疫病及退行性病 口腔及耳鼻喉科：三叉神经痛，突发性聋等 骨科：骨折等 外科：部分急腹症等 肿瘤科：血管瘤，肝癌等 器官移植：排异反应等 中国传统医学特色诊断：血瘀证Chinese Medicine Features’ Diagnosis-BSS 久病多瘀（慢瘀） 温热病重症必瘀（热瘀） 创伤外症多瘀（伤瘀） 急症多瘀（急瘀） 老年多瘀（老瘀） 寒凝致瘀（寒瘀） 紫舌无症状（潜瘀,前瘀） 主要依据  Blood and vessels stasis 血脉凝泣Evil blood 恶血Retained blood 留血Vascular obstruction 脉不通Injured blood stasis 损伤瘀血Blood-stasis due to accumulated cold 寒凝瘀血Blood-stasis due to anger 大怒瘀血 血瘀证的经典概念(2) Classical Concepts of BSS “Stagnation blood accumulated in certain channel or organ” “Many chronic diseases could have blood-collateral disturbances” (“久病入络”) “Although there were many causes of diseases, they fell mainly into two groups: disturbances Qi and Xue (blood). There were strong and weak Qi, and there were the anemic and congealed blood (stasis)”. Dr. Wang listed fifty more diseases due to BSS in his book.（“治病之要决在于明气血，气有虚实，血有亏瘀”） 十纲辨证(Diferentiation with ten principle syndromes) + 气血辨证 气虚、气陷、气滞、气逆 血虚、血瘀、血热 气滞血瘀、气虚血瘀、气血两虚 气虚失血、气随血脱、痰瘀互结 血瘀证基本诊断条件(1) Fundamental conditions for BSS diagnosis 血瘀证基本诊断条件(2)Fundamental conditions for BSS