中医杂志2024,Vol.65Issue(14) :1443-1448.DOI:10.13288/j.11-2166/r.2024.14.006

象思维视域下基于气机升降理论探讨缺血性中风的病机与治疗

Exploring the Disease Mechanism and Treatment of Ischemic Stroke Based on Ascending and Descending of Qi Movement from the Perspective of Xiang Thinking

王柳丁 梁晓 陈一帆 刘悦 刘红喜 赵迪 张云帆 陈云梦 张雪茹 张允岭
中医杂志2024,Vol.65Issue(14) :1443-1448.DOI:10.13288/j.11-2166/r.2024.14.006

象思维视域下基于气机升降理论探讨缺血性中风的病机与治疗

Exploring the Disease Mechanism and Treatment of Ischemic Stroke Based on Ascending and Descending of Qi Movement from the Perspective of Xiang Thinking

王柳丁 1梁晓 1陈一帆 1刘悦 1刘红喜 2赵迪 2张云帆 2陈云梦 1张雪茹 1张允岭1
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作者信息

  • 1. 中国中医科学院西苑医院,北京市海淀区西苑操场1号,100091
  • 2. 中国中医科学院西苑医院,北京市海淀区西苑操场1号,100091;北京中医药大学研究生院
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摘要

象思维是构建中医学人体生命模型的关键思维方式,气机升降理论是象思维在中医学中的运用体现.基于气机升降理论,从"土衰-木郁-火亢"的象思维视域下诠释缺血性中风病机,认为气机升降失调导致的"中央土衰,湿聚成痰""东方木郁,风动血瘀""南方火亢,火毒炎上"是缺血性中风的发病基础.结合"药类法象"探讨缺血性中风的治法及方药,以风药升己土、乙木,使痰瘀行,以寒药降甲木、戊土,使火毒清,以期恢复缺血性中风的气机升降,为缺血性中风的中医诊疗提供思路.

Abstract

Xiang thinking is the key way of thinking to construct the life model of human body in traditional Chinese medicine(TCM),and the theory of ascending and descending of qi movement is an important manifestation of xiang thinking in the theory of TCM.Based on the theory of qi movement,this paper interpreted the mechanism of ischemic stroke through the perspective of xiang thinking"earth weakness-wood constraint-fire hyperactivity",as"earth weakness in the central and dampness accumulated to phlegm""wood constraint and stirring wind led to blood stasis"and"fire hyperactivity and fire toxin showed flaming upward"due to disorder of qi movement.Combined with the"xiang of medicinal properties and therapy methods"to discuss the treatment and prescriptions of ischaemic stroke,applying wind medicinals to elevate ji-earth(己土)and yi-wood(乙木),so that phlegm and stasis can be elimi-nated,and cold medicinals to descend jia-wood(甲木)and wu-earth(戊土)so that fire toxin can be cleared,with a view to restore ascending and descending of qi movement for ischaemic stroke.

关键词

缺血性中风/象思维/气机升降/一气周流

Key words

ischemic stroke/xiang thinking/ascending and descending of qi movement/qi circumfluence

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基金项目

国家中医药管理局中医药创新团队及人才支持计划(ZYYCXTD-C-202007)

中国中医科学院科技创新工程项目(CI2021A01301)

中国中医科学院科技创新工程项目(CI2021A01311)

中国中医科学院中医药防治脑病传承创新团队项目(CI2021B006)

出版年

2024
中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCDCSCD北大核心
影响因子:1.464
ISSN:1001-1668
参考文献量33
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