王新志教授治疗混合性中风经验

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王新志教授是首届国家岐黄学者,第五批全国老中医药专家学术经验继承工作指导老师,全国优秀中医临床人才,仲景国医导师,河南省首届名中医,河南省优秀专家.中风对应西医学中的脑卒中,包括缺血性卒中和出血性卒中,已逐渐成为我国第二大致死病因,脑脉闭阻、血溢脑脉之外分别与之对应,在临床皆是数一数二的急症重症,两者兼而并见在临床中不在少数,且病势急迫,病情危重,两者之间可互相影响,相互转化,具有多变性.王新志教授指出:无论出血性或是缺血性中风,无外乎风火痰瘀虚六端,缺血性为脉内血瘀,出血性为脑脉外血瘀,皆是血瘀的存在,瘀血、血虚、风火痰邪三者之间互为因果,如此恶性循环.王新志教授认为:治疗方面虽是一个矛盾体,但不宜割裂开来,见瘀化瘀,见溢止溢,两者是辨证的对立统一.辨证论治、分期治疗是治疗这类怪病的精髓.瘀血有新旧之分,新血选用具有化瘀与止血双向作用的中药,慎用破血通络峻猛之品;旧血多用活血利水类中药,酌情选用破血通络之品;久病多虚需扶正以祛邪,多重视藤类药的使用.通过总结并传承名老中医经验,为临床选药、用药提供参考,为中医传承贡献力量.
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