基于营卫理论探讨痿证发病机制  

Discussion on the pathogenesis of flaccidity syndrome based on the theory of nutrient qi and defensive qi

作　　者：高振梅[1] 徐东娟[1] 丁元庆[2] GAO Zhen-mei;XU Dong-juan;DING Yuan-qing(Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学附属医院,济南250014 [2]山东中医药大学附属医院中医经典科,济南250014

出　　处：《中华中医药杂志》2020年第12期6185-6188,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：山东省自然科学基金培养基金项目联合专项(No.ZR2015HL094);第六批全国老中医药专家学术经验继承工作(No.人教发〔2017〕29号);山东中医药科技发展计划项目(No.2019-0197)。

摘　　要：痿证是指外感或内伤,精血受损,肢体筋脉弛缓无力、肌肉痿废不用的一种病症,包括现代医学运动神经元病、多系统萎缩、重症肌无力等,可累及人体言语、吞咽、呼吸、运动、二便、情感等功能,甚则危及生命,是一类严重危及生命健康的疾病。基于丁元庆教授对痿证30多年临床研究,认为营卫与人的运动、呼吸、言语、吞咽、二便、精神等功能活动密切相关,并提出痿证初期病变脏腑多在肺、脾,日久累及肝肾;营卫失常、宗气不利、使道不通是痿证发病之根本病机。故笔者试从营卫角度重新阐释痿证发病机制,提出"营卫痿证模型",进而借助该模型认识各种神经系统疑难重症的发病机制。Flaccidity syndrome refers to exogenous disease or internal damage, damage of blood essence, weakness of limbs and tendons, and disuse of muscle flaccid, including motor neuron disease, multiple system atrophy, myasthenia gravis, etc. In modern medicine, it can involve human speech, swallowing, breathing, exercise, defecation, emotion and other functions, even endanger life, which is a kind of disease seriously endangering life and health. Based on professor DING Yuan-qing’s more than 30 years of clinical research on flaccidity syndrome, it is believed that nutrient qi and defensive qi are closely related to people’s sports, breathing, speech, swallowing, defecation, spirit and other functional activities, and puts forward that in the initial stage of flaccidity syndrome, the lesions of zang-fu organs are mostly in lung and spleen, involving the liver and kidney for a long time;abnormal ying and health, adverse qi, making the road blocked are the basic pathogenesis of flaccidity syndrome. Therefore, the author tries to reinterpret the pathogenesis of flaccidity syndrome from the perspective of nutrient qi and defensive qi, puts forward the ‘nutrient qi and defensive qi model of flaccidity syndrome’, and then uses the model to understand the pathogenesis of various nervous system difficulties and severe cases.

关 键 词：营卫理论 痿证 发病机制 重症肌无力 多系统萎缩 运动神经元病 

分 类 号：R255.6[医药卫生—中医内科学]