“毒损脑络”学说的症状学研究思路探讨  

Research thinking of symptomatology in theory of“damage of brain collateral by toxin”

作　　者：邹忆怀[1] 

机构地区：[1]北京中医药大学东直门医院神经内科中医内科学教育部重点实验室北京市重点实验室,北京100700

出　　处：《北京中医药大学学报》2006年第7期448-450,共3页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(No.2003CB517102);国家自然科学基金(No.30472214)

摘　　要：目的在“毒损脑络”现有研究的基础上,从理论和临床角度初步探讨“毒损脑络”的症状表现,并探讨其症状学研究的初步思路。方法汇总并初步总结“毒损脑络”发病机制在疾病发生发展过程中的病机学特点,表达其与疾病密切相关的临床特点,在疾病过程中的发生时点和位点,并以此为依据,推导“毒损脑络”病机的临床症状特征。结果在中风病的发生发展过程中,症状的突然波动、持续加重和病情的复发,是“毒损脑络”的体现过程,在疾病状态下局灶症状的弥散化,是“毒损脑络”可能的症状特征。结论“毒损脑络”作为发病和病理的机制在中风病中存在,其特征性的症状表现存在于疾病发生发展的过程中。紧密结合疾病转归,结合病机特点和中医理论,在临床过程中寻找症状,是“毒损脑络”症状学研究的思路。Objective To investigate from theoretical and clinical aspects the symptoms of ＂ damage of brain collateral by toxin＂ and a tentative research thinking of symptomatology based on the present related studies. Method To summarize the pathogenetic characteristics, express the clinical characteristics and the time points and positions of the pathogenesis of ＂ damage of brain collateral by toxin＂ in its development course, and then to deduce the characteristics of clinical symptoms of ＂damage of brain collateral by toxin＂. Result In the development course of apoplexy the sudden changes, continuous worse and recurrence of the symptoms were the reflection of ＂damage of brain collateral by toxin＂. The spread of local symptoms might be the specific symptom of ＂ damage Conclusion ＂Damage of brain collateral by toxin＂, as a pathogenesis, of brain collateral by toxin＂. exists in the onset of apoplexy, and its specific symptoms were emerged in the whole development course of apoplexy. It is the research thinking of symptomatology of ＂damage of brain collateral by toxin＂ to combine closely the outcome, pathogenetic characteristics of apoplexy with Chinese medical theory, and to find the symptoms in clinical practice.

关 键 词：毒损脑络 病机 症状学 

分 类 号：R228[医药卫生—中医基础理论]