Differentiation and Treatment of Late-Stage Sequelae of Cerebrovascular Disease Through Unblocking and Supplementing Brain Collaterals Based on the Collateral Disease Theory
10.13288/j.11-2166/r.2026.17.015
- VernacularTitle:基于络病理论运用通补脑络法辨治脑血管病晚期效应
- Author:
Zicheng ZHAO
1
;
Yongkang SUN
1
;
Yijun WU
1
;
Yilong SUN
1
;
Yanbo SONG
1
;
Jin HAN
1
;
Dan SONG
1
;
Xinzhi WANG
1
Author Information
1. The First Affiliated Hospital of Henan University of Chinese Medicine，Zhengzhou，450099
- Publication Type:Journal Article
- Keywords:
late-stage sequela of cerebrovascular disease;
collateral disease theory;
brain collaterals;
unblocking and supplementing method
- From:
Journal of Traditional Chinese Medicine
2026;67(17):1899-1904
- CountryChina
- Language:Chinese
-
Abstract:
Based on the theory of collateral disease， the treatment of late-stage sequela of cerebrovascular disease is considered to be primarily associated with deficiency and obstruction of cerebral collaterals and dysfunction of the spirit mechanism. Therefore， the fundamental therapeutic principle is to unblock and supplement the brain collaterals. Clinically， the late-stage sequelae of cerebrovascular disease are classified into four patterns， which are malnourishment， deficiency-heat， stasis obstruction， and phlegm clouding of brain collaterals. These are treated respectively with Tiansui Tongqiao Decoction （填髓通窍汤） to supplement essence and nourish the brain through moistening， unblocking and supplementing， Qingnao Touluo Decoction （清脑透络汤） to enrich yin， regulate spirit， and unblock collaterals through clearing and penetrating， Yiqi Tongluo Decoction （益气通络汤） to tonify qi and resolve stasis while softening tendons and unblocking collaterals， and Xinrun Touqiao Beverage （辛润透窍饮） to unblock and tonify yin and yang while unblocking the collaterals through acrid-moistening medicinals. Flexible modification of prescriptions according to individual symptoms was applied， resulting in favorable therapeutic outcomes.
