基于五体理论辨治痿病——中医脑病理论与临床实证研究(一)
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摘要
应用五体理论指导痿病的辨治,例举了运动神经元病、慢性格林巴利综合征、重症肌无力、周期性麻痹4个医案,以强肌汤为主方,疏利玄府,温阳化气,通行三焦,强力振痿。坚持中西医结合思维,根据西医病种、分型、发病机制、发病原因、病程、西药治疗状况,拓广临床辨病辨证用药的选择范围。并根据中医病因、病位、病性、病理用药,分辨虚实,权衡补泻,综合药象功能和药理作用处方,有选择的配伍补肾强筋、疏经通络、补脾益气、清热解毒、理气化痰、活血化瘀等等,疏通筋经络脉、开通玄府气机,目的在于恢复五体与五脏神机合一,促进脑髓神机对五脏神机及五体的调控,有效治疗神经元、神经干、神经肌肉接头、肌肉病变所致的各种痿病。
This paper applies the five-body theory to guide the syndrome differentiation-based treatment of paralysis, such as motor neuron disease, chronic Guillain-Barre syndrome, myasthenia gravis, and periodic paralysis. Qiangji Decoction is the main prescription, dredging Xuanfu, warming Yang and transforming Qi, passing vessels within the Sanjiao site, and reversing paralysis strongly. With adherence to the combination of Chinese and Western medicine thinking, and according to the disease type,classification, pathogenesis, etiology, course of disease, and treatment outcome in Western medicine, the range of clinical drugs based on disease differentiation and syndrome differentiation is expanded. According to the etiology, disease location, nature of disease, and pathology in traditional Chinese medicine, with the principle of distinguishing deficiency and excess, weighing supplementation and drainage, and combining drug functions and pharmacological action prescriptions, kidney-tonifying and tendon-strengthening medicine, meridian-and collateral-dredging medicine, spleen-tonifying and Qi-benefiting medicine, heatclearing and detoxicating medicine, Qi-regulating and phlegm-eliminating medicine, and blood-activating and stasis-resolving medicine are combined selectively to dredge the tendons, meridians, collaterals, and Xuanfu and to make Qi-movement.The purpose is to restore the five body in consistent with the five viscera and to promote the regulation of the five viscera and the five body by the brain, in order to effectively treat the various types of paralysis caused by the lesions in neurons, the nerve trunk,the neuromuscular junction, and muscles.
This paper applies the five-body theory to guide the syndrome differentiation-based treatment of paralysis, such as motor neuron disease, chronic Guillain-Barre syndrome, myasthenia gravis, and periodic paralysis. Qiangji Decoction is the main prescription, dredging Xuanfu, warming Yang and transforming Qi, passing vessels within the Sanjiao site, and reversing paralysis strongly. With adherence to the combination of Chinese and Western medicine thinking, and according to the disease type,classification, pathogenesis, etiology, course of disease, and treatment outcome in Western medicine, the range of clinical drugs based on disease differentiation and syndrome differentiation is expanded. According to the etiology, disease location, nature of disease, and pathology in traditional Chinese medicine, with the principle of distinguishing deficiency and excess, weighing supplementation and drainage, and combining drug functions and pharmacological action prescriptions, kidney-tonifying and tendon-strengthening medicine, meridian-and collateral-dredging medicine, spleen-tonifying and Qi-benefiting medicine, heatclearing and detoxicating medicine, Qi-regulating and phlegm-eliminating medicine, and blood-activating and stasis-resolving medicine are combined selectively to dredge the tendons, meridians, collaterals, and Xuanfu and to make Qi-movement.The purpose is to restore the five body in consistent with the five viscera and to promote the regulation of the five viscera and the five body by the brain, in order to effectively treat the various types of paralysis caused by the lesions in neurons, the nerve trunk,the neuromuscular junction, and muscles.
引文
[1]陈士玉.《黄帝内经》神经、精神疾病研究[D].沈阳:辽宁中医药大学,2012.
[2]陈羽楠,林丹红,陈立典.试析五体理论与中医运动功能[J].中医杂志,2018,59(4):276-280.
[3]许军峰.石学敏教授经筋刺法学术思想解析[J].天津中医药,2017,34(10):649-651.
[4]熊江华,倪寅,李艳.《医方考》论痹痿病[J].中医药临床杂志,2016,28(1):36-38.
[5]吴菲,李阿荣,郭洁文.毒性中药马钱子炮制方法的历史沿革[J].今日药学,2017,27(5):355-357.
[6]程士德,王洪图,鲁兆麟.素问注释汇粹[M].北京:人民卫生出版社,1982:627-638.
[7]李志庸.张景岳医学全书[M].北京:中国中医药出版社,1999:1855.
[2]陈羽楠,林丹红,陈立典.试析五体理论与中医运动功能[J].中医杂志,2018,59(4):276-280.
[3]许军峰.石学敏教授经筋刺法学术思想解析[J].天津中医药,2017,34(10):649-651.
[4]熊江华,倪寅,李艳.《医方考》论痹痿病[J].中医药临床杂志,2016,28(1):36-38.
[5]吴菲,李阿荣,郭洁文.毒性中药马钱子炮制方法的历史沿革[J].今日药学,2017,27(5):355-357.
[6]程士德,王洪图,鲁兆麟.素问注释汇粹[M].北京:人民卫生出版社,1982:627-638.
[7]李志庸.张景岳医学全书[M].北京:中国中医药出版社,1999:1855.