Cerebral aneurysm is defined as a cerebrovascular disorder causes
of the blood vessel to bulge or balloon out of
the wall of a blood vessel as a result of the weaken
of blood vessels and veins and occurred mostly at the bifurcations and
branches of the large arteries located at the Circle of Willis.
Treatments
A.3. In traditional Chinese medicine perspective
1. Dr. Wang C, and the research team of the Department of Neurology,
Beijing Tiantan Hospital, in the study of Management of SAH with
traditional Chinese medicine in China showed that the main cause of SAH
in China is aneurysm which takes up 30-50%, while over 90% aneurysm locates at Willis circle. Early surgery for SAH after aneurysm
rupture is the dominant procedure to deal with SAH in China. Moreover,
calcium antagonists rank the absolute leading position for cerebral
vascular spasm (CVS) among medication-based treatment options. However,
traditional Chinese medicine such as Salvia miltiorrhiza, Acanthopanax
senticosus, Ginkgo biloba, Pueraria lobata, Liguisticum chuanxiong, cow
bezoar, Diospyros kaki and Gynostemma pentaphyllum have been proven
beneficial in CVS prevention and treatment, while Salvia miltiorrhiza
and TCM soup have unique effects on bleeding absorption. In addition,
aescine and some TCM soup might relieve strong headache after SAH. In
general, TCM integrated with western medicine have shown unique
advantages in the current treatment of SAH in China. However, it is a
pity that China still lacks larger scale randomized controlled trials
and research on SAH treatment focusing on TCM and the related mechanism
of TCM on SAH still need to be investigated further(98).
2. Other suggested that red yeast rice (RYR) extract administration suppressed AngII-induced AAA and
atherosclerosis associated with regulating inflammation responses
independent of lipid-lowering effects. Red yeast rice may have
preventive potential for patients with Abdominal aortic aneurysm (AAA)(99).
3. In fact, in the comparison of the a total of 32 patients with acute
subarachnoid haemorrhage were randomly assigned to either a Chinese herbs extra group (CH) in which the patients were given complementary therapies of Chinese medicine
and standard treatment, or a standard treatment only group (ST) in
which patients were given standard treatment only, found that the
average Glasgow Outcome Scale score 3 months after admission was
3.7±1.4 in the CH was greater than 3.0±1.7 in the ST (p=0.041). Average
total admission days were 53.9±28.6 (median 61) in the ST longer than
28.1±19.1 (median 20.5) in the CH (p=0.004) and concluded that TCM for the treatment of patients with acute subarachnoid haemorrhage is of
value because they can increase Glasgow Outcome Scale scores 3 months
after admission and also because they can reduce total admission days(100).
4. Etc.
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Sources
(98) http://www.ncbi.nlm.nih.gov/pubmed/16759447
(99) http://www.ncbi.nlm.nih.gov/pubmed/21764282
(100) http://www.ncbi.nlm.nih.gov/pubmed/21056842
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