What are the treatments for cerebral thrombosis?

Cerebral thrombosis is a common neurosurgical disease that can cause neurological symptoms such as ischemia and hypoxia of brain tissue. There are two main treatments for cerebral thrombosis: Chinese and Western medicine. During the recovery period of cerebral thrombosis, special attention should be paid to speech therapy and recovery, and also attention should be paid to improving blood circulation.

1. Western medicine treatment of cerebral thrombosis

The principle is to improve blood circulation in the ischemic area of ​​the brain as soon as possible and promote recovery of neurological function.

1. Relieve cerebral edema: For patients with large and severe infarction areas, dehydrating agents or diuretics can be used.

2. Improve microcirculation: Low molecular weight dextran can be used to reduce blood viscosity and improve microcirculation.

3. Dilute the blood:

① Isovolumetric hemodilution therapy: venous blood removal and replacement of an equal amount of fluid at the same time;

② High-volume hemodilution therapy: intravenous injection of fluid that does not contain blood to achieve the purpose of volume expansion.

4. Thrombolysis: ① Streptokinase. ②Urokinase.

5. Anticoagulation: used to prevent blood clot extension and the occurrence of new blood clots. ①Heparin. ②Dicoumarin.

6. Vasodilator: It is generally believed that the effect of vasodilators is uncertain. For patients with severe increased intracranial pressure, it can sometimes aggravate the condition, so it is not recommended to use them in the early stage.

7. Others: This disease can also be treated with hyperbaric oxygen therapy, extracorporeal counterpulsation therapy and photon blood therapy.

2. Recovery Treatment

Continue to strengthen the functional training of paralyzed limbs and speech functions. In addition to medication, physical therapy, body therapy and acupuncture can be used in combination. In addition, long-term use of antiplatelet agents, such as dipyridamole or aspirin, can help prevent recurrence.

3. Traditional Chinese Medicine Treatment

TCM treatment of cerebral thrombosis

Square 1,

[Syndrome differentiation] Deficiency of Yin and hyperactivity of Yang, liver yang transforming into wind, wind-phlegm blocking the orifices.

[Treatment method] Nourish Yin and suppress Yang, open the orifices and resolve phlegm.

[Composition] Salvia miltiorrhiza, Polygonatum odoratum, Ligustrum lucidum, raw oyster, Uncaria rhynchophylla, Rhizoma Anemarrhenae, White Peony Root, Ophiopogon japonicus, Poria, Platycladus orientalis, Anemarrhena asphodeloides, Polygala tenuifolia, Acorus calamus, and Licorice.

[Usage] Decoction in water, 1 dose per day, twice a day.

Square 2,

【Syndrome differentiation】Liver yang and heat ascending.

[Treatment method] Soothe the liver and resolve phlegm, purge excess and clear the bowels.

【Composition】Uncaria rhynchophylla (added later), 3 oysters (fried first), raw cassia bark, raw Chuanxiong (added later), Citrus aurantium, Poria, Scutellaria baicalensis, Gardenia jasminoides, Cortex moutan, and stir-fried Sophora japonica flowers.

[Usage] Decoction in water, 1 dose per day, twice a day.

Square Three,

[Syndrome differentiation] Qi deficiency and blood stasis, phlegm and blood stasis blocking the collaterals.

[Treatment method] Tonify Qi and nourish Yin, activate blood circulation and nourish the body, resolve phlegm and soften hard masses.

【Composition】Astragalus, Millettia reticulata, Salvia miltiorrhiza, Polygonatum sibiricum, Sargassum, Scrophularia ningpoensis.

[Usage] Decoction in water, 1 dose per day, twice a day.