1.上海中医药大学附属岳阳中西医结合医院(上海 200437)
张月婵,女,博士研究生,主要从事中西医结合治疗脑血管疾病临床研究工作
张云云,主任医师,教授,博士研究生导师; E-mail:zhangyyun@hotmail.com
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张月婵,张云云,曹孟欣,等.从脾论治缺血性脑卒中的思考[J].上海中医药杂志,2023,57(3):49-52.
ZHANG Yuechan,ZHANG Yunyun,CAO Mengxin,et al.Thinking on treating ischemic stroke from spleen[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(3):49-52.
张月婵,张云云,曹孟欣,等.从脾论治缺血性脑卒中的思考[J].上海中医药杂志,2023,57(3):49-52. DOI: 10.16305/j.1007-1334.2023.2209079.
ZHANG Yuechan,ZHANG Yunyun,CAO Mengxin,et al.Thinking on treating ischemic stroke from spleen[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(3):49-52. DOI: 10.16305/j.1007-1334.2023.2209079.
从中医“脾脑相关”理论、中风病中医理论以及前期临床实践和研究方面,阐述从脾论治缺血性脑卒中的依据和策略。缺血性脑卒中病因病机复杂,涉及多个脏腑,“虽五脏相关,但脾为机要”。脾功能障碍引发缺血性脑卒中的机制主要为脾虚邪中,脑络闭阻;脾失健运,痰瘀阻络;脾不统血利脉,脑络郁滞;脾胃失和,气机逆乱。故健脾扶正法应贯穿于缺血性脑卒中防治的全过程。
From the aspects of traditional Chinese medicine theory spleen-brain correlation and apoplexy, preliminary clinical practice and research, this article expounded the thinking of treating ischemic stroke from the spleen. The etiology and pathogenesis of ischemic stroke were complex, involving multiple zang-fu organs. “Although five zang-fu organs are related, the spleen is pivotal”. The mechanism of ischemic stroke caused by spleen dysfunction was mainly in pathogen excessiveness and spleen deficiency causing cerebral occlusion; spleen failing to transform properly, phlegm and blood stasis blocking collaterals; spleen failing to manage blood and vessel, brain collaterals stagnation; incoordination between spleen and stomach, qi movement disorder. Therefore, invigorating spleen and strengthening healthy energy should be applied the whole process of ischemic stroke prevention and treatment.
缺血性脑卒中中风脾健脾扶正中医药疗法
ischemic strokeapoplexyspleeninvigorating spleen and strengthening healthy energytraditional Chinese medicine therapy
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