A Brief Discussion on Chronic Subdural Hematoma Based on the "Kidney Generates Marrow" Theory and the "Meridian" Doctrine.
DOI:
https://doi.org/10.53469/jcmp.2024.06(11).20Keywords:
Renal myeloid, Choroid, Renal deficiency, Chronic subdural hematoma, Theory, Clinical researchAbstract
Chronic subdural hematoma is a typical neurological disease that occurs in middle-aged and elderly people and seriously affects the quality of life of middle-aged and elderly people. In recent years, with the further deepening of the understanding of CSDH in traditional Chinese medicine theory, it has been found that "kidney deficiency and medullary deficiency and loss of choroids" play a key role in the pathogenesis of CSDH. Combined with the theory of "kidney medulla" and "vein" in traditional Chinese medicine and its comprehensive explanation of its mechanism in modern medicine, the pathogenesis of CSDH was analyzed, and the clinical efficacy of the "kidney and marrow" method and the "pulse and essence" method of CSDH treatment were discussed, so as to pursue a more reasonable TCM diagnosis and treatment plan and further give full play to the unique TCM medical advantages of CSDH. It provides reference significance for the treatment of CSDH of "tonifying the kidney and generating marrow, clearing the pulse and consolidating the roots".
References
Balser D, Farooq S, Mehmood T, Reyes M, Samadani U. Actual and projected incidence rates for chronic subdural hematomas in united states veterans administration and civilian populations[J]. J Neurosurg 2015, 123(5): 1209-1215.
Sousa EB, Brandao LF, Tavares CB, Borges IB, Neto NG, Kessler IM. Epidemiological characteristics of 778 patients who underwent surgical drainage of chronic subdural hematomas in Brasilia, Brazil[J]. BMC Surg 2013, 13: 5.
Chen Changshu. The Elderly and Chronic Subdural Hematoma[J]. Happy Family, 2020(02): 62.
Zhang Shijun, Hu Qunliang. Research Progress on the Mechanism and Treatment Measures of Chronic Subdural Hematoma [J]. Health Medicine Research and Practice, 2022, 19(11): 192-196.
Zheng Jinping, Zhao Zilong, Jiang Rongcai, et al. Research Progress on the Pathogenesis of Chronic Subdural Hematoma and the Application of Statins [J]. Guangdong Medical Practice and Research, 2017, 38(S2): 155-157.
Uno M, Toi H, Hirai S. Chronic subdural hematoma in elderly patients: is this disease benign?[J]. Neurol Med Chir (Tokyo), 2017, 57(8): 402-409.
Lee KS. Chronic subdural hematoma in the aged, trauma or degeneration?[J]. J Korean Neurosurg Soc, 2016, 59(1): 1-5.
Wu Yiling, Jia Zhenhua. Exploration of the Research Approach Guided by Traditional Chinese Medicine Collateral Disease Theory for the Prevention and Treatment of Vascular Lesions [J]. Journal of the Second Military Medical University, 2007(07): 748-752.
Zhang Liancheng, Zhang Yulian, Zhang Quan. Treatment of Alzheimer's Disease from the Perspective of Kidney-Essence Storage [J]. Journal of Traditional Chinese Medicine, 2011, 52(17): 1456-1458.
Wang Zijian, Zheng Weichao. Traditional Chinese Medicine Understanding of Angiogenesis Guided by the Theories of Collateral Disease and Pathological Collaterals [J]. Journal of Gansu University of Traditional Chinese Medicine, 2012, 29(02): 11-13.
Fan Yongping, Tong Yanping, Wang Jingwen, et al. Clinical Features and Syndrome-Based Treatment of Chronic Subdural Hematoma [J]. Beijing University of Chinese Medicine, 2019, 38(07): 627-630.
Miranda AS, Cordeiro TM, Dos SLST, Ferreira RN, Simoes ESA. Kidney-brain axis inflammatory cross-talk: from bench to bedside[J]. Clin Sci (Lond), 2017, 131(11): 1093-1105.
He Wenbin, Zhang Junlong, Chen Naihong. Preliminary Exploration of the "Kidney-Marrow-Brain" Bioaxis Theory [J]. Journal of Traditional Chinese Medicine, 2015, 56(14): 1182-1184.
Chen Sinah, Li Jianting, Yang Nan. The Impact of Huayu Tongluo Tang on Executive Function in Patients with Cognitive Dysfunction Caused by Cerebral Small Vessel Disease [J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2019, 36(04): 466-470.
Du Jinxing, Shi Zaixiang, Wu Yiling, et al. Clinical Study on the Combined Treatment of Acute Cerebral Infarction with Tongxinluo Capsule [J]. China Journal of Integrated Traditional and Western Medicine, 2003(02): 94-96.
Meng Miaomiao. Clinical Observation on the Treatment of Cognitive Dysfunction in Cerebral Small Vessel Disease with Bug-Category Medicines Based on Collateral Disease Theory [D]. Shandong University of Traditional Chinese Medicine, 2019.
