世界中医药

作者	单位
王洪海，吴兵兵，周德生，胡华，陈瑶，刘利娟，李中	湖南中医药大学第一附属医院神经内科，长沙，410007

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中文摘要:

作者基于近30年来中医药治疗缺血性脑血管疾病取得的成就，从理论、实验模型、治疗等方面分别概述其研究进展。虽然中医药治疗缺血性脑血管病收获颇丰，但仍然存在一定研究误区与不足，主要表现在四个方面：病因病机认识不统一、临证重辨病轻辨证、临床运用微观指标特异性不大、临床科研设计不足。作者指出其出路在于掌握现代医学，熟读中医经典；应用现代辅助检查，提高诊断准确率；采用中医综合治疗，突出中医优势；正确运用科研方法，提高临床科研水平。中医药治疗缺血性脑血管疾病的临床研究，需结合现代科学理论、技术、方法，不断加以深化和提高，以提高中医药防治缺血性脑血管疾病的水平。

English Summary:

Based on nearly 30 years’ achievement of the author in Chinese medicine theory, experimental model and treatment, this passage summarized the treatment of ischemic cerebral vascular disease and research progress. Though Chinese medicine treatment of the disease has made prominent progress, there are still some pitfalls and misunderstandings, which are mainly manifested as the differences in etiology and pathology understanding, less recognition in syndrome differentiation compared with disease diagnosis, minor differentiation in micro index specificity, limitation in clinical research design. The author pointed out the solutions are to master the modern medicine, to get familiar with the classics of traditional Chinese medicine, to apply modern auxiliary examination so as to improve the accuracy of diagnosis, and to use comprehensive treatment of TCM, highlighting the advantages of Chinese medicine as well as to improve some scientific research methods to elevate the clinical research. The clinical research on the treatment of ischemic cerebral vascular disease with Chinese medicine should be combined with modern scientific theory, technology and methods. It is also necessary to constantly develop the treatment so as to improve the standard of Chinese medicine in preventing and treating ischemic cerebral vascular disease.

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