从玄府理论辨治脑梗死研究进展  

Research Progress on Differentiation and Treatment of Cerebral Infarction from Xuanfu Theory

作　　者：钟霞[1] 滕晶[1] 焦华琛[2] ZHONG Xia;TENG Jing;JIAO Huachen(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2022年第12期1346-1350,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省重点研发计划(重大科技创新工程)项目(编号:2021LCZX06);山东省自然科学基金项目(编号:ZR2019MH032)。

摘　　要：玄府理论是中医藏象理论的重要组成部分,近年来在脑梗死的辨治过程中得到应用。通过梳理相关文献,追溯玄府理论的源流及发展,归纳玄府的生理、病理特点,概括玄府理论视角下脑梗死的病因病机——玄府闭塞,气血不通,神机不遂。在开通玄府治则基础上,总结出祛风化痰开玄、平肝潜阳开玄、清火豁痰开玄、化痰行瘀开玄、益气活血开玄、滋养肝肾开玄六法,以指导脑梗死的中医临床辨治。参考文献45篇。The Xuanfu theory is an important component of visceral picture theory in traditional Chinese medicine and it has been applied in the process of differentiation and treatment of cerebral infarction in recent years.Through collecting and analyzing the related documents,this paper traced the origin and development of Xuanfu theory,summarized Xuanfu’s physiological and pathological characteristics,and generalized the etiology and pathogenesis of cerebral infarction from the perspective of Xuanfu theory:Xuanfu occlusion,impaired qi movement and blood circulation,and oppressed vital activity.On the basis of the treatment principle of opening and dredging Xuanfu,the following six methods were concluded for guiding the clinical differentiation and treatment of cerebral infarction:expelling wind and resolving phlegm to open Xuanfu,calming the liver and suppressing the yang to open Xuanfu,clearing the fire and expelling phlegm to open Xuanfu,resolving phlegm and promoting blood stasis to open Xuanfu,benefiting qi and promoting blood circulation to open Xuanfu,and nourishing the liver and kidney to open Xuanfu.There are 45 references.

关 键 词：玄府 藏象理论 脑梗死 玄府闭塞 开通玄府 

分 类 号：R277.7[医药卫生—中医学]