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郑绍周运用瘀毒理论治疗原发性三叉神经痛经验

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总结郑绍周教授运用瘀毒理论辨治原发性三叉神经痛的临证经验.瘀毒热结,络脉阻滞为致病之要;风邪侵袭,直中头面为发病之引;正气亏虚,五脏失养为成病之因.谨守病因病机,立解毒活血、祛风止痛之治法,祛邪不忘扶正固本,加强情志调摄.治疗上,秉持"一方治一病"理念,自拟解毒活血止痛方为核心方,随证加减,灵活用药,尤善用大剂量葛根以解诸毒、通经脉,并配合补肾益气药祛邪而不伤正.
Zheng Shaozhou's experience in treating primary trigeminal neuralgia with the theory of blood stasis and toxin
This paper means to summarize Professor Zheng Shaozhou's clinical experience in treating primary trigeminal neuralgia with the theory of blood stasis and toxin.He maintains that blood stasis,toxin and heat accumulation are the key pathogeneses of the disease,while the invasion of wind pathogen into the head and face acts as its inducement,and the deficiency of vital qi,the malnutrition of the five zang-viscera are its root causes.As for its treatment,Professor Zheng Shaozhou strictly abides by its etiology and pathogenesis,establishes the treatment methods of detoxification and promoting blood circulation,dispelling wind and relieving pain.At the same time,he underlines strengthening and consolidating body resistance,and strengthens emotional regulation.He adheres to the concept of"one prescription for treating one specific disease",formulating the Jiedu Huoxue Zhitong prescription as the core prescription and modifying it flexibly according to specific syndromes.He is especially good at using a large dosage of kudzuvine root to detoxify and dredge meridians,and additionally applies drugs for tonifying the kidney and benefiting qi to achieve the purpose of dispelling pathogens without harming the body.

primary trigeminal neuralgiatheory of blood stasis and toxinZheng Shaozhou

赵浩林、赵铎

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河南中医药大学第一临床医学院,郑州 450046

河南中医药大学第一附属医院脑病科,郑州 450099

原发性三叉神经痛 瘀毒理论 郑绍周

国家重点研发计划国家中医药管理局全国名老中医药专家传承工作室建设项目河南省中医药科学研究专项课题

2018YFC1704103国中医药人教函[2012]149号2019ZYBJ09

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(3)
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