Specific drugs for treating cerebral thrombosis

Cerebral thrombosis is a disease that often occurs in the elderly. Many elderly people will suffer from cerebral thrombosis. After suffering from this disease, they can generally be treated with surgery and drug treatment. Drug treatment is the most commonly used, and doctors also recommend this method most, which can play a good control role in cerebral thrombosis. So what are the specific drugs for treating cerebral thrombosis?

The best medicine for treating cerebral thrombosis

Tools/Raw Materials

Causes and pathogenesis of cerebral thrombosis

Clinical manifestations of cerebral thrombosis

Clinical types of cerebral thrombosis

Diagnosis and differential diagnosis of cerebral thrombosis

Treatment of cerebral thrombosis

Methods/Steps

1

Etiology and pathogenesis

Atherosclerosis and hypertensive arteriosclerosis are the most common causes. As atherosclerotic plaques rupture or form ulcers, platelets, other formed elements in the blood and cellulose adhere to the rough intima of the damaged artery to form a mural thrombus; under the influence of decreased blood pressure, slow blood flow, reduced blood volume, increased blood viscosity and vascular spasm, the thrombus gradually increases in size, eventually leading to complete occlusion of the arterial lumen. Diabetes, hyperlipidemia, hyperviscosity and hypertension can all accelerate the development of cerebral atherosclerosis. Because atherosclerosis affects the branches and bends of large blood vessels, cerebral thrombosis often occurs in the common carotid artery, internal carotid artery, lower segment of basilar artery, main trunk of middle cerebral artery, vertebral-basilar junction, posterior cerebral artery and anterior cerebral artery.

Causes such as nonspecific arteritis, leptospirosis, aneurysm, collagen disease, polycythemia vera, hypercoagulable state and head and neck trauma can also cause cerebral thrombosis.

The best medicine for treating cerebral thrombosis

2

Clinical manifestations

It is common in people over 50 years old and middle-aged and elderly people with atherosclerosis. It often occurs during sleep, rest, or when blood pressure is low. The disease progresses slowly, and there are often prodromal symptoms such as dizziness, vertigo, numbness of one side of the limbs, and weakness. The patients are mostly conscious and focal symptoms are more obvious than global brain symptoms.

The best medicine for treating cerebral thrombosis

3

Clinical type

According to the onset and course of disease, it can be divided into:

1 Reversible patients have symptoms of cerebral ischemia for more than 24 hours, often accompanied by cerebral infarction, but have not yet caused irreversible neurological damage, or because of timely and complete compensation of collateral circulation or dissolution of emboli, the patient's symptoms and signs generally recover within 24-72 hours, and can last up to 3 weeks with complete relief and no sequelae. In fact, it is a milder type of cerebral infarction, also known as reversible ischemic neurological deficit.

2. Progressive focal cerebral ischemia symptoms and signs change from mild to severe and progress rapidly. It lasts from 6 hours to several days until the patient becomes completely hemiplegic and unconscious. If symptoms and signs continue to progress slowly 2 weeks after onset, it may resemble an intracranial space-occupying lesion, also known as a tumor type. It is often related to reduced cerebral perfusion blood flow caused by systemic or local factors, poor compensation of collateral circulation, and gradual extension of thrombus to the proximal end.

3. The complete type has a sudden onset and reaches its peak within 6 hours, such as acute thrombosis of larger arteries such as the internal carotid artery or the main trunk of the middle carotid artery. It is often complete hemiplegia, accompanied by epileptic seizures, impaired consciousness or rapid coma, or herniation of the temporal lobe uncus on the affected side, also known as fulminant type I, which accounts for about 30%.

The common type accounts for the majority, and the focal symptoms usually reach a peak within a few hours or 3-5 days and then no longer develop. If collateral circulation is well established and the edema around the infarct area subsides, the symptoms can be alleviated.

The best medicine for treating cerebral thrombosis

4

Diagnosis and differential diagnosis

1. Middle-aged and elderly people;

2. The disease usually occurs in a quiet state, and symptoms often appear after sleep;

3. Symptoms often gradually worsen over a few hours or days;

4. The patient is mostly conscious, but focal neurological signs such as hemiplegia and aphasia are obvious;

5. CSF is usually not mixed with blood;

6 . CT scans are usually normal in the early stages, but low-density lesions appear after 24-48 hours; MRI can detect infarction lesions in the early stages

7. Obvious sclerosis of the fundus and extracranial carotid arteries;

8. Past history of significant atherosclerosis, diabetes, hyperlipidemia, transient ischemic attack and stroke.

The best medicine for treating cerebral thrombosis

5

Treatment of cerebral thrombosis with traditional Chinese medicine

Cerebral thrombosis is called blood stasis syndrome in TCM diagnosis. As for the causes of its formation, TCM has the saying that "Qi is the commander of blood, and when Qi moves, blood moves. If Qi is deficient, blood circulation is weak, and if it is weak, blood is prone to stagnation, thus producing blood stasis. If Qi is stagnant, blood coagulates, and if it coagulates, it becomes stasis. If blood is cold, Qi is astringent, and blood is not flowing smoothly, and if it is not flowing smoothly, blood is prone to coagulation and becomes stasis. If there is an injury, blood overflows into the meridians, and the blood that leaves the meridians stagnates and forms stasis."

