出血性中风病机再认识

出血性中风在发病前既已形成瘀血阻滞、脉道不利的病理基础，并贯穿疾病全程。自脑脉破裂、血溢脉外后，出现瘀停脉外、神机失用，内风旋动、风火相煽，血行不畅、痰水形成，诸邪化毒、损伤脑髓等一系列急性期病机变化。恢复期和后遗症期则以精亏髓减、正虚邪藏为病机，不及时医治则有痴呆及复中风风险。

The Recognition of TCM Pathogenesis on Hemorrhagic Stroke

Blood stagnancy and unsmooth vessels are the basis of traditional Chinese medicine（TCM） pathology for hemorrhagic stroke, which was formed before access of the disease and throughout the disease course. After cerebral vein rupture and blood over-flowing pulse,a series of pathogenesis in acute stage were appeared in succession. Firstly,the bleeding from brain vessels leads to the blockage of brain vessels. Secondly, the endogenous wind rotation leads to fire and wind evils stir up each other. Thirdly, abnormal metabolism of body fluid distribution dues to the formation of phlegm and water. Fourthly, the brain is injuried by toxic evil produced from pathogenic factors. The pathogenesis in recovery and sequel period are focus on the deficiency of essence and health qi and the sthenia of evil qi. It will be dementia and double stroke if not be treated immediately.