裘昌林治疗急性脊髓炎经验
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摘要
急性脊髓炎是神经科常见重症,归属于中医"痿证""痿蹙""癃闭""遗尿"等范畴,其截瘫、二便失禁等后遗症严重损害患者的生活质量。裘昌林教授长期从事中西医结合神经科工作,临床经验丰富,对急性脊髓炎的治疗有其独到之处。文章主要从临床角度出发,介绍了裘教授对急性脊髓炎的分阶段辨证施治思路。同时文章也介绍了裘教授马钱子小剂量渐加量法这一独特用药技巧,重用牛膝及虫类药的用药特色,以及改善患者直肠膀胱功能障碍的用药经验。
The acute myelitis is a common and severe disease in clinical neurology. This disease belongs to the category of ‘flaccidity syndrome' ‘weicu' ‘dribbling and retention of urine' ‘enuresis' in TCM. Sequelae such as paraplegia, urinary and fecal incontinence seriously impair the quality of life of patients. Professor QIU Chang-lin has been engaged in the work of integrated traditional Chinese and western medicine of neurology for a long time, and has rich clinical experiences. He also has unique experiences in treating acute myelitis. This paper introduced professor QIU's treatment methods of stage and syndrome differentiation from the clinical perspective of acute myelitis. This paper also introduced professor QIU's unique medication skill of adding small doses of nux vomica gradually, the medication characteristics of reusing achyranthes root and insect drugs, and the medication experience of improving rectum and urinary bladder dysfunction of patients.
The acute myelitis is a common and severe disease in clinical neurology. This disease belongs to the category of ‘flaccidity syndrome' ‘weicu' ‘dribbling and retention of urine' ‘enuresis' in TCM. Sequelae such as paraplegia, urinary and fecal incontinence seriously impair the quality of life of patients. Professor QIU Chang-lin has been engaged in the work of integrated traditional Chinese and western medicine of neurology for a long time, and has rich clinical experiences. He also has unique experiences in treating acute myelitis. This paper introduced professor QIU's treatment methods of stage and syndrome differentiation from the clinical perspective of acute myelitis. This paper also introduced professor QIU's unique medication skill of adding small doses of nux vomica gradually, the medication characteristics of reusing achyranthes root and insect drugs, and the medication experience of improving rectum and urinary bladder dysfunction of patients.
引文
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[6]解宝仙,唐文照,王利红,等.马钱子化学成分研究.中药材,2016,39(1):86-89
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[9]周伟龙,张晓朦,张冰.活血化瘀类中药饮片安全问题分析与用药警戒思考.中华中医药杂志,2016,31(11):4637-4643
[10]钱松祥.813胶囊的制备及临床应用.中国中医药科技,2006,13(5):347
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[13]郭征兵.中药地龙的药理作用及活性成分分析.当代医学,2017,23(19):199-200
[14]王鹏程,吕文纲.土鳖虫质量控制及药理作用研究进展.山东中医杂志,2016,35(9):846-848
[2]胡佳佳.急性脊髓炎临床特征与激素治疗疗效分析.中国实用医药,2017,12(15):133-134
[3]凌彩霞,屈云.急性脊髓炎康复治疗现状.华西医学,2014,29(2):382-384
[4]王珏,张丽萍.裘昌林治疗痿证经验.中医杂志,2010,51(1):17-19
[5]张清奇,曹利民.裘昌林治疗急性脊髓炎一则.浙江中医杂志,2017,52(1):62-63
[6]解宝仙,唐文照,王利红,等.马钱子化学成分研究.中药材,2016,39(1):86-89
[7]周红英,侯群,裘昌林,等.马钱子抑制兔脊髓损伤的细胞凋亡作用.中国临床药理学与治疗学,2010,15(8):880-885
[8]钱铭净,侯群,裘昌林,等.炙马钱子与高压氧联合治疗兔脊髓损伤的实验研究.中国中医药科技,2009,16(3):182-183
[9]周伟龙,张晓朦,张冰.活血化瘀类中药饮片安全问题分析与用药警戒思考.中华中医药杂志,2016,31(11):4637-4643
[10]钱松祥.813胶囊的制备及临床应用.中国中医药科技,2006,13(5):347
[11]王珏.裘昌林治疗脑系疑难病三例.中华中医药杂志,2005,20(3):169-170
[12]朱晓晓.蕲蛇药理研究及临床应用进展.浙江中西医结合杂志,2018,28(1):72-74
[13]郭征兵.中药地龙的药理作用及活性成分分析.当代医学,2017,23(19):199-200
[14]王鹏程,吕文纲.土鳖虫质量控制及药理作用研究进展.山东中医杂志,2016,35(9):846-848