从“中风”探讨大秦艽汤证治内涵  

Connation of Da Qin Jiao decoction on treating stroke

作　　者：鲁赛[1] 杨桢[1] 胡红林[1] 高琳[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《中国中医基础医学杂志》2015年第2期143-144,194,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：北京中医药薪火传承"3+3"工程-李庆业基层老中医传承工作室

摘　　要：大秦艽汤是临床治疗中风的常用方剂。在历版方剂学教材中,其主治病证均为风邪初中经络证,这与刘完素的制方本意存在明显差异。故通过对风邪中经络的真中风与类中风进行比较后提出,大秦艽汤所治病证与脑血管意外具有密切联系。外界环境温度的变化引发脑血管痉挛,导致脑组织缺血,很可能是大秦艽汤证形成的核心病机。大秦艽汤中疏风散邪药具有改善脑血管反应性等作用,对治疗此类脑血管意外具有重要意义。因此,大秦艽汤不仅为治疗外风证的名方,更是治疗"外风"引动"内风"的代表方剂。Daqinjiao Tang is a classical formula commonly used in clinical treatment of the syndrome which is the early stage of wind evil attacking meridians and collaterals. But this explanation differs significantly from the theory of Liu Wansu who created this prescription to cure stroke without outside manifestations of the six meridians disorders. We discovered that the syndrome concerned about the Daqinjiaotang probably has close links to cerebral angiospasm which could be caused by extreme temperature changes in external environment. The herbs in the decoction can not only dispel the wind in the meridians and collaterals, but also can improve cerebral vasoreactivity, dilate cerebrovascular and improve circulation of the brain. As a result, we suggest that Daqinjiaotang is an typical formula for the certain type of stroke which induced by wind evil.

关 键 词：大秦艽汤 风邪初中经络 中风 脑血管意外 疏风活血 

分 类 号：R255.2[医药卫生—中医内科学]