化痰通腑法治疗中风病痰热腑实证的源流及发展(一)——历史源流、证候病机及临床应用  

Origin and development of therapy of resolving phlegm and relaxing bowels for treating syndrome of phlegm heat and bowel excess of stroke (I): history, origin, syndromes, pathogenesis and clinical application

作　　者：王永炎[1] 谢颖桢[2] 

机构地区：[1]中国中医科学院,北京100700 [2]北京中医药大学东直门医院

出　　处：《北京中医药大学学报（中医临床版）》2013年第1期1-6,24,共7页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.81273693)

摘　　要：化痰通腑法目前已成为全国中医、中西医结合界广泛应用的治疗急性期中风病危重症的主要治法。回顾了通腑法治疗中风病的历史与源流。从"涌现"视角介绍了痰热腑实证的发现过程,依次从中风病始发态腑气不通现象的不断出现与观察、腑气不通与痰热证候同时存在及其与病情程度关系的思考、痰热腑实证候的涌现与毒损脑络病机的蕴育、中风病痰热腑实证形成的多种途径几方面对中风病痰热腑实证的涌现进行分析论述。进一步从辨证要点、证候鉴别、方药组成、组方释义、临证化裁、煎服法及使用细则、适用范围、观察指征及预后判断、使用禁忌几方面对痰热腑实证与化痰通腑法的临床应用进行系统阐述。The therapy of resolving phlegm of phlegm heat and bowel excess of stroke and relaxing bowels now has been a major therapy in the fields of Chinese medicine and integrated for treating syndrome Western and Chinese medicine. The authors reviewed the history and origin of the therapy, and introduced the discovery process of the syndrome from the visual angle of spring up. The authors observed bowel qi obstruction at the beginning of stroke, pondered over the simultaneous emergence of bowel qi obstruction and phlegm heat syndrome and relationship between the syndrome and disease severity, and analyzed the occurrence of syndrome of phlegm heat and bowel excess, accumulation of brain collateral damaged by internal toxin, and multiple ways of concurrence of the syndrome. Furthermore, the key points of syndrome differentiation, identification of syndromes, formula design and medication, modification, decocting methods, detailed rules, and application range of formulas according to clinical condition, observation indications, prognosis and contraindications of the syndrome, and clinical application of therapy of resolving phlegm and relaxing bowels were stated systematically in the paper.

关 键 词：化痰通腑法 中风病 痰热腑实证 

分 类 号：R255.2[医药卫生—中医内科学]