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风药开玄在血管性痴呆中的应用

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血管性痴呆为本虚标实之证,病机为在虚、痰、瘀、风、火五大病理因素作用下,脑玄府郁闭,神机失用.风药为具有风木属性的一类药物,味薄质轻,性升浮发散,能够助行药势,可疏散脑玄府郁结,开玄解郁.具体治法有治风开玄、补虚开玄、祛瘀开玄、化痰开玄,风动于内者,治风开玄,方可选七味追风散、小续命汤;需补益与开通配合者,补虚开玄,方可选益气聪明汤;气血瘀滞者,祛瘀开玄,方可选通窍活血汤;痰证明显者,化痰开玄,方可选半夏白术天麻汤加石菖蒲、葛根、川芎等.临床应用时仍需注意血管性痴呆的分型,因人而异,据证施治.
Application of Wind Drugs for Opening Sweat Pores in Vascular Dementia
Vascular dementia(VaD)is a syndrome with deficient root cause and excessive manifestation.The pathogenesis is that the brain sweat pores are blocked and the mind fails to function under the action of five pathological factors:deficiency,phlegm,blood sta-sis,wind and fire.Wind drugs are a kind of medicine with the attributes of wind and wood.It has a thin taste and light quality,and can float and diverge,which helps the drug tendency,evacuate stagnation of the brain sweat pores,and open sweat pores to relieve depres-sion.Specific treatment methods include opening sweat pores by removing wind,opening sweat pores by tonifying deficiency,opening sweat pores by removing blood stasis,and opening sweat pores by resolving phlegm.For wind disturbing the interior,opening sweat pores by treating wind can be adopted,so Seven Substances Wind-Removing Powder,and Minor Life-Saving Decoction can be used.For those who need to combine tonifying and activating circulation,the method of opening sweat pores by tonifying deficiency is available,so Qi-Replenishing Sharp and Bright Decoction can be selected.For qi and blood stasis,the method of opening sweat pores by removing blood stasis is available,so Orifice-Unblocking and Blood-Activating Decoction can be selected.For obvious phlegm syndrome,the method of opening sweat pores by resolving phlegm is available,so Supplemented Pinellia and White Atractylodes and Gastrodia Decoction plus Shichangpu(Rhizoma Acori Tatarinowii),Gegen(Radix Puerariae Lobatae),Chuanxiong(Rhizoma Chuanxiong)and other wind drugs can be selected.In clinical application,it is still necessary to pay attention to the classification of VaD,which varies from person to per-son,and should be treated with different formulas.

vascular dementia(VaD)sweat porewind drugopening sweat pores by using wind drugsopening sweat pores by remo-ving windopening sweat pores by tonifying deficiencyopening sweat pores by removing blood stasisopening sweat pores by resolving phlegm

叶鑫、徐丽洁、田静、江玉

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西南医科大学中西医结合学院,西南医科大学附属中医医院,四川 泸州 646000

血管性痴呆 玄府 风药 风药开玄 治风开玄 补虚开玄 祛瘀开玄 化痰开玄

四川省中医药管理局项目西南医科大学省级大学生创新创业训练计划项目

2021MS548S202210632174

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(3)
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