| 引用本文: |
董斌,刘绪银,张宏伟,张学文.国医大师张学文辨治脑萎缩经验[J].湖南中医药大学学报,2017,37(7):697-699[点击复制] |
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| 国医大师张学文辨治脑萎缩经验 |
| 董斌,刘绪银,张宏伟,张学文 |
| (陕西中医药大学第二附属医院, 陕西 咸阳 712000;新邵县中医医院, 湖南 新邵 422900;中国中医科学院望京医院, 北京 100102;陕西中医药大学, 陕西 咸阳 712000) |
| 摘要: |
| 国医大师张学文认为脑萎缩的中医病机主要是肾虚血瘀、气虚血瘀、颅脑水瘀导致脑髓失于精血濡养，脑髓不健。髓海不足和脑髓不健是本，脑络痹阻、清阳不升、浊气不降是标，本病往往虚实夹杂，纯虚者少，虚中夹实者多。宜滋肾荣脑，治当补气和血、祛瘀利水、解郁化痰、益肾活血。 |
| 关键词: 脑萎缩 肝热血瘀证 肾虚血瘀证 痰瘀互结证 补气和血 祛瘀利水 张学文 |
| DOI：10.3969/j.issn.1674-070X.2017.07.001 |
| 投稿时间：2017-05-11 |
| 基金项目:国家中医药管理局"国医大师张学文工作室建设项目"资助。 |
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| Experience from National Chinese Medicine Master in Diagnosing Brain Atrophy |
| DONG Bin,LIU Xuyin,ZHANG Hongwei,ZHANG Xuewen |
| (The Second Affiliated Hospital of Shanxi University of Chinese Medicine, Xianyang, Shanxi 712000, China;Xinshao County Hospital of TCM, Xinshao, Hunan 422900, China;Wangjing Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing 100102, China) |
| Abstract: |
| National Chinese medicine master Zhang Xuewen thinks that pathogenesis of brain atrophy are blood stasis due to kidney deficiency, blood stasis due to Qi deficiency, obstruction of blood stasis and fluid-dampness in brain, which lead to losing norishment of essence and blood in brains, dysfunction of brains. Marrow sea deficiency and dysfunction of brains are the essence, blocade of brain, lucid Yang failing to rise, failure of foul smell to descend are the symptoms. This disease always show deficiency-excess complication, in which pure deficiency symptoms are few, and deficiency syndromes mixed with excess ones are common. Norishing brain and kidney should be carried out, the symtoms could be treated with tonifying Qi and harmonizing blood, removing blood stasis and inducing diuresis, resolving stagnation for reducing phlegm, tonifying kidney activating blood circulation. |
| Key words: brain atrophy blood stasis due to liver warm syndrome blood stasis due to kidney deficiency syndrome intermingled phlegm and blood stasis syndrome tonifying Qi and harmonizing blood removing blood stasis and inducing diuresis ZHANG Xuewen |
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