从“络病辨证六要”论卒中后痉挛性偏瘫的病机证治  

Discussion on the Pathogenesis,Syndrome and Treatment of Spastic Hemiplegia after Stroke from “Six Essentials of Syndrome Differentiation of Collateral Diseases”

作　　者：李婷婷[1,2] 吕晓东 庞立健[2] 臧凝子[2] 刘创[2] 刘烨[1] Li Tingting;Lyu Xiaodong;Pang Lijian;Zang Ningzi;Liu Chuang;Liu Ye(Liaoning University of Traditional Chinese Medicine,Liaoning,Shenyang 110847,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中国中医急症》2020年第7期1216-1218,1234,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：辽宁省科学技术厅高水平创新创业团队(XLYC1808011);“十二五”国家中医药管理局中医络病重点学科建设项目(T0302);辽宁省自然科学基金计划重点项目(20170540626)。

摘　　要：卒中后痉挛性偏瘫为临床难治性疾病,该病属"筋痹"范畴,从络治痹具有一定优势,该病符合络病发病特点,因此可以从络病角度进行辨证论治。吴以岭院士提出络病辨证六要,认为络病辨证应从辨发病因素、辨病程久暂、辨阴阳表里、辨寒热虚实、辨气病血病、辨络形络色6个方面进行。本文从这6个方面出发,分析探讨卒中后痉挛性偏瘫的络病病机,以期为临床应用提供思路。Spastic hemiplegia after stroke is a refractory disease in clinical,which belongs to the category of tendon-obstruction. It has certain advantages in treating Bi syndrom from collateral diseases,and because it accords with the characteristics of collateral disease,it can be treated by syndrome differentiation from the angle of collateral disease. Academician Wu Yiling put forward six essentials of syndrome differentiation of collateral diseases. He believes that the syndrome differentiation of collateral diseases should be carried out from six aspects:distinguishing pathogenic factors,distinguishing long duration of disease,distinguishing Yin and Yang exterior,distinguishing cold and heat with deficiency and excess,distinguishing Qi disease and blood disease,and distinguishing collateral forms and colours. This paper analyzes and discusses the pathogenesis of spastic hemiplegia after stroke from these six aspects,and guided the application in clinical.

关 键 词：卒中后痉挛性偏瘫 络病辨证 筋痹 通络 

分 类 号：R743.3[医药卫生—神经病学与精神病学]