首页|从肾脾论治缺血性脑卒中后功能障碍的中医机制探析及研究进展

从肾脾论治缺血性脑卒中后功能障碍的中医机制探析及研究进展

扫码查看
缺血性脑卒中因其高发病率和病死率历来是临床防治重点,而抢救存活后的高致残率又严重影响患者生存质量。中医药在改善功能障碍、预防残疾方面具备天然优势,但现有缺血性脑卒中的中医康复尚缺乏精准理论指导,亟需深入研究。运动、认知、语言等功能恢复基于脑和脊髓中突触重塑,元神恢复、神机运转有赖先后天之精充盈髓海,借助中医髓理论,中西医学在卒中后功能恢复的治疗逻辑上达成共识。欲复髓海,肾脾所藏先后天之精首当其责,变生血、津液等精微物质,最终化髓充脑,以养元神。故而缺血性脑卒中患者的功能恢复宜重视调补肾脾,填精益髓,生液养髓,髓海得充,神机以复。当下临床治疗缺血性脑卒中多以益气活血、清热化瘀、养阴活血等法,少有人基于中医髓认知聚焦卒中后功能障碍的中医康复机制研究。因此,通过对中医典籍和历代名家医案的深入挖掘,基于肾脾全面地分析影响缺血性脑卒中急性期病情演进与恢复期功能恢复的多种因素,从病理指标与功能评价对从肾脾论治缺血性脑卒中方药的效果进行综合论述,系统呈现肾脾同补方药的研究进展,进而丰富缺血性脑卒中的中医治疗理论,并为探求缺血性脑卒中的康复治疗提供新思路。
Analysis of Traditional Chinese Medicine Mechanism and Research Progress of Treating Dysfunction after Ischemic Stroke Based on Kidney and Spleen
Ischemic stroke has always been the focus of clinical prevention and treatment because of its high morbidity and mortality,and the high disability rate after rescue has seriously affected the quality of life of patients.Traditional Chinese medicine(TCM)has a natural advantage in improving dysfunction and preventing disability,but the existing TCM rehabilitation for ischemic stroke lacks precise theoretical guidance and requires in-depth research.Recovery of motor,cognitive,and language functions is based on synaptic remodeling in the brain and spinal cord,and the recovery of the soul depends on the filling of the marrow with the essence of the congenital and acquired,with the help of the theory of marrow of traditional Chinese medicine,a consensus has been reached between Chinese and Western medicine on the logic of the treatment of post-stroke functional recovery.In order to restore the sea of marrow,the essence of the successive heavens stored in the kidney and the spleen should play the first role in generating blood,fluid and other subtle substances,and finally transform the marrow and fill the brain to nourish the soul.Therefore,the functional recovery of ischemic stroke patients should pay attention to tonifying the kidney and spleen,filling in the essence and marrow,generating fluid to nourish the marrow,filling the sea of marrow,and restoring the vital activity.At present,clinical treatment of ischemic stroke is mostly based on the methods of benefiting Qi and activating blood,clearing heat and removing blood stasis,and nourishing yin and activating blood,etc.Few people have focused on the mechanism of Chinese rehabilitation of dysfunction after ischemic stroke based on Chinese medicine marrow cognition.Therefore,through the in-depth excavation of Chinese medical textbooks and medical cases of famous authors in the past,comprehensively analyze the factors affecting the progression of the condition of ischemic stroke during the acute phase and the functional recovery during the recovery phase based on the kidney and the spleen,and comprehensively discuss the effect of prescriptions for ischemic stroke based on the kidney and the spleen from the perspective of pathological indexes and functional evaluation,so as to objectively illustrate the progress in the study of prescriptions for the kidney and the spleen,thereby enriching the theory of the Chinese medical treatment of ischemic stroke,and to provide new ideas for the treatment of ischemic stroke.

ischemic stroketreatment of the kidney and spleenmarrowfunctional recovery

宋文君、刘伟、门伟业、熊紫怡、张鸿宇、英振昊

展开 >

山东中医药大学康复医学院,山东济南 250355

山东中医药大学,山东济南 250355

缺血性脑卒中 肾脾论治 功能恢复

2025

辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

影响因子:0.775
ISSN:1673-842X
年,卷(期):2025.27(1)