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[Origin and development of hemorrhagic stroke]
Guo-Qing Zheng1, Pei-Xin Huang
1Department of Neurology, the second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325027, China.
Zhonghua Yi Shi Za Zhi (Beijing, China : 1980)
|March 17, 2005
Summary
This study traces the evolution of understanding hemorrhagic stroke in Traditional Chinese Medicine (TCM). It highlights shifts in pathogenesis theories and therapeutic strategies for this critical condition.
Area of Science:
- Traditional Chinese Medicine (TCM)
- Neurology
- Medical History
Background:
- Hemorrhagic stroke classification evolved, with formal inclusion in TCM standards in 1997.
- Early TCM pathogenesis focused on liver yang, wind, and heat imbalances.
- Later theories linked pathogenesis to spleen and stomach dysfunction, affecting qi and blood flow.
Purpose of the Study:
- To comprehensively review the historical development of hemorrhagic stroke concepts in TCM.
- To analyze the changing perspectives on etiopathogenesis and therapeutic principles.
- To document the progression of treatment methodologies for hemorrhagic stroke.
Main Methods:
- Historical literature review of TCM texts and research.
- Analysis of evolving diagnostic and etiological frameworks.
- Examination of therapeutic principles and methods over different eras.
Main Results:
- Pathogenesis concepts shifted from liver-centric to spleen/stomach involvement and finally to blood stasis.
- Therapeutic strategies evolved from subduing liver yang to promoting blood circulation and incorporating new approaches.
- Recent developments include theories on endogenous toxins, qi and blood support, and refined differential diagnosis.
Conclusions:
- TCM understanding of hemorrhagic stroke has significantly evolved, reflecting a deeper comprehension of its complex pathogenesis.
- Modern TCM offers diverse and refined therapeutic strategies for hemorrhagic stroke management.
- Continued research in TCM provides valuable insights for treating hemorrhagic stroke.