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周德生,谢清.基于督脉理论辨治脊髓疾病——中医脑病理论与临床实证研究(八)[J].湖南中医药大学学报英文版,2019,39(8):929-936.[Click to copy
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基于督脉理论辨治脊髓疾病——中医脑病理论与临床实证研究(八) |
周德生,谢清 |
(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: |
脊髓充贯椎骨管腔、传导脑髓神机、调控躯体神机、脊髓濡养全身躯体及脏腑、脑脊液循环代谢自有常度。督脉循行脊髓,反映脊髓的大部分功能,督脉为通真之路,脊髓为脏真聚所。例举颈脊髓外伤后遗症神经源性膀胱并神经源性直肠、T12-L1水平椎管内多发性肿瘤术后、脊髓空洞症3个医案,阐释了脊髓病变以脏腑经络病变为基础,具有易虚损、易痹阻、易共病的病机特征。脊髓疾病属于督脉病变的一部分,治疗上以恢复督脉阴阳水火升降之通道为原则,要同时兼顾督脉病和髓病的用药特点。治督脉应与相关经脉同治,形神同治;虚者治肾命为主,实者通经络为要,治神者参考脑病;治髓虚实主于肝胆,尚用风药。脊髓疾病用药不拘定法,必须辨病辨证,分别轻重缓急处理。 |
关键词: 脊髓 神机通道 督脉理论 督脉病 脊髓疾病 颈脊髓外伤后遗症神经源性膀胱并神经源性直肠 T12-L1水平椎管内多发性肿瘤术后 脊髓空洞症 |
DOI:10.3969/j.issn.1674-070X.2019.08.001 |
Received:April 30, 2019 |
基金项目:国家自然科学基金项目资助(81874463);湖南省科技厅科技创新平台与人才计划(2017SK4005);湖南省中医药管理局资助项目(201824)。 |
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Diagnosis and Treatment of Spinal Marrow Disease Based on Governor Channel Theory:Traditional Chinese Medicine Theory of Encephalopathy and Clinical Empirical Study (Ⅷ) |
ZHOU Desheng,XIE Qing |
(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: |
The spinal marrow is filled with vertebral canal, conducting spiritual mechanism of brain, regulating spiritual mechanism of body. The spinal marrow nourishes whole body and viscera with cerebrospinal fluid's regular circulation and metabolism. The governor channel follows the spinal marrow and reflects most of the functions of the spinal marrow. The governor channel is the road to the essence, and the spinal marrowis the gathering place of zang essence. This paper exemplified 3 medical cases of the sequelae of cervical spinal cord injury, neurogenic bladder and neurogenic rectum, T12-L1 level multiple intraspinal tumors, and syringomyelia. It explains that spinal marrowlesions are based on zang-fu organsand meridian lesions, with the pathogenesis of easy to deficiency and damage, easy to block, easy to comorbid. Spinal marrowdisease is part of the governor channel lesion. The treatment is based on the principle of restoring the passage of the descending and ascending Yin, Yang, water and fire of governor channel. It is necessary to take into account the characteristics of the medication of governor channel diseases and marrow diseases. The governor channel should be treated with the relevant channels, as well as the form and spirit; the deficient ones should be treated withthe kidneys, and the excessive ones should focus on channels, and the spiritual ones should refer to the encephalopathy; the treatment of the deficiency and excess of marrow should be based on the liver and gallbladder, and the wind medicine is still used. For the treatment of spinal marrow disease, there is no fixed principle, and it is necessary to differentiate between diseases and syndromes, and treat them separately with priority. |
Key words: spinal marrow channel of spiritual mechanism the theory of governor channel governor channel disease spinal marrowdisease cervical spinal cord trauma sequelaeneurogenic bladder and neurogenic rectum T12-L1 level spinal multiple tumor surgery syringomyelia |
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