首页|运用举陷法从"虚、毒、风热"论治肌萎缩侧索硬化症

运用举陷法从"虚、毒、风热"论治肌萎缩侧索硬化症

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认为大气为脾肾之气与心肺阳气在胸中相合而成,充斥肌肉之间,能够维持肌肉正常形态.据此提出肌萎缩侧索硬化症的核心病机为大气虚陷,以虚为根本,毒、风热之邪为病情进展迅速的关键因素.将肌萎缩侧索硬化症发展过程分为起始发病期、日益进展期、急速加重期,运用举陷法从虚、毒、风热辨治.临证喜用风药,依据临床经验在黄芪、升麻、柴胡等风药基础上从"虚、毒、风热"角度加减自拟举陷汤系列方.起始发病期治以益气生肌举陷汤、温阳利咽举陷汤,日益进展期治以解毒举陷汤,急速加重期治以银翘疏风举陷汤、养血熄风举陷汤.
Treatment of Amyotrophic Lateral Sclerosis by the Method of Lifting the Sunken from"Deficiency,Toxin,Wind-Heat"
It is regarded that the general qi is the combination of spleen-kidney qi and heart-lung yang qi in the chest,which is filled in the muscles and is able to maintain the normal shape of the muscles.Accordingly,it is pro-posed that the core pathogenesis of amyotrophic lateral sclerosis(ALS)is the deficiency sinking of general qi,with"deficiency"as the root,and"toxin"and"wind-heat"as the key factors for the rapid progression of the disease.The development process of ALS was classified into the initial onset stage,the increasingly progressive stage,and the rapid exacerbation stage,and differentiated and treated by deficiency,toxin,and wind-heat.Based on clinical experience,the wind medicinals were preferred.We formed self-prescribed Juxian Decoction(举陷汤)and modified from the per-spective of"deficiency,toxicity,wind-heat"based on the wind medicinals of Huangqi(Radix Astragali),Shengma(Actaea cimicifuga L.),Chaihu(Bupleurum spp.)and so on.For the initial onset stage,Yiqi Shengji Juxian Decoction(益气生肌举陷汤),Wenyang Liyan Juxian Decoction(温阳利咽举陷汤)could be used;for the increasingly progressive stage,Jiedu Juxian Decoction(解毒举陷汤)could be used;for the rapid exacerbation stage,Yinqiao Shufen Juxian Decoction(银翘疏风举陷汤),Yangxue Xifeng Juxian Decoction(养血熄风举陷汤)could be used.

amyotrophic lateral sclerosisgeneral qi deficiency sinkingmethod of lifting the sunken

余欢、孙永康、宋研博、王新志

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河南中医药大学第一附属医院脑病中心,河南省郑州市金水区人民路19号,450099

河南中医药大学第一临床医学院

中西医防治重大疾病河南省协同创新中心

肌萎缩侧索硬化症 大气虚陷 举陷法

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(23)