山东大学耳鼻喉眼学报 ›› 2025, Vol. 39 ›› Issue (4): 100-107.doi: 10.6040/j.issn.1673-3770.0.2024.224

• 研究进展 • 上一篇    下一篇

颈动脉爆裂综合征的中医认识及辨治

古展鑫1,赵洲洋1,张晓斌1,杨一梅1,黄理金1,黄燕1,2   

  1. 1.广东省中医院 神经外科, 广东 广州 510120;
    2.广州中医药大学第二附属医院 神经外科, 广东 广州 510120
  • 出版日期:2025-07-20 发布日期:2025-08-11
  • 通讯作者: 黄理金. E-mail:hlj193@139.com
  • 基金资助:
    2018年广东省中医药局“黄燕广东省名中医传承工作室”项目

Syndrome differentiation treatment and understanding of traditional Chinese medicine in carotid blowout syndrome

GU Zhanxin1, ZHAO Zhouyang1, ZHANG Xiaobin1, YANG Yimei1, HUANG Lijin1, HUANG Yan1,2   

  1. 1. Department of Neurosurgery, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Gangdong, China2. Department of Neurosurgery, The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510120, Gangdong, China
  • Online:2025-07-20 Published:2025-08-11

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摘要： 颈动脉爆裂综合征是继发于鼻咽癌综合治疗后的急危并发症之一,在中国传统医学领域,因不同临床表现可归属于“颃颡岩”、或“鼻衄”、“鼻洪”范畴。颈动脉爆裂综合征的治疗是涉及多学科、多策略的综合救治模式。中医药干预治疗在改善颈动脉爆裂综合征患者临床症状及预后、提高患者生存质量方面发挥着重要作用。本文拟从颈动脉爆裂综合征的中医病名内涵、病因病机、分期论治、辨证用药、中西医结合护理调养等方面梳理本病的中医认识及辨证论治,以期为颈动脉爆裂综合征的治疗提供辨治参考。

关键词: 颈动脉爆裂综合征, 颃颡岩, 鼻衄, 鼻洪, 中医药, 辨证论治

Abstract: Carotid blowout syndrome is one of the acute and critical complications secondary to the comprehensive treatment of nasopharyngeal carcinoma. In the field of traditional medicine of the motherland, due to different clinical manifestations, it can be classified as “hang sang yan”, “bi nv” or “bi hong”. The treatment of carotid blowout syndrome is a comprehensive treatment model. It can be treated with a multi-disciplinary approach. Traditional Chinese medicine intervention plays an important role in the clinical symptoms and prognosis of CBS patients. It can be improving the clinical symptoms and the quality of life of patients. In this paper, we cover the carotid blowout syndrome recognizing and syndrome differentiation treatment. We examine the name,“hang sang yan”,and its connotations,as well as discuss the etiology,pathological mechanism,and Integrated traditional Chinese and western medicine nursing and recuperation. In order to provide a reference for the treatment of carotid blowout syndrome.

Key words: Carotid blowout syndrome, Hang sang yan, Bi nv, Bi hong, Traditional Chinese medicine, Syndrome differentiation treatment

中图分类号: 

  • R766.3
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