“风痱”考辨
摘要
笔者利用文献研究的方法梳理历代文献,并结合现代医学,认为风痱的本质是病因与症状相结合命名的中风病,其具有如下特点:①必须有急性迟缓性瘫痪且无疼痛症状,在此基础上,很可能出现中风病的其他任何症状。瘫痪类型可能包括了除偏瘫外的所有瘫痪类型,可以在迟缓性瘫痪的基础上出现痉挛性瘫痪。②该病有轻重两型,以是否有语言障碍为判断依据。③容易出现神志障碍。
According to the historical literature and modern medicine, Fengfei(风痱) is the stroke named after the combination of the cause and the symptoms. It has the following characteristics. There must be acute stagnation, without pain, and it is likely to have any other symptoms of stroke. The sputum may include all sputum types except for hemiparesis, and sputum may appear on the basis of stagnation sputum. The disease has light and heavy type according to language barrier. Mental disorders is easy to appear.
According to the historical literature and modern medicine, Fengfei(风痱) is the stroke named after the combination of the cause and the symptoms. It has the following characteristics. There must be acute stagnation, without pain, and it is likely to have any other symptoms of stroke. The sputum may include all sputum types except for hemiparesis, and sputum may appear on the basis of stagnation sputum. The disease has light and heavy type according to language barrier. Mental disorders is easy to appear.
引文
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[2]明·楼英.明清中医名著从刊·医学纲目[M].北京:中国中医药出版社,1996:164.
[3]清·徐灵胎.兰台轨范[M].北京:人民卫生出版社,2007:31.
[4]徐振华,符文彬.风痱考辨[J].中医文献杂志,2006,34(03):17.
[5]隋·巢元方.诸病源候论[M].北京:人民卫生出版社,1955:2.
[6]唐·孙思邈.千金要方[M].西安:三秦出版社,2012:106-109,118.
[7]宋·赵佶.圣济总录[M].北京:人民卫生出版社,1982:294.
[8]元·赵以德.金匮方论衍义[M].北京:中国古医籍出版社,2012:63.
[9]清·张璐.中医临床必读丛书合订本·临证各科卷·综合(五)·张氏医通[M].北京:人民卫生出版社,2011:70.
[10]清·吴谦,等.医宗金鉴[M].北京:人民卫生出版社,2015:623-626.
[11]清·尤在泾.金匮要略心典[M].2版.北京:中国中医药出版社,2009:44.
[12]明·戴思恭.中医临床必读丛书合订本·临证各科卷·综合(二).秘传证治要诀及类方[M].北京:人民卫生出版社,2011:30.
[13]唐·王焘.外台秘要[M].太原:山西科学技术出版社,2013:394-395.
[14]宋·王怀隐,等.太平圣惠方[M].北京:人民卫生出版社,1958:531-532.
[15]清·李用粹.中医临床必读丛书合订本·临证各科卷·内科·证治汇补[M].北京:人民卫生出版社,2011:499.
[16]明·赵献可.中医临床必读丛书合订本·医案医话医论·卷(一)·医贯[M].北京:人民卫生出版社,2011:621.
[17]清·何梦瑶.医碥[M].北京:中国中医药出版社,2009:57.
[18]宋·陈无择.三因极一病证方论[M].北京:中国医药科技出版社,2011:31.
[19]明·龚廷贤.中医临床必读丛书合订本·临证各科卷·综合(二)·万病回春[M].北京:人民卫生出版社,2011:314.
[20]明·李中梓.中医临床必读丛书合订本·临证各科卷·综合(二).医宗必读[M].北京:人民卫生出版社,2011:789.
[21]宋·许叔微.许叔微医学全书[M].北京:中国中医药出版社,2015:91.