首页|汪美霞选用补中益气汤辨治Meige综合征临床经验

汪美霞选用补中益气汤辨治Meige综合征临床经验

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Meige综合征是神经内科节段性肌张力障碍疾病,主要表现为眼部及口面肌痉挛,其病因及发病机制尚未明确,临床无根治方法,治疗以提高生活质量为主.汪美霞主任医师认为Meige综合征基本病机为脾气亏虚,肝风内动为本,外来风邪侵袭扰动经络为标.治疗上当治病求本、标本兼治,以益气健脾,柔肝熄风为治疗准则,选用补中益气汤加减,辅以白芍、天麻、钩藤及决明子等药物平肝熄风,另加用全蝎、蜈蚣、僵蚕等虫类药物祛风解痉,临床收效较佳.
Clinical Experience of WANG Meixia in Treating Meige Syndrome with Buzhong Yiqi Decoction
Meige syndrome is a neurological segmental dystonia disease, which mainly manifests as eye and orofa-cial muscle spasm. Its etiology and pathogenesis are not yet clear, and there is no clinical cure. The main treatment is to improve the quality of life. Chief Physician WANG Meixia believes that the basic pathogenesis of Meige syndrome is spleen deficiency, internal movement of liver wind as the root cause, and external wind evil invasion and disturbance of the meridians as the root cause. The treatment should focus on the root cause of the disease and treat both the symptoms and the symptoms. The treatment principle is to replenish Qi and strengthen the spleen, soften the liver and calm the wind. Use modified Buzhong Yiqi Decoction, supplemented by white peony root, Gastrodia elata, Uncaria and Cassia seeds to calm the liver and calm the wind. In addition, insect drugs such as whole scorpion, centipede, and zombie silk-worm are used to dispel wind and relieve spasm, and the clinical results are better.

Meige syndromeBuzhong Yiqi DecoctionWANG MeixiaClinical experience

蒋真真、汪美霞、陶庄、张宇、韩卉、孙阔、王飞

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安徽中医药大学第一临床医学院 安徽合肥 230038

安徽中医药大学第一附属医院 安徽合肥 230031

Meige综合征 补中益气汤 汪美霞 临床经验

青年岐黄学者培养项目安徽省青年领军后备人才项目安徽省重点研发计划国家中医药局中医药脑病循证能力提升及平台建设项目

国中医药人教函[2022]256号中发展[2022]4号2022042951070200012019XZZX-NB001

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
年,卷(期):2024.36(4)
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