首页|从"毒损脑络-从化"理论探讨脑卒中后认知障碍病机及针刺治疗思路

从"毒损脑络-从化"理论探讨脑卒中后认知障碍病机及针刺治疗思路

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毒损脑络理论以毒邪和络脉为切入点,探讨脑络、气血、脑神与机体功能活动的生理病理联系;从化理论从邪气自身性质从化、体质从化等角度阐释疾病的病机。脑卒中后认知障碍(PSCI)强调脑卒中与认知功能之间潜在的因果关系,从毒损脑络理论探讨较为贴合,同时其发展转归、临床表现与从化理论相契合,故可从"毒损脑络-从化"理论出发,探讨PSCI的病机特点及针刺治疗思路。由此认为,浊毒是PSCI发病的物质基础,脑络损伤、脑神失养是PSCI发病的关键所在,基于此,治疗以解毒通络为首,毒邪去则络脉不再受损而易复,络脉通则气血畅,神机自复。此外,PSCI波动期邪多从火而化,蕴化热毒,故治以清热泻火;PSCI稳定期邪多从体质而化,因人而异,治宜调平体质。
Exploring the Pathogenesis and Acupuncture Treatment of Post Stroke Cognitive Impairment Based on"Toxic Damage to Brain Collaterals-Transformation in Accord with Constitution"Theory
The theory of toxic damage to brain collaterals takes toxin and collaterals as the starting point to explore the physiological and pathological relationship between cerebral collaterals,qi and blood,cerebral spirit and body function.The transformation in accord with constitution theory explains the pathogenesis of disease from the perspectives of nature of pathogenic factors transformation and transformation in accord with constitution.Post stroke cognitive impairment(PSCI)emphasizes the potential causal relationship between stroke and cognitive function,which is more compatible with the theory of toxic damage to brain collateral,and its development,prognosis and clinical manifestations are in line with transforma-tion in accord with constitution theory.Therefore,the pathogenesis and acupuncture treatment of PSCI can be discussed from the theory of"toxic damage to brain collaterals-transformation in accord with constitution".Therefore,it is believed that turbidity toxin is the material basis for the onset of PSCI,and brain collateral damage and loss of mental health are the key factors.Based on this,detoxification and unblocking of the collaterals are the primary ways to treat PSCI,if the toxin is eliminated,the collaterals will no longer be damaged and can be easily restored,if the collaterals are unblocked,qi and blood will be smooth,and the spirit will be restored automatically.In addition,in the fluctuating period of PSCI,the pathogenic factors are mostly transformed from fire and accumulated into heat toxicity,so the treatment is to clear heat and purge fire.PSCI in the stable period is mainly transformed from physical constitution,which varies from person to person,and the treatment should focus on regulating the constitution.

toxic damage to brain collateralstransformation in accord with constitution theorypost stroke cognitive impairmentacupunctureturbidity toxinconstitution

李冰、王嘉麟

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北京中医药大学,北京 100029

北京中医药大学东方医院,北京 100078

毒损脑络 从化理论 脑卒中后认知障碍 针刺 浊毒 体质

北京中医药大学重点攻关项目

2020-JYB-ZDGG-130

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(5)
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