| 引用本文: |
周德生,蔡昱哲.基于卫气理论辨治周围神经病——中医脑病理论与临床实证研究(六)[J].湖南中医药大学学报,2019,39(6):677-683[点击复制] |
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| 基于卫气理论辨治周围神经病——中医脑病理论与临床实证研究(六) |
| 周德生,蔡昱哲 |
| (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: |
| 卫气即起维护、保护或蔽护作用的正气。卫气出于脑，双向调控全身神机；卫气并脉，与营气耦合承制衡铨；卫气分阴阳，变化有序自稳调节。卫气与周围神经分布部位、神经传导方向、神经功能特点等有相关性。通过面神经炎、三叉神经痛、非霍奇金淋巴瘤胸腔引流术后肋间神经痛、酒精中毒性周围神经病4个医案，阐释周围神经病卫气内伐、卫气不足、卫气归并、卫气逆行的病机特征；坚持形神一体观，谨守病机，权衡和法，调畅气机，以通为用的临床思维。周围神经病辨治在于坚持辨证用药、气化用药、双向用药、对症用药，重视外治方法应用。 |
| 关键词: 卫气 神机 形神一体 周围神经病 |
| DOI：10.3969/j.issn.1674-070X.2019.06.001 |
| 投稿时间：2019-03-31 |
| 基金项目:国家自然科学基金资助项目（81874463）；湖南省科技厅科技创新平台与人才计划——中医脑病临床研究中心（2017SK4005）。 |
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| Diagnosis and Treatment of Peripheral Neuropathy Based on the Theory of Defensive Qi Theory: Clinical Empirical Study of Encephalopathy in Traditional Chinese Medicine (Ⅵ) |
| ZHOU Desheng,CAI Yuzhe |
| (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: |
| Defensive Qi is the healthy Qi of maintenance, protection or shield. Defensive Qi is from the brain, bidirectionally regulating vital activity of the whole body; Defensive Qi accompanies vessels, coupled with nutritive Qi to control the balance; Defensive Qi is divided into Yin and Yang, changing orderly and self-stabilizing. Defensive Qi is related to the distribution of peripheral nerves, the direction of nerve conduction, and the characteristics of nerve function. From 4 cases of intercostal neuralgia and alcoholic-toxic peripheral neuropathy after facial neuritis, trigeminal neuralgia and chest drainage for non-Hodgkin's lymphoma, this paper explained the pathogenesis characteristics of peripheral neuropathy, including internal harassing of defensive Qi, defensive Qi insufficiency, defensive Qi merging and retrograde defensive Qi; and adheres to the clinical thinking:the holism of form and vitality, strictly adhering to pathogenesis, weighing the harmonizing method, facilitating Qi movement and performing functions when there is free flow. The differentiation and treatment of peripheral neuropathy lies in adhering to syndrome difference and medication, medication according to Qi transformation, two-way medication, symptomatic medication, and attaching importance to the application of external treatment. |
| Key words: defensive Qi vital activity holism of form and vitality peripheral neuropathy |
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