Analysis of the Pathogenesis and Treatment of Chronic Subdural Hematoma Based on the Theory of Circulation of Collaterals
LI Kai
FAN Xiaoxuan
LIU Kexin
LIU Xue
LIU Yunlin
FENG Yin
Abstract：Chronic subdural hematoma(CSDH)is a common neurological disorder in the middle-aged and elderly.The circulation of collaterals dominates the qi transformation function of the body and serves as the carrier of the function of qi.Based on the theory of circulation of collaterals,this article analyzes the pathogenesis and treatment methods of CSDH in traditional Chinese medicine.It is believed that the pathogenesis of this disease is based on insufficiency of kidney essence and deficiency of primordial qi,with blood stasis,meridian damage and loss of protective function as the symptoms.Among them,blood stasis and meridian damage are the initiating factors of this disease.The causes of blood stasis and meridian damage can be classified into four categories:qi fails to move blood,qi fails to generate blood,qi fails to control blood,and qi fails to warm blood.In treat-ment,the principle is to tonify the kidney,fill essence,remove blood stasis and unblock meridians.Based on Buyang Huanwu Decoction(补阳还五汤)and Yougui Pills(右归丸),the Peiyuan Huayu Formula(培元化瘀方)is created for therapeutic purposes.
Keywords：theory of circulation of collateralschronic subdural hematomakidney deficiency and essence deficiencyblood stasismeridian damagetonifying the kidney and replenishing essenceremoving blood stasis and unblocking meridiansPeiyuan Huayu Formula
Publication Date：2025-08-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：6( 858-863 )