中医药临床杂志2024,Vol.36Issue(1) :45-48.DOI:10.16448/j.cjtcm.2024.0111

国医大师周仲瑛守法守方辨治三叉神经痛反复发作案经验管窥

Masters of Traditional Chinese Medicine ZHOU Zhongying's Experience in Treating Recurrent Trigeminal Neuralgia

刘颖 江珊 补娟娟 周崇怡 叶放
中医药临床杂志2024,Vol.36Issue(1) :45-48.DOI:10.16448/j.cjtcm.2024.0111

国医大师周仲瑛守法守方辨治三叉神经痛反复发作案经验管窥

Masters of Traditional Chinese Medicine ZHOU Zhongying's Experience in Treating Recurrent Trigeminal Neuralgia

刘颖 1江珊 1补娟娟 1周崇怡 1叶放1
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作者信息

  • 1. 南京中医药大学国医大师周仲瑛传承研究工作室 江苏南京 210029
  • 折叠

摘要

介绍周仲瑛教授辨治三叉神经痛验案 1 则,患者面部疼痛呈火热感、肿胀不舒,辨病机为风火上炎、痰瘀阻络,治以祛风清热、化痰消瘀,方用牵正散、芎芷石膏汤加减化裁.总结出周老辨治思路为:病机以风火痰瘀为要;治法恒常,随症增减;透析病机,用药精准.前后9年总计4个阶段的治疗均守法守方,体现同一病症核心病机的相对稳定性,据此施治具有可重复性,为中医临床的可实践性提供可靠依据.

Abstract

The summary introduces Professor ZHOU Zhongying's case study on the diagnosis and treatment of trigeminal neuralgia.The patient's facial pain was hot,swollen and uncomfortable.The pathogenesis was wind-fire inflammation and phlegm blocking the collaterals.The treatment was to dispel wind,clear heat,resolve phlegm and eliminate blood stasis.Use Qianzheng Powder and Xiongzhi Gypsum Decoction.It is concluded that ZHOU Lao's dif-ferentiation and treatment ideas are as follows:the main pathogenesis is wind,fire,phlegm and blood stasis;the treat-ment method is constant and increases or decreases with the disease;the pathogenesis of dialysis requires precise medication.The treatment in a total of 4 stages over 9 years followed the law and the prescriptions,reflecting the rela-tive stability of the core pathogenesis of the same disease.The treatment based on this is reproducible and provides a reliable basis for the clinical practice of traditional Chinese medicine.

关键词

三叉神经痛/周仲瑛/验案/中医药疗法/名医经验

Key words

Trigeminal neuralgia/ZHOU Zhongying/case review/Traditional Chinese medicine therapy/Famous doctor's experience

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基金项目

江苏省社会发展重点研发计划(BE2019723)

国家中医药管理局"国医大师周仲瑛传承工作室"建设项目(国中医药人教发[2010]59号)

中国中医科学院学部委员学术传承与传播专项项目(CI2022E028XB)

出版年

2024
中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
参考文献量13
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