| 引用本文: |
曲淼, 李伯梁, 李贞贞, 唐启盛.岐黄学者唐启盛教授运用息风化痰安神法治疗癫痫探骊[J].湖南中医药大学学报,2025,45(10):1982-1986[点击复制] |
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| 岐黄学者唐启盛教授运用息风化痰安神法治疗癫痫探骊 |
| 曲淼,李伯梁,李贞贞,唐启盛 |
| (北京中医药大学第三附属医院, 北京 100029;山东省立医院菏泽医院, 山东 菏泽 274000;北京市密云区中医医院, 北京 101500) |
| 摘要: |
| 基于“脑神”理论，唐启盛教授提出“脑神被扰”是痫病发生的关键病机，认为“痰气扰动，侵袭脑髓，导致脑神失养”是其发病的关键环节。风痰上扰“脑神”为其核心病机，治疗上以息风化痰安神为法。临证时强调首辨癫、狂、痫之异，遣方时依据五脏苦欲补泻理论，注重调补肾元，并擅用芳香类使药与金石类药物调复被扰“脑神”，扶正祛邪、攻补兼施；后期采用汤丸序贯疗法，效如桴鼓。 |
| 关键词: 癫痫 脑神 息风化痰安神 精气神理论 金石调神 唐启盛 |
| DOI：10.3969/j.issn.1674-070X.2025.10.026 |
| 投稿时间：2025-03-22 |
| 基金项目:河北省中医药管理局科研项目（B2025028）；北京中医药新时代125工程培训项目（京中医药科字〔2025〕2号）；北京中医药大学第三附属医院“精诚人才计划”（京中三院人〔2025〕4号）；中华中医药学会名医名家科普工作室（cacmkpgzs-2022019）。 |
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| Qihuang Scholar TANG Qisheng's experience in treating epilepsy with the method of extinguishing wind, resolving phlegm, and calming the mind |
| QU Miao, LI Boliang, LI Zhenzhen, TANG Qisheng |
| (The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;Shandong Provincial Hospital Group Heze Hospital, Heze, Shandong 274000, China;Beijing Miyun District Hospital of Traditional Chinese Medicine, Beijing 101500, China) |
| Abstract: |
| Based on the theory of "brain spirit," Professor TANG Qisheng has proposed that "disturbance of the brain spirit" is the key to the occurrence of epilepsy. He identifies "phlegm-qi agitation invading the brain marrow, leading to malnutrition of the brain spirit" as the critical pathological link. The core pathogenesis involves upward disturbance of the brain spirit by wind-phlegm, and the treatment approach focuses on extinguishing wind, resolving phlegm, and calming the mind. In clinical practice, Professor TANG emphasizes the primary differentiation among depression, mania, and epilepsy. When formulating prescriptions, he applies the theory of the five zang-organs' desires and aversions for tonification and reduction, focusing on regulating and replenishing kidney essence. He skillfully employs aromatic guide medicines and mineral-based substances to regulate the disturbed brain spirit, thereby strengthening healthy qi and eliminating pathogenic factors through a combination of reinforcement and elimination. In the later stages, sequential decoction-pill therapy was adopted, with clinical response being immediate and pronounced. |
| Key words: epilepsy brain spirit extinguishing wind, resolving phlegm, and calming the mind essence-qi-spirit theory regulating spirit with mineral-based medicines TANG Qisheng |
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