The disease belongs to internal medicine.
3 disease overview blood stasis syndrome is a general term for many diseases caused by poor blood circulation, blood stasis block, menstrual blood stagnation, or long-term illness entering the collaterals. The main clinical manifestations are pain fixation, ecchymosis, lump, bleeding and nail dislocation. In western medicine, coronary heart disease, pulmonary heart disease, hepatosplenomegaly, rheumatoid arthritis, tumor, liver cirrhosis and so on. When they show symptoms of bleeding and blood stasis, they can all be treated according to this syndrome.
4 diagnostic points 1, clinical symptoms and signs:
① Pain: tingling, fixation, refusal to press, and long-term non-healing;
② ecchymosis: ecchymosis (spot) on skin or tongue;
③ Syndrome accumulation and lump: tangible, hard and fixed, or refusing to press tenderness, with local bruising and swelling in trauma; ④ Bleeding: dark purple or lump, or black stool, or repeated bleeding; ⑤ General manifestations: yellow hair and falling off, dull complexion, wrong nails, blue and dark lower eyelids, purple bloodshot eyes, dark gums, red stripes on chest and neck, full abdomen or exposed veins, joint deformation, swelling and pain, cyanosis of lips and toes, varicose veins of lower limbs. ⑥ Tongue pulse: the tongue is dull, bluish, with ecchymosis (spots), and the sublingual collaterals are full of vitality. The pulse is astringent or knotted.
2, medical history and treatment history:
(1) medical history should focus on the closely related disease history such as trauma, bleeding and menstrual pregnancy before the onset, because these are easy to lead to the formation of blood stasis syndrome;
② Sometimes the signs of blood stasis syndrome are not obvious, but there is a history of repeated use of other drugs and ineffective treatment, which can be considered from the perspective of "long-term illness entering the collaterals".
3. The hemorheological examination showed abnormal manifestations such as thickening, stickiness, coagulation and aggregation.
5 Dialectical analysis shows that blood stasis is mostly caused by trauma or feeling exogenous evil, various bleeding, emotional internal injury, chronic illness, deficiency of yang, etc., which affects the normal function of qi and blood, makes blood run poorly, and even causes blood stasis. Because blood stasis is a pathological product, it can cause a series of pathological changes, so various symptoms can appear in clinic. Clinically, we should pay attention to distinguish between cold and heat deficiency and excess. Blood stasis of heat syndrome is mainly caused by diseases such as heat pathogen and warm toxin; Blood stasis of cold syndrome is mainly caused by feeling cold evil, which is more common in blood vessels and meridians of limbs. Simple blood stasis syndrome and qi stagnation and blood stasis generally belong to the empirical category; Diseases and syndromes caused by qi deficiency, body fluid deficiency, and yang deficiency, as well as blood stasis syndrome in which qi is consumed and both qi and blood and yin and yang are deficient, belong to deficiency syndrome. But strictly speaking, the deficiency syndrome of blood stasis syndrome belongs to the disease of deficiency and excess, which refers to the deficiency of both qi and blood and yin and yang, and actually refers to blood stasis block. Promoting blood circulation and removing blood stasis is the basic principle of treating blood stasis syndrome. Those with blood stasis and other pathogenic factors or lesions need to cooperate with other treatments. If blood stasis is a deficiency syndrome, it should be combined with therapies such as invigorating qi, nourishing blood, nourishing yin or warming yang.
6. Syndrome differentiation and treatment 6. 1 excess blood stasis syndrome
processing method
Herbs on the prescription
1, the main prescription: Qingwen Baidu Drink (the other prescription of epidemic rash), and the modified prescription: 20g of Radix Rehmanniae, 30g of buffalo horn and gypsum, Rhizoma Coptidis, Gardenia, Scutellariae Radix, Rhizoma Anemarrhenae, Cortex Moutan 12g, Radix Paeoniae Rubra, Fructus Forsythiae, Radix Scrophulariae 15g, and two salvia miltiorrhiza. Decoct with water.
2, Chinese patent medicine Maodongqing injection, 2 ml each time, 65438+ 0 ~ 2 times a day, intramuscular injection.
6.2 cold coagulation and blood stasis syndrome
processing method
Herbs on the prescription
1, the main prescription: Danggui Sini Decoction (Treatise on Febrile Diseases by Zhang Zhongjing), plus or minus prescriptions: Danggui 12g, Paeonia lactiflora 15g, Guizhi 12g, Asari 15g, Akebia Akebia, Radix Aconiti Kusnezoffii Preparata/kloc. Decoct with water.
