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中风后可以长期吃活血化瘀的中成药吗 易宣超 湖南中医药大学第二附属医院(湖南省中医院) 中风后不可以长期吃活血化瘀的中成药,应在医生的指导下合理使用。中风后很多患者口服一些中成药来防治疾病,如大活络胶囊、华佗再造丸等,这些药物有祛风除湿、活血通络的作用,但是长期吃并不是很合适,因为中风多为内风导致气血逆乱所致,中药要使用平息内风的药物,外风也可以导致中风的发生,但是一般比例较少,病情较轻,不管内风还是外风所致,经络阻滞都是确定的,口服大活络胶囊、华佗再造丸等中成药,可以起到一定通络的作用,但是长期口服可能药不对症,因为后期往往正气亏虚、邪气久留经络,病情虚实夹杂,中药要一方面补助正气,一方面祛邪通络,中成药不是针对每个具体的病人,是某一类病人,故其治疗作用也有限,再加上目前针对中风的中医药临床研究还没有大规模的,随机对照研究的结论可供推荐,故不推荐长期口服大活络胶囊、华佗再造丸等。还要注意一些活血化瘀的中成药,如果长期口服甚至会产生一些出血的表现,因为长期单纯行气活血可以耗气,气虚以后气不摄血,血管里的血可以溢出脉外而成瘀,长期口服某种中成药来预防中风的再发是不可取的,但是也可以根据临床实际情况灵活选用对症的药物。 Can you take Chinese patent medicine for promoting blood circulation and removing blood stasis for a long time after stroke After a stroke, you can't take the Chinese patent medicine of promoting blood circulation and removing blood stasis for a long time, It should be used reasonably under the guidance of doctors. After stroke, many patients take some traditional Chinese medicine to prevent and treat diseases, For example, Dahuoluo capsule, huatuozaiban, etc, These drugs have the functions of dispelling wind and removing dampness, promoting blood circulation and unblocking collaterals, But long term eating is not very suitable, Because most strokes are caused by the internal wind leading to the disorder of Qi and blood, Traditional Chinese medicine should use drugs to calm the internal wind, External wind can also lead to stroke, But the proportion is generally small, The condition is mild, Whether caused by internal or external wind, Meridians block is certain, Oral administration of Dahuoluo capsule, huatuozaiban and other Chinese patent medicines, It can play a role in connecting the collaterals, But the long-term oral medication may not be right, Because in the later period, the positive Qi is often deficient and the evil Qi stays in meridians for a long time, The disease is mixed with deficiency and excess, On the one hand, traditional Chinese medicine should subsidize healthy qi, On the one hand, it can dispel pathogenic factors and dredge collaterals, Chinese patent medicine is not for every specific patient, It's a certain kind of patient, Therefore, its therapeutic effect is limited, In addition, there is no large-scale clinical research on stroke, The conclusions of the randomized controlled study can be recommended, Therefore, it is not recommended to take Dahuoluo capsule and Huatuozaizao pill for a long time. We should also pay attention to some Chinese patent medicines for promoting blood circulation and removing blood stasis, If you take it orally for a long time, you may even have some bleeding, Because for a long time, Qi and blood circulation alone can consume Qi, After Qi deficiency, Qi does not take blood, Blood in the blood vessels can overflow and become stasis, It is not advisable to take some Chinese patent medicine orally for a long time to prevent the recurrence of stroke, But we can also choose the right drugs according to the actual clinical situation.