从寒热并用法探析侯氏黑散治疗缺血性中风的理论  

Study on the theory of Houshi Heisan treating ischemic stroke from the combined therapy of cooling and warming

作　　者：王兴[1] 杨志宏 郭珍 张锐敏 闫冬雪 WANG Xing;YANG Zhihong;GUO Zhen;ZHANG Ruimin;YAN Dongxue(The First Clinical Medical College,Shaanxi University of Chinese Medicine,Shaanxi Province,Xianyang712046,China;the Fourth Ward of the Encephalopathy Hospital,Affiliated Hospital of Shaanxi University of Chinese Medicine,Shaanxi Province,Xianyang712083,China)

机构地区：[1]陕西中医药大学第一临床医学院,陕西咸阳712046 [2]陕西中医药大学附属医院脑病医院四病区,陕西咸阳712083

出　　处：《中国医药导报》2023年第1期145-149,共5页China Medical Herald

基　　金：陕西省名中医传承工作室建设项目(2019004);陕西省中医药管理局中医药科学技术研究课题(2019-GJLC020)。

摘　　要：本文通过对侯氏黑散的源流、配伍特点、方证内涵进行探析,可知此方是张仲景博采众方所得,其“寒热温凉熔于一炉,清散补泄集于一方”的组方特点体现了中医“寒热并用”的方剂配伍理论。全方具有温阳益气养血、祛风清热化痰,内外风同治之功,主治以气血亏虚,运行不畅,复感外邪,痰湿郁热,引动肝风,痹阻经脉为主要病机的“大风”。侯氏黑散治寒、热、虚、实各有所为,治风、痰、气、血、瘀、热面面俱到,是中医治疗中风的“第一方”,其方证内涵与气虚血瘀型缺血性中风的病因病机相合,故分析总结侯氏黑散与缺血性中风的关系及其治疗缺血性中风的特点和理论,以期为侯氏黑散的运用提供新思路。Based on the analysis of the origin,compatibility characteristics,and the connotation of prescriptions and syndromes of Houshi Heisan,it can be seen that this prescription is the result of Zhang Zhongjing’s extensive collection of various prescriptions.Its composition characteristics of“cold,heat,warm,and cool are melted in one furnace,while qingsan supplements and discharges in one side”embody the prescription compatibility theory of “the combined therapy of cooling and warming”in traditional Chinese medicine.The whole recipe has the functions of warming yang,supplementing qi,and nourishing blood,removing wind,clearing heat,and resolving phlegm,and treating both internal and external wind.It mainly treats “gale”with deficiency of qi and blood,poor operation,re feeling external evil,phlegm dampness and stagnant heat,inducing liver wind,and blocking meridians as the main pathogenesis.Houshi Heisan is effective in treating cold,heat,deficiency,and excess,and it covers all aspects of wind,phlegm,qi,blood,stasis,and heat.It is the “first party”in traditional Chinese medicine treatment of stroke.Its prescription and syndrome connotation is consistent with the etiology and pathogenesis of ischemic stroke with qi deficiency and blood stasis type.Therefore,it analyzes and summarizes the relationship between Houshi Heisan and ischemic stroke and its characteristics and theory in the treatment of ischemic stroke,in order to provide new ideas for the application of Houshi Heisan.

关 键 词：寒热并用法 侯氏黑散 气虚血瘀 缺血性中风 《金匮要略》 

分 类 号：R743.9[医药卫生—神经病学与精神病学]