From the perspective of Western medicine, blood stasis is a pathological process related to blood circulation. It is closely related to blood circulation disorders and is mainly manifested in the following aspects:

1. Abnormal blood rheology

The clinical manifestations of blood stasis syndrome vary, but generally there is a tendency for the blood to be "thick, sticky, coagulated, and aggregated." Generally, patients with blood stasis syndrome have poor blood circulation, which is prone to thrombosis and vascular embolism.

2Microcirculatory disorders

Microcirculation generally refers to the microvascular blood circulation between arterioles and venules. Patients with blood stasis all have symptoms of microcirculation disorders, such as slow and stagnant microblood flow, even intravascular coagulation, microvascular deformation, peri-microvascular oozing and bleeding, and microvascular narrowing or occlusion.

3. Abnormal dynamics

Most patients with blood stasis experience hemodynamic changes, which manifest as circulatory disorders in a certain organ or part, vascular stenosis or occlusion, and reduced blood flow, such as coronary circulation disorders and abnormal heart function in patients with coronary heart disease; and cerebral circulation disorders in patients with cerebral thrombosis.

Traditional Chinese medicine often uses blood-activating and stasis-removing drugs to treat blood stasis syndrome. The main pharmacological effects of blood-activating and stasis-removing drugs are:

1. Improve blood flow dynamics. Blood-activating and stasis-removing drugs generally have the effect of dilating blood vessels and increasing blood flow to organs. Angina pectoris and acute myocardial infarction caused by coronary heart disease have typical symptoms of blood stasis, which are roughly included in the categories of "heart pain", "chest pain" and "heart pain". Blood-activating and stasis-removing drugs have a good effect in treating coronary heart disease. It can increase coronary blood flow and improve myocardial blood supply and oxygen supply. At the same time, it increases cerebral blood flow, improves cerebral blood circulation and treats cerebral thrombosis.

2. Improve blood rheology and anti-thrombotic effects. The anti-thrombotic effects of blood-activating and stasis-removing drugs mainly include the following aspects: inhibiting platelet aggregation. The thick and viscous state of the blood of patients with blood stasis causes slow blood flow, and platelets are prone to adhere to the damaged vascular endothelium. Blood-activating and stasis-removing drugs can improve blood rheological properties, reduce platelet adhesion and aggregation, and in addition, blood-activating and stasis-removing drugs can also reduce the surface activity of platelets. Increase the activity of plasmin. Some blood-activating and stasis-removing drugs can also exert their anti-thrombotic effect by increasing the activity of plasmin and promoting the dissolution of already formed fibrin.

3. Improve microcirculation Blood-activating and stasis-removing drugs improve microcirculation in the following aspects:

(1) Improve micro-blood flow.

(2) Improve microvascular morphology.

(3) Capillary permeability decreases, and peri-microvascular bleeding decreases or disappears.

It can be seen from this that no matter from the perspective of traditional Chinese medicine or from the perspective of Western medicine, the root cause of diseases such as cerebral thrombosis and cerebral infarction is blood stasis. Blood stasis blocks the body, blood circulation is not smooth, and Qi movement is not in harmony, which leads to a variety of diseases. Therefore, the best medicine for treating cerebral thrombosis is one that can effectively promote blood circulation, remove blood stasis, open the orifices with fragrance, improve microcirculation disorders, and increase blood flow. The first choice in clinical practice must be Tianxintai, the only one in my country that has been successfully developed for the second time. It can eliminate internal resistance, dilate blood vessels, improve blood circulation, anti-coagulate, dissolve blood clots, and dilate cerebral blood vessels. It mainly attacks blood stasis, achieving the purpose of eliminating blood clots and promoting the smooth flow of Qi and blood. Tianxintai is a safe and long-lasting drug used in the clinical treatment of cerebral thrombosis to improve symptoms such as language disorders, limb disorders, dizziness and headaches while preventing recurrences, with significant results. Only by adhering to medication can the patient's disease achieve the best therapeutic effect.

The best medicine for treating cerebral thrombosis

END

Precautions

Insist on taking the only Chinese patent medicine successfully developed for the second time in my country

Maintain a good attitude, eat a healthy diet, and exercise appropriately

Control blood pressure, blood lipids and blood sugar