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周德生,谭惠中.基于毒邪理论辨治神经感染性疾病及代谢性脑病——中医脑病理论与临床实证研究(七)[J].湖南中医药大学学报英文版,2019,39(7):815-821.[Click to copy
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| 基于毒邪理论辨治神经感染性疾病及代谢性脑病——中医脑病理论与临床实证研究(七) |
| 周德生,谭惠中 |
| (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: |
| 应用毒邪理论指导神经感染性疾病及代谢性脑病的辨治。认为其病机关键是内外之毒，毒损脑络、脑膜、玄府，伤及脑髓；毒邪壅滞，损伤津、血、精、髓等，脑髓失养；由脑府神机受损致全身脏腑功能失调，神机失用。通过列举病毒性脑膜炎、尿毒症性脑病、肺性脑病、一氧化碳中毒迟发性脑病4个医案，阐明针对六淫特征及兼夹内邪特征辨证用药的中药解毒方法，祛邪即解毒，排毒即解毒，扶正即解毒。同时，针对毒邪特征必须注重选择配伍芳香或者苦寒入脑药物解毒。 |
| 关键词: 毒邪 解毒 神经感染性疾病 代谢性脑病 病毒性脑膜炎 尿毒症性脑病 肺性脑病 一氧化碳中毒迟发性脑病 |
| DOI：10.3969/j.issn.1674-070X.2019.07.006 |
| Received:January 12, 2019 |
| 基金项目:国家自然科学基金资助项目（81874463）；湖南省中医药管理局资助项目（201824）；湖南省科技厅科技创新平台与人才计划资助项目（2017SK4005）。 |
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| Differentiation and Treatment of Neurological Infectious Diseases and Metabolic Encephalopathy Based on the Theory of Poisonous Evil-Theoretical and Clinical Empirical Study on TCM Encephalopathy (Ⅶ) |
| ZHOU Desheng,TAN Huizhong |
| (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: |
| This paper applied the theory of poisonous evil to guide the differentiation and treatment of neurological infectious diseases and metabolic encephalopathy. It is believed that the key of its pathogenesis is internal and external toxins, which damage brain collaterals, meninges, sweat pores, and brain marrow; toxin stagnation damages body fluid, blood, essence, marrow, etc., causing brain marrow malnutrition; brain and vital activity being damaged causes dysfunction of Zang-Fu organs, which means vital activity dysfunction. By enumerating 4 cases of viral meningitis, uremic encephalopathy, pulmonary encephalopathy and carbon monoxide poisoning delayed encephalopathy, the detoxification method of traditional Chinese medicine according to syndrome differentiation and targeting at the characteristics of 6 pathogenic factors and internal evils, is clarified. Eliminating pathogens is detoxification, expelling toxins is detoxification, and reinforcing healthy Qi is detoxification. At the same time, targeting at the characteristics of poisonous evils, we must pay attention to the combination of aromatic or bitter cold medicines entering brain for detoxification. |
| Key words: poisonous evil detoxification neurological infectious diseases metabolic encephalopathy viral meningitis uremic encephalopathy pulmonary encephalopathy carbon monoxide poisoning delayed encephalopathy |
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