《南雅堂医案》中风案的诊断与辨证规律研究  

Diagnosis and principle of syndrome differentiation of stroke in Medical Cases of Nan Ya Tang based on multivariate correlation analysis

作　　者：钟名天 杨朝阳[1] 

机构地区：[1]福建中医药大学,福州350122

出　　处：《长春中医药大学学报》2016年第1期198-201,共4页Journal of Changchun University of Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)项目(2011CB505405);国家自然科学基金项目(81373553);国家自然科学基金重点项目(81230087);国家科技支撑计划课题(2012BAI41B01);福建省卫生厅名医医案整理研究重点专项项目(YA-201;YA-202;YA-203);福建省教育厅项目(JB08174)

摘　　要：对陈修园《南雅堂医案》中36个中风医案的症状、病因、病机进行整理和分析,总结陈氏对中风医案的诊断与辨证规律。陈氏认为中风的病因以六淫为主,病机主要为津液代谢失常、邪正盛衰和阴阳失调,提出中风分真中风与类中风。并提倡辨证中风应当重视病因、病机、病证,以虚实、标本、内外立论,辨闭脱当分阴阳,对中风常证、急证、变证的辨证提出了独道见解。Through sorting and analyzing symptoms,etiology,pathogenesis of 36 stroke basis in CHEN Xiuyuan Medical Cases of Nan Ya Tang to summarize the diagnosis and the principle of syndrome differentiation. CHEN think etiology of stroke is ＂the six evils＂,pathogenesis of stroke is qi-blood disturbance,healthy energy-evil struggle,imbalance of Yin and Yang,CHEN proposed the stroke can be divided into stroke with wind and analogous apoplexy. He advocates to pay attention to etiology,pathogenesis and disease syndrome,to make points on asthenia and sthenia,branch and root,inside and outside. CHEN proposed to distinguish Yin and Yang of stroke prostration and stroke excess,and put forward a lot of experience of syndrome differentiation between the stroke regular case,critical case and deteriorated case.

关 键 词：陈修园 《南雅堂医案》 中风 诊断 辨证 

分 类 号：R249[医药卫生—中医临床基础]