探讨中医针药“脑肠同调”论治中风病  

Exploring TCM in Treating Stroke Based on ‘Brain-Gut Homeostasis’

作　　者：宋琦[1,2] 唐强 关睿骞[1,2] 唐祎周 陶然[1,2] 朱路文 SONG Qi;TANG Qiang;GUAN Ruiqian;TANG Yizhou;TAO Ran;ZHU Luwen(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《中医药学报》2023年第1期56-61,共6页Acta Chinese Medicine and Pharmacology

基　　金：2020黑龙江省卫生健康委科研课题(2020-295);黑龙江省自然科学基金联合引导项目(LH2019H045);黑龙江省中医药科研项目(ZYW2022-128);2019孙申田青年人才基金(2019SC-03)。

摘　　要：肠道微生物群是西医学的重大创新之一,近年来研究者们对肠道微生物群及其对急、慢性疾病的影响进行了更全面和更深入的研究,包括神经系统疾病。近几年的研究证实,肠道微生物群与神经系统之间关联密切,特别是大脑和肠道之间的双向沟通会影响一些急性神经系统疾病的风险因素和结果,及“肠脑同调”理论。运用“脑肠同调”指导中医辨证论治,临床疗效显著。本文基于“肠道微生物群-脑轴”在中风(脑卒中)中的病理生理学最新研究进展,探讨中医针灸辨证论治中风。Gut microbiota is one of the major innovations in modern medicine,and it has conducted more comprehensive and in-depth studies on gut microbiota and its effects on acute and chronic diseases,including neurological disorders.Many studies have shown a close association between gut microbiota and nervous system.In particular,this bidirectional communication between brain and gut,and the‘gut-brain homeostasis’theory can affect a number of acute neurological disorders.The clinical efficacy of TCM treatment guided by‘brain-gut homeostasis’is remarkable based on syndrome differentiation.This study discussed the differentiation and treatment of stroke in TCM based on the latest research progress of pathophysiology of‘intestinal microbiota-brain axis’in the disease.

关 键 词：肠道微生物群-脑轴 脑肠同调 中风病 中医辨证论治 

分 类 号：R255.2[医药卫生—中医内科学]