WU Jie treated a case of cerebral infarction misdiagnosed as glioma

QU Yuao; CAO Dezhong; CHEN Xiaohan; ZHAO Qing; SUN Li; ZHAO Yanping; WU Jie

doi:10.16025/j.1674-1307.2025.09.028

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WU Jie treated a case of cerebral infarction misdiagnosed as glioma

更新时间：2025-11-25

- WU Jie treated a case of cerebral infarction misdiagnosed as glioma
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 9, Pages: 1221-1224(2025)
- 作者机构：
  
  1.中国中医科学院广安门医院血液科，北京 100053
  2.中国中医科学院广安门医院放射科，北京 100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.09.028
  CLC：
- Received：08 November 2024，
  
  Published：25 September 2025
- 稿件说明：
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屈宇奥，曹得中，陈晓涵，等.吴洁治疗脑梗死误诊为脑胶质瘤病案1则［J］.北京中医药，2025，44（9）：1221-1224.

QU Yuao,CAO Dezhong,CHEN Xiaohan,et al.WU Jie treated a case of cerebral infarction misdiagnosed as glioma[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(09):1221-1224.
屈宇奥，曹得中，陈晓涵，等.吴洁治疗脑梗死误诊为脑胶质瘤病案1则［J］.北京中医药，2025，44（9）：1221-1224. DOI： 10.16025/j.1674-1307.2025.09.028.

QU Yuao,CAO Dezhong,CHEN Xiaohan,et al.WU Jie treated a case of cerebral infarction misdiagnosed as glioma[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(09):1221-1224. DOI： 10.16025/j.1674-1307.2025.09.028.

摘要

脑梗死和脑胶质瘤是常见的脑病。脑胶质瘤西医以手术切除、放化疗为主，脑梗死以取栓、溶栓、抗凝治疗为主。中医学基于辨证论治、异病同证认为，二者可同治。本文简述了1例误诊为脑胶质瘤的脑梗死患者，无手术治疗机会，采用纯中药辨证论治，得到良性恢复的案例。吴洁教授认为脑病的治疗应辨证重于辨病，脑络以通为用，并善用血肉有情之品对证治疗。

Abstract

Cerebral infarction and glioma are two common brain diseases. In Western medicine， glioma is mainly treated with surgical resection， radiotherapy， and chemotherapy， whereas cerebral infarction is primarily managed with thrombectomy， thrombolysis， and anticoagulation. Based on syndrome differentiation and treatment， traditional Chinese medicine （TCM） allows for the treatment of different diseases sharing the same syndrome. This article briefly reports a case of cerebral infarction misdiagnosed as glioma， in which the patient had no opportunity for surgical treatment and was treated solely with TCM based on syndrome differentiation， achieving favorable recovery. Professor WU Jie believes that in the treatment of encephalopathy， syndrome differentiation should take precedence over disease differentiation， brain collaterals should be dredged， and blood， flesh， and sentient substances should be used according to syndrome differentiation.

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references

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