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周平,周德生.陈大舜教授辨治桥本氏脑病学术思想及临床经验[J].湖南中医药大学学报,2017,37(11):1253-1257[点击复制] |
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| 陈大舜教授辨治桥本氏脑病学术思想及临床经验 |
| 周平,周德生 |
| (湖南中医药大学, 湖南 长沙 410208;陈大舜全国名老中医药专家传承工作室, 湖南 长沙 410007;湖南中医药大学第一附属医院神经内科, 湖南 长沙 410007;陈大舜全国名老中医药专家传承工作室, 湖南 长沙 410007) |
| 摘要: |
| 桥本氏脑病以心肝火旺、气郁痰结为基本病机，以痰热内扰、风火相煽、阳亢为标，热毒痰浊，夹风上犯，药毒叠加，脑窍壅闭，以致神机障碍。陈大舜教授以热毒痰浊闭窍证、肝阳化风夹痰证、气郁痰结火旺证为基础，以主证定主方，选用菖蒲郁金汤加减、镇肝熄风汤加减、清痰汤加减。在用药方面主张辨症与辨证相参合，并对含碘中药黄药子、浙贝母、海藻、昆布、牡蛎、海浮石、夏枯草等，和毒性中药枯矾、朱砂等的运用见解独到，体现了辨证相结合以及和法论治的学术思想，临床获满意疗效。 |
| 关键词: 桥本氏脑病 热毒痰浊闭窍证 肝阳化风夹痰证 气郁痰结火旺证 陈大舜 |
| DOI：10.3969/j.issn.1674-070X.2017.11.020 |
| 投稿时间：2017-08-11 |
| 基金项目:国家中医药管理局陈大舜全国名老中医药专家传承工作室[国中医药人教发（2014）20号]。 |
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| Academic Thought and Clinical Experience from Professor Chen Dashun on Hashimoto's Encephalopathy |
| ZHOU Ping,ZHOU Desheng |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;National Heritage Studio of Traditional Chinese Medicine Experts, Changsha, Hunan 410007, China;Department of Neurology, the First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;National Heritage Studio of Traditional Chinese Medicine Experts, Changsha, Hunan 410007, China) |
| Abstract: |
| Hyperactivity of heart-fire and liver-fire and stagnation of Qi and phlegm are the basic pathogenesis of Hashimoto's encephalopathy, with phlegm-heat, febrile disease complicated by wind, hyperactive Yang Qi, heat toxicity and phlegm turbidity stirring by endogenous wind-evil, as well as herbal toxicity and brain orifices blocking, leading to spiritual mechanism barrier. Based on heat toxicity and phlegm turbidity blocking orifices syndrome, hyperactive liver Yang causing wind with phlegm syndrome and stagnation of Qi and phlegm with hyperactivity of fire syndrome, Professor Chen made the main prescriptions according to the principle syndromes, selecting modified Changpu Yujin deoction, modified Zhen'gan Xifeng decoction and modified Qingtan decoction. Professor Chen, who advocated the combination of disease differentiation and syndrome differentiation in terms of using medication, had an unique insight on applying rich-iodine herbs such as Huangyaozi, Zhebeimu, Haizao, Kunbu, Muli, Haifushi, Xiakucao, and toxic herbs, Kufan, Zhusha. It embodies the academic thoughts of differentiation of disease-syndrome and harmonization method, and its clinical effects are remarkable. |
| Key words: hashimoto's encephalopathy, heat toxicity and phlegm turbidity obturating brain syndrome hyperactive liver-Yang causing syndrome of liver-wind carrying phlegm hyperactivity of fire syndrome due to stagnation of Qi and phlegm Chen Dashun |
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