摘要
脑卒中在中医学又称中风,分为出血性卒中和缺血性卒中两类,为常见的心脑血管疾病。该病有较高的致残率、致死率和复发率,发病涉及肝、脾、肾等多个脏腑,涉及风、火、痰、瘀、虚等多种病理因素相互作用。经研究中医古籍发现中药荷叶可以治疗中风,荷叶归肝、脾、胃经,具有生发脾胃清阳、生养肝胆之气和除热、祛湿、散瘀、平复气血等作用,与脑卒中的病理机制及致病因素吻合。荷叶用来治疗脑卒中有积极意义,有望成为治疗脑卒中的有效药物,结合脑卒中的发病机理,从传统中医角度探讨荷叶治疗脑卒中的临床意义。
Cerebral stroke, also known as apoplexia in traditional Chinese medicine, can be divided into hemorrhagic stroke and ischemic stroke, which is a common cardiovascular and cerebrovascular disease. The disease has a high disability rate, fatality rate and recurrence rate, involving liver, spleen, kidney and other viscera, involving the interaction of wind, fire, phlegm, stasis, deficiency and other pathological factors. Through studying ancient books of traditional Chinese medicine, it is found that lotus leaf can treat stroke. Lotus leaf can restore liver, spleen and stomach channels, and has the functions of activating spleen and stomach, clearing yang, nourishing liver and gallbladder, removing heat, removing blood stasis, calming qi and blood, etc., which is consistent with the pathological mechanism and pathogenic factors of stroke. Lotus leaf has positive significance in the treatment of stroke and is expected to become an effective drug in the treatment of stroke. Therefore, the treatment of stroke with lotus leaf from the perspective of traditional Chinese medicine based on the pathogenesis of stroke was discussed.
引文
[1]徐木林.中风之古与今[J].辽宁中医杂志, 1996, 38(6):253-254.
[2]江颖,方兴,张永全.活血化瘀法治疗缺血性卒中的研究进展[J].世界中医药, 2016, 11(5):936-940.
[3]李文昊,姜德友.龙江著名医家华庭芳教授治疗中风经验[J].长春中医药大学学报, 2016, 32(2):280-282.
[4]黎辉,武紫晖,张晓云.中风病病机与治法方药探析[J].医学信息, 2018, 31(19):150-151.
[5]王福刚,曹娟,刘斌,等.荷叶的化学成分及其药理作用研究进展[J].时珍国医国药, 2010, 20(9):2339-2340.
[6]张新.《中风斠诠》脑卒中痰证学术思想初探[J].吉林中医药, 2010, 30(10):910-911.
[7]孙宸伟,彭屹峰.中风病因病机现代发微[J].中医文献杂志,2017, 35(3):68-69.
[8]董芳,王印光.理气祛瘀化痰法治疗缺血性脑卒中的理论探讨[J].世界最新医学信息文摘, 2017, 17(93):174-175.
[9]徐银琴,雷衍东,吕明庄,等.从脾胃论治中风病研究进展[J].新中医, 2019, 51(2):36-39.
[10]张增瑞.中风“风痰”病理因素探讨[J].内蒙古中医药,2018, 37(6):107-109.
[11]刘向哲.国医大师李振华教授从脾胃论治中风病经验[J].中华中医药杂志, 2011, 26(12):2884-2886.
[12]兰蕾.熊继柏教授运用《千金方》理论治疗中风验案撷萃[J].长春中医药大学学报, 2013, 29(6):985-986.
[13]宋颖民,郭甜甜,王冰.清热解毒法治疗中风病急性期的相关探讨[J].中国中医药现代远程教育, 2017, 15(2):130-131.
[14]任继学.三谈中风病因病机与救治[J].中国医药学报,1998, 13(5):368.
[15]周庆博,邵念方,毕建忠.清热解毒法在中风病急性期治疗中的探讨[J].中国中西医结合杂志, 2004, 24(3):263-264.
[16]汪艳,王学员.浅谈脾胃与脑中风的关系[J].陕西中医,2011, 32(9):1272.
[17]秦秀德,刘玉,吴彦青,等.张伯礼院士治疗中风恢复期及后遗症期处方统计分析[J].新中医, 2017, 49(3):19-21.
[18]程兰,万浩芳,方雨晨,等.养阴益气活血法治疗缺血性中风机理探讨[J].中国中医急症, 2018, 27(1):94-96.
[19]徐娜,杨宇峰.明清医家论中风学术思想探析[J].长春中医药大学学报, 2019, 35(1):9-12.
[20]王通,宫洪涛.宫洪涛教授从脾胃论治中风[J].亚太传统医药, 2016, 12(19):89-90.
[21]陈杰,邱昌龙,杨帆,等.急性中风应以调气为先[J].中国民间疗法, 2018, 26(3):9-10.