| 引用本文: |
晏显妮,江其龙,刘小斌.刘小斌教授辨治脊髓延髓性肌萎缩经验[J].湖南中医药大学学报,2021,41(10):1620-1624[点击复制] |
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| 刘小斌教授辨治脊髓延髓性肌萎缩经验 |
| 晏显妮,江其龙,刘小斌 |
| (广州中医药大学第一附属医院, 广东 广州 510405;广州中医药大学邓铁涛研究所, 广东 广州 510405) |
| 摘要: |
| 脊髓延髓性肌萎缩是一种遗传性位于脑干和脊髓的运动神经元神经退行性疾病，为临床罕见疑难病症，需要依靠基因检测确诊，西医目前缺乏特异性治疗方法。刘小斌教授认为本病归属于中医学“痿证”范畴，病机为“禀赋残缺，胎元不足”“脾胃虚损，肝肾亏虚”。刘教授临床治疗本病多以黄芪、五指毛桃、鹿角霜、紫河车及其他补益之药“调理脾胃，培补肝肾，充盈气血”，注重药食同调，灸药结合，中西医并用；将其中医证型分为脾胃气虚证和脾肾亏虚证，疾病早期以补中益气汤为基础方加减治疗，病至后期，以补中益气汤合地黄饮子加减。 |
| 关键词: 脊髓延髓性肌萎缩 补中益气汤 临床经验 刘小斌 禀赋 |
| DOI：10.3969/j.issn.1674-070X.2021.10.026 |
| 投稿时间：2021-03-18 |
| 基金项目:国家自然科学基金青年项目（81904133）；广东新南方中医研究院"国医大师邓铁涛传承团队建设"项目（201801）。 |
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| Professor Liu Xiaobin's Experience in Treating Spinal and Bulbar Muscular Atrophy |
| YAN Xianni,JIANG Qilong,LIU Xiaobin |
| (The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China;Deng Tietao Institute of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China) |
| Abstract: |
| Spinal and bulbar muscular atrophy is a hereditary motor neuron neurodegenerative disease located in the brainstem and spinal cord, which is a rare and intractable diseases who depending on genetic testing to diagnose, western medicine lacks specific treatment method at present. Professor Liu Xiaobin thinks that the disease belongs to the category of "flaccidity syndrome" in traditional Chinese medicine (TCM), the pathogenesis of which is "abnormal of innate, insufficient in endowment", "deficiency of spleen and stomach, liver and kidney weakened". Professor Liu are good at using Huangqi (Astragali Radix), Wuzhimaotao (Radix Fici Simplicissimae), Lujiaoshuang (Cervi Cornu Degelatinatum), Ziheche (Placenta Hominis) and nourishing herbs to "regulating the spleen and stomach, invigorating the liver and kidney, nourishing Qi and blood", emphasizing on co-ordination of medicine and food, combination of moxibustion and medicine, and combination of Chinese and western medicine. TCM syndrome differentiation of this disease are divided into spleen and stomach Qi deficiency syndrome and spleen and kidney deficiency syndrome. Buzhong Yiqi Decoction is applied to treating this type disease in the early stage, in the later stage, using the Buzhong Yiqi Decoction combined with Dihuang Yinzi. |
| Key words: spinal and bulbar muscular atrophy Buzhong Yiqi Decoction clinical experience Liu Xiaobin innate constitution |
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