| 引用本文: |
古诗琴,刘李玟韬,雷霆,刘绪银.刘绪银主任医师从膜络论治缺血性中风经验[J].湖南中医药大学学报,2021,41(10):1625-1630[点击复制] |
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| 刘绪银主任医师从膜络论治缺血性中风经验 |
| 古诗琴,刘李玟韬,雷霆,刘绪银 |
| (湖南中医药大学, 湖南 长沙 410208;珠海市第五人民医院, 广东 珠海 519055;新邵县中医医院, 湖南 新邵 422900) |
| 摘要: |
| 刘绪银主任医师基于经典理论提出膜府系统学说，认为膜府系统是体内气血津液输布之通道，膜络一体，膜府系统之络脉、腠理、玄府是气血精津交换之所。脑络是膜府系统在脑内的终端组织。膜府系统郁滞，膏浊痰湿内积，壅滞膜府脑络，导致脑络不畅是缺血性中风的核心病机病理。脑络不畅则脑内气血津液交换不利而为瘀为痰湿，痰湿、瘀蕴结则酿毒化热，进一步损伤脑络脑髓。治以疏达膜府脑络、化痰祛瘀、通络开闭为基本法则，药选辛苦芳香与虫类为主，制定基本方葛菖四虫通闭散，结合既往病史、病因病邪、动态病机病理（证）、主要症征加减，分风中经络、痰火上扰、气虚血瘀、痰浊壅阻、毒损脑髓、瘀水互结、内闭外脱、阴虚阳亢、髓海不足、脑气郁滞等证候论治，形成了病-因-证-症（征）结合论治的模式。 |
| 关键词: 缺血性中风 膜府系统 疏达膜府 化痰祛瘀 通络开闭 葛菖四虫通闭散 刘绪银 |
| DOI：10.3969/j.issn.1674-070X.2021.10.027 |
| 投稿时间：2021-07-06 |
| 基金项目:国家非物质文化遗产代表性项目（国发〔2021〕8号：971，IX-11）。 |
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| Experience of Chief Physician Liu Xuyin's Membrane and Collaterals Theory in the Treatment of Ischemic Stroke |
| GU Shiqin,LIU Liwentao,LEI Ting,LIU Xuyin |
| (Hunan University of Chinese Medicine, Chngsha, Hunan 410208, China;Zhuhai Fifth People's Hospital, Zhuhai, Guangdong 519055, China;Xinshao County Hospital of Traditional Chinese Medicine, Xinshao, Hunan 422900, China) |
| Abstract: |
| Chief physician Liu Xuyin proposed the Mo-Fu system based on the classical theory. He thinks Mo-Fu system is the channel for transporting Qi, blood and body fluid in the body, membrane and collaterals are a whole, collaterals, Couli and Xuanfu of Mo-Fu system are the place for exchanging of Qi, blood, essence and fluid. Cerebral collaterals are the terminal tissue of the Mo-Fu system in the brain. Mo-Fu system stagnation, ointment turbid phlegm dampness accumulation blocking Mo-Fu and cerebral collaterals is the core pathogenesis and pathology of ischemic stroke. If the brain collaterals are not smooth, the exchange of Qi, blood and body fluid in the brain is unfavorable, and it is easy to form blood stasis and phlegm dampness. The accumulation of phlegm dampness and blood stasis will brew poison and heat, and further damage the brain collaterals and brain marrow. Ischemic stroke takes dredging the Mo-Fu and brain collaterals, resolving phlegm and removing blood stasis, dredging collaterals and opening orifices as the basic treatment principle. The drugs are mainly aromatic insects. Gechang Sichong Tongbi Powder is as the basic formula, combined with past medical history, the etiology and pathogenic factors, dynamic pathogenesis (syndrome) and the addition and subtraction of main symptoms. It is divided into meridians and collaterals in wind, disturbance of phlegm and fire, Qi deficiency and blood stasis, obstruction of phlegm and turbidity, toxic damage to brain marrow, interlaced of blood stasis and water, internal closure and external detachment, Yin deficiency and Yang hyperactivity, deficiency of marrow sea, brain Qi stagnation and other syndromes, forming a model of disease-evil-syndrome-symptom (sign) combination. |
| Key words: ischemic stroke Mo-Fu system dredging the Mo-Fu resolving phlegm and removing blood stasis dredging collaterals and opening orifices Gechang Sichong Tongbi Powder Liu Xuyin |
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