首页|基于"外风说"探讨《金匮要略》续命汤在脑梗死辨证论治中的应用

基于"外风说"探讨《金匮要略》续命汤在脑梗死辨证论治中的应用

扫码查看
当今学者辨证论治脑梗死,以活血通络为基本原则,祛风药几乎不用。但纵观历代文献,风邪在脑梗死的发病中具有重要作用。"中风"理论源于《黄帝内经》,在《伤寒论》中确立治"风"法则;《金匮要略》中确立"中风病"辨证论治的理、法、方、药理论体系,包括阐明"风"理论内涵;提出系统"中风"理论,包括中风病名、病机、治则、治法;选方用药以《金匮要略》续命汤为代表,结合临床应用实例,阐述中风病外风论治方药。通过1例临床病案,中医诊断为中风-中经络,证属风中经络、营卫郁闭证,治疗以祛风和络、透达营卫为法,方以续命汤加减。本文旨在通过阐发中风病外风理论和治风方药的在脑梗死治疗中的临床应用,推动经方的继承和创新。
Application exploration on Xuming Tang of Jingui Yaolüe in the syndrome differentiation and treatment of cerebral infarction based on"external wind theory"
Today's scholars treat cerebral infarction based on basic principle of promoting blood circulation and unblocking collaterals,with almost no use of wind dispelling drugs.However,throughout the literature of various dynasties,wind evil plays an important role in the pathogenesis of cerebral infarction.Theory of"stroke"originates from the Huangdi Neijing,which establishes the rule of treating"wind"in Shanghan Lun;Jingui Yaolüe establishes theoretical system of principles,methods,prescriptions and medicines for the differentiation and treatment of"stroke",including elucidate the connotation of"wind"theory;propose"stroke"theory,including name,pathogenesis,treatment principles,and treatment methods of stroke;the selection of prescriptions and medication is represented by Xuming Tang of JinguiYaoliie,and combined with clinical application examples,it elaborates on the treatment of external wind in stroke.And through a clinical case,traditional Chinese medicine diagnosed it as a stroke in the middle meridian,which belongs to the syndrome of wind in the meridian and yingwei stagnation.Treatment is based on dispelling wind and harmonizing collaterals,and penetrating yingwei,the formula is modified with Xuming Tang.This article aims to promote inheritance and innovation of classic prescriptions by elucidating the theory of external wind in stroke and clinical application of wind treatment prescriptions in the treatment of cerebral infarction.

Stroke theoryHuangdi NeijingZhang ZhongjingExternal wind theoryXuming TangMedical record

张晓乐、王雪茜、程发峰、邵奇、韩祖成、惠振亮

展开 >

陕西省中医医院脑病科,陕西西安 710000

北京中医药大学中医学院,北京 102488

中风理论 黄帝内经 张仲景 外风学说 续命汤 病案

国家中医药管理局中医药行业科研专项项目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

201507001-05

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(21)