Liu Xiaofei, Cao Guo, Zhang CaoKui, et al. The Role of Progressive Capillary Formation in Chronic Subdural Hematoma [J]. Southwest Military Medicine, 2017, 19(03): 207-213.
Wang Kai, Wang Huan, Fan Xiaoxuan, et al. Research Progress on Vascular Aging and Chronic Subdural Hematoma [J]. Journal of Integrated Traditional Chinese and Western Medicine on Cardiovascular and Cerebral Diseases, 2022, 20(05): 873-877.
Li Xincai, Sun Zhaoliang, Jiang Xiufeng, et al. Research Progress on the Pathogenesis and Clinical Treatment of Chronic Subdural Hematoma [J]. Chinese Journal of Minimally Invasive Neurosurgery, 2017, 22(06): 281-283.
Wang Dong, Jiang Rongcai, Yue ShuYuan. Current Status of Research on Inflammation Regulation and Neovascularization Promotion in the Absorption of Chronic Subdural Hematoma [J]. Chinese Journal of Practical Medicine, 2018, 13(11): 190-193.
Fan Xiaoxuan. Current Status of Treatment and Considerations and Analysis of the Pathogenesis of Chronic Subdural Hematoma [J]. Journal of Practical Cardiovascular and Cerebral Diseases, 2019, 27(08): 1-5.
Wang Chaobin, Hu Juntao. Advances in the Research on the Pathogenesis of Chronic Subdural Hematoma [J]. Chinese Journal of Neurology and Psychiatry., 2021, 47(10): 628-632.
Gu Jiufu, Wang Yongqian. The Impact of Qi-Supplementing and Blood-Activating Formula Combined with Atorvastatin Calcium on Hemorheological Parameters and Hematoma Absorption in Patients with Chronic Subdural Hematoma of Qi Deficiency and Blood Stasis Syndrome after Surgery [J]. Hebei Traditional Chinese Medicine, 2021, 43(02): 242-246.
Fan Xiaoxuan, Zhao Xiaoping, Hou Wen, et al. Clinical Observation of Peiyuan Huayu Formula in the Treatment of Chronic Subdural Hematoma [J]. Chinese Journal of Emergency Traditional Chinese Medicine, 2013, 22(12): 2007-2008.
Fan Xiaoxuan, Liang Geting, Zhao Xiaoping, et al. The Interventional Effect of Peiyuan Huayu Formula on a Rabbit Model of Chronic Subdural Hematoma and the Study of Its Mechanism [J]. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 2019, 27(08): 15-19.
Chen Xu, Hou Wen, Zhang Yi. Clinical Observation of the Treatment of Chronic Subdural Hematoma with the Method of Nourishing Kidney, Supplementing Essence, and Benefiting Marrow [J]. Journal of Guangxi University of Traditional Chinese Medicine, 2019, 22(02): 16-18.
Yao Zhongping, Li Fusheng, Jin Xuhong. Clinical Observation on the Use of Modified Di Huang Yin Zi for Chronic Subdural Hematoma After Surgery [J]. Chinese Rural Medicine, 2009, 16(09): 43.
Liu Pingwen. Clinical Study on the Treatment of Chronic Subdural Hematoma and Prevention of Postoperative Recurrence with Buyang Huanwu Tang [D]. Guangzhou University of Traditional Chinese Medicine, 2012.
Yang Ming, Yang Hong, Chen Jinxiang. The Protective Effect of Earthworm Extract on Acute Cerebral Ischemia-Reperfusion Injury in Rabbits [J]. Jilin Medical Journal, 2011, 32(19): 3847-3848.
Zhang Zeshun, Qin Defang, Huo Yonglin, Lu Zihong. Effectiveness and Safety of Xuefu Zhuyu Tang in the Treatment of Chronic Subdural Hematoma: A Meta-Analysis [J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2018, 35(04): 758-763.
Yang W, Huang J. Chronic subdural hematoma: epidemiology and natural history[J]. Neurosurg Clin N Am, 2017, 28(2): 205-210.
Komiyama K, Tosaka M, Shimauchi-Ohtaki H, Aihara M, Shimizu T, Yoshimoto Y. Computed tomography findings after head injury preceding chronic subdural hematoma[J]. Neurosurg Focus, 2019, 47(5): E12.
Lin Hui, Zeng Chao, Cai Zhiji. Clinical Insights into Preventing Recurrence of Chronic Subdural Hematoma After Surgery in Elderly Patients [J]. China Foreign Medical Treatment, 2018, 37(09): 61-63.
Shi Xiaoyong, Tang Zhuxiao, Sun Hu, et al. Risk Factors for Recurrence of Chronic Subdural Hematoma and Reoperation Strategies in the Elderly [J]. Chinese Journal of Geriatrics, 2020, 39(2): 201-203.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Kai Li, Xiaoxuan Fan
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.