| 引用本文: |
周德生,谭惠中.基于五体理论辨治痿病——中医脑病理论与临床实证研究(一)[J].湖南中医药大学学报,2019,39(1):6-10[点击复制] |
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| 基于五体理论辨治痿病——中医脑病理论与临床实证研究(一) |
| 周德生,谭惠中 |
| (湖南中医药大学第一附属医院神经内科, 湖南 长沙 410007;湖南中医药大学, 湖南 长沙 410208) |
| 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。 |
| 关键词: 痿病 五体 气化 调神 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 |
| DOI：10.3969/j.issn.1674-070X.2019.01.002 |
| 投稿时间：2018-11-02 |
| 基金项目:湖南省科技厅科技创新平台与人才计划资助项目（2017SK4005）。 |
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| Syndrome Differentiation-Based Treatment of Paralysis Based on Five-Body Theory: Traditional Chinese Medicine Theory of Encephalopathy and Clinical Empirical Study (1) |
| ZHOU Desheng,TAN Huizhong |
| (Department of Neurology, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| 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, heat-clearing 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. |
| Key words: paralysis five body,Qi transformation,spiritual cultivation motor neuron disease chronic Guillain-Barre syndrome myasthenia gravis periodic paralysis |
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