2. Ligustrazine injection, 2ml each time, daily 1 time, intramuscular injection.
6.3 Qi stagnation and blood stasis syndrome
Abdominal distension and tingling in the head, face, chest ribs or epiglottis, numbness of limbs, swelling and deformation of joints, impatience, or lump, palpitation, alopecia, deafness and aphasia, dizziness and forgetfulness. The tongue is dark purple or ecchymosis, and the pulse is astringent. processing method
Herbs on the prescription
1, the main prescription: Xuefu Zhuyu Decoction (corrected by Wang Qingren Yilin), and the addition and subtraction prescriptions: angelica, Paeonia Rubra, peach kernel and Radix Curcumae each 12g, safflower, Bupleurum, Fructus Aurantii, Chuanxiong each 10g, Eupolyphaga Seu Steleophaga and Radix Curcumae each 9g, and Radix Rehmanniae and Radix Achyranthis Bidentatae each 65430g. Decoct with water.
2. Chinese patent medicine
⑴
⑵ Compound Danshen tablets, 4 tablets each time, 3 times a day. Wuling Zhitong Capsules, 1 ~ 2 capsules each time, twice a day. Regulating qi, promoting blood circulation and removing blood stasis. Local or systemic pain, immobility, or dark purple skin, cold limbs, warming meridians, dredging collaterals and removing blood stasis. The pain is slightly mild. The tongue is purple and dark, and the pulse is heavy and astringent. The skin is spotted, the color is purple and dark, or there is nosebleed, and the body is dizzy. Red tongue or clearing away heat and toxic materials, cooling blood and removing blood stasis. Deep purple, thready pulse.
6.4 See Qi Deficiency and Blood Stasis Syndrome
processing method
Herbs on the prescription
1, the main prescription: Buyanghuanwu Decoction (Wang Qingren Yilingaicuo): 20g of Radix Astragali, 20g of Radix Angelicae Sinensis and Radix Paeoniae Rubra 12g, 0g of Rhizoma Chuanxiong 10g of Semen Persicae, Flos Carthami, Lumbricus 10g of Radix Achyranthis Bidentatae 15g. Decoct with water. For patients with yang deficiency, add cooked Radix Aconiti Lateralis Preparata 12g, Cortex Cinnamomi 6g, and Zingiberis Rhizoma 10g. For patients with yin deficiency, Radix Rehmanniae and Rhizoma Polygonati Odorati 15g are added. For patients with blood deficiency, Radix Salviae Miltiorrhizae 15g and Caulis Spatholobi 30g are added.
2, Chinese patent medicine Dantian Jiangzhi tablets, 2 grams each time, 3 times a day. Shortness of breath, palpitation, dizziness, chest tightness, lack of food and weakness, abdominal distension and fullness. Pain, or accumulation, or limb hemiplegia. The tongue is purple or ecchymosis, and the pulse is thin, slow and astringent. Other therapies
Niaoduqing Granule, a Chinese patent medicine for treating blood stasis syndrome, pinyin: nià odú q and ngkē li English: Niaoduqing Granule Description: Drug name: Niaoduqing Granule Classification: Chinese medicine for urinary system. ...
Gu Tong Gao Pinyin: gǔtōngtiēgāo English: Gu Tong Gao Description: Drug name: Gu Tong Gao Formula: Rubber paste: each paste is 7cm× 1. ...
Brain ann capsule, Tian Ju. Indications: calming liver, calming wind, promoting blood circulation and removing blood stasis. It is used for migraine with liver wind and blood stasis syndrome. Administration and dosage: oral. Five tablets at a time, three times a day. ...
He Dan Tablets and Indications: Eliminating phlegm and turbidity, promoting blood circulation and removing blood stasis. It is used for hyperlipidemia with phlegm and blood stasis. Administration and dosage: oral. Five sugar-coated tablets at a time ...
Xuemeian capsule, cooling blood and promoting blood circulation. It can be used for treating primary thrombocytopenic purpura caused by blood-heat injury and yin-blood stasis, with the symptoms of cutaneous purpura, epistaxis, epistaxis, menorrhagia, thirst, ...
More Chinese patent medicines for treating blood stasis syndrome
Shenrong Yishen Capsule, a medicine related to blood stasis syndrome, is commonly known as Shenrong Yishen Capsule in Chinese Pinyin. Its composition, properties and functions are mainly used for strengthening body resistance, invigorating kidney and spleen, promoting blood circulation and dredging collaterals. ...
Common name of Wenjing Zhitong Plaster: Wenjing Zhitong Plaster Chinese Pinyin: Composition, properties and functions are mainly used for warming meridians, dispelling cold, removing blood stasis and relieving pain. Used for condensing gas evolution. ...
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Blood stasis syndrome in the ancient book Zhang Yitong: [Volume 87 prompts] External resistance leads to stagnation. After going, use some medicine to eliminate its roots. Oral and serum fire extinguishing agents. Lung stasis syndrome starts from the big one. Through the air wheel. Such as rubber bands crossed with wind wheels. What's more, it also covers the pupil god. ...
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Western medical experience: [5. Medical record (7) Physical pain] 4. Low back pain is rare, because there are many people with blood stasis, especially those with low back pain because of overwork. Ceng Zhi's back ached after loading, so he divided it into three parts: Panax notoginseng and Eupolyphaga sinensis. ...
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