A brief analysis of Professor Jin Jie's experience in the treatment of spontaneous intracranial hypotension based on qingyang theory
This article is based on the theory of qingyang combined with Professor Jin Jie's rich clinical experience to propose a pathogenesis theory of"dampness stagnating in spleen and kidney,qingyang not rising"in the treatment of spontaneous intracranial hypotension.Among them,dampness excess yang is the basis of the disease,qingyang not rising is the key,and dampness stasis obstructing collaterals is the development.Modern traditional Chinese medicine believes through clinical practice and modern medical research that the pathogenesis of this disease is closely related to the reduction of cerebrospinal fluid volume and total intracranial volume.Clinical diagnosis and treatment should focus on the core underlying pathogenesis,proposing the treatment principle of"warming the kidneys and awakening the spleen,dispelling dampness and removing blood stasis",and self formulating warm water and dry soil.In the formula,Astragali Radix is highly valued as sovereign drug for nourishing qi and promoting yang;Ginseng Radix Et Rhizoma,Atractylodis Macrocephalae Rhizoma,Poria,Glycyrrhizae Radix Et Rhizoma,Citri Reticulatae Pericarpium are minister drug for strengthening the spleen,promoting qi and dampness;paired with Pinelliae Rhizoma harmonizing stomach for descending adverse qi,combined with sweet and warm Ginseng Radix Et Rhizoma and Astragali Radix,it can promote clear and turbid qi,calm the spleen and stomach;Taxilli Herb a and Eucommiae Cortex are assistant drug that benefit the kidneys,replenish essence,and warm and nourish kidney yang;envoy drug of Bombyx Batryticatus and Glycyrrhizae Radix Et Rhizoma Praeparata Cum Melle are used to remove blood stasis and unblock collaterals,and to harmonize various drugs.In clinical practice,the severity and urgency of a patient's condition should be weighed carefully.Medications should be administered flexibly to promote the ascending of vital energy,ensure proper circulation of qi and blood,unclog the meridians,and eliminate dampness and stasis.Summarize Professor Jin's clinical experience in the treatment of spontaneous intracranial hypotension,in order to provide more ideas for clinical diagnosis and treatment.
Qingyang not risingSpontaneous intracranial hypotensionDampness stagnating in spleen and kidneyDampness stasis obstructing collateralsWarming the kidneys and awakening the spleen
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