肌萎缩侧索硬化肌张力增高的中医病机探讨  

Discussion on Pathogenesis in Traditional Chinese Medicine of Amyotrophic Lateral Sclerosis with Hypermyotonia

作　　者：赵京燕[1] 李建军[1] 张强胜[1] 潘朝[1] 李彦红[1] 王伟红 ZHAO Jingyan;LI Jianjun;ZHANG Qiangsheng;PAN Zhao;LI Yanhong;WANG Weihong(Muscular Atrophy Department,Hebei Yiling Hospital,Hebei Province,Shijiazhuang 050091,China)

机构地区：[1]河北以岭医院肌萎缩专科

出　　处：《中国中医药现代远程教育》2019年第14期85-87,共3页Chinese Medicine Modern Distance Education of China

基　　金：河北省中医药管理局中医药类科研计划课题【No.2016106】

摘　　要：肌萎缩侧索硬化是一种无法治愈的疾病,目前治疗中除了使用延缓病情发展的利鲁唑等药物外,还包括营养管理和呼吸支持等综合治疗,而在临床实践中肌张力增高引起的肢体僵硬、甚或出现痛性痉挛症状对其生活质量的影响越来越得到重视。西医采用常规降肌张力药,但副作用大,或在降低肌张力同时明显降低肌力,疗效不满意。中医在认识和治疗本病引起肢体僵硬的病因病机理论探讨的文章甚少,不能指导临床用药。本文通过对相关中医文献的梳理,首次提出本证的病机为奇阳亏损、筋脉失柔,开创温补奇阳、柔筋止痉的治疗方法,选取巴菟益髓胶囊应用于临床,从而达到延缓病情,提高患者生活质量的疗效。Amyotrophic lateral sclerosis is an incurable disease, in addition to drugs such as riluzole, which slows the progression of the disease, and the current treatment also includes comprehensive treatments such as nutritional management and respiratory support. However, in clinical practice, the effects of limb stiffness and even painful spasm caused by hypermyotonia on the quality of life are increasingly valued. Western medicine uses conventional muscle-lowering tension drugs, but the side effects are large, or significantly reduce muscle strength while reducing muscle tension, and the effect is not satisfactory. There are very few articles on the etiology and pathogenesis of Chinese medicine in the understanding and treatment of limb stiffness caused by this disease, and it is impossible to guide clinical medication. Based on the literature review of traditional Chinese medicine, this article firstly proposed the pathogenesis of the symptom is Qiyang loss, tendon and vessel inflexible, and initiate the treatment of warming Qiyang and softening tendon, the application of Batu Yisui capsule in clinical practice can achieve the effect of delaying the disease and improving the quality of life of patients.

关 键 词：肌萎缩侧索硬化 肌张力 中医病机 痉证 

分 类 号：R74[医药卫生—神经病学与精神病学]