基于中医扶阳理论探讨壮医“龙路、火路”对缺血性中风发病和治疗的研究  

A study on Long Lu and Huo Lu of Zhuang medicine in the incidence and treatment of ischemic stroke based on TCM Fuyang theory

作　　者：翟阳[1] 郑光珊[1] 王凯华[1] 莫雪妮[2] 李岩 梅小平[1] 邹敏[1] 黄龙坚 ZHAI Yang

机构地区：[1]广西中医药大学附属国际壮医医院,广西南宁530023 [2]广西中医药大学,广西南宁530001 [3]右江民族医学院,广西百色533000

出　　处：《中医临床研究》2023年第1期35-38,共4页Clinical Journal Of Chinese Medicine

基　　金：国家自然科学基金(81874453);广西自然科学基金(2021JJB140540,2020JJA140299);广西中医脑病临床研究中心(AD20238028);广西科技基地和人才专项(桂科AD19245183);广西中医药大学第二批“岐黄工程”高层次人才团队培育项目(NO.2021008);广西中医药重点学科《壮医外治学》(GZXK-Z-20-62);2021年度中医药自筹经费科研课题(20210360)。

摘　　要：中医扶阳理论中元阳虚衰在中风发病过程起着重要的基础作用,阳化气不足,阴成形太过后,痰、瘀、毒等病理产物导致龙路堵塞,火路不通,进而形成缺血性中风。治疗方法为扶其元阳,使阴阳在其本位,在此基础上根据缺血性中风的病情使用三焦次第法中的开上焦、中焦,与壮医通“龙路、火路”有很大的内在逻辑相关性。故治疗应把握上、中焦温通的整体变化,以恢复“龙路、火路”为核心,并根据病理产物的动态变化采用健脾化湿、宣肺化痰、温肾助阳等治法,多脏同调,促使“龙路、火路”通畅,进而治愈本病。In TCM Fuyang theory(扶阳理论),Yuanyang(元阳)deficiency plays an important basic role in the pathogenesis of stroke.When Yang(阳)can not transform Qi(气)sufficiently,and Yin(阴)produces the shape excessively,pathological products such as phlegm,stasis and poison will lead to the obstruction of Long Lu(龙路),followed by the obstruction of Huo Lu(火路),resulting in ischemic stroke.The treatment method is to support Yuanyang and let Yin and Yang return to their original position.According to the condition of ischemic stroke,the opening upper and middle energizers method of triple energizer sequence method is used.It has a great internal logical correlation with Zhuang medicine Long Lu and Huo Lu.Therefore,the treatment should grasp the overall changes of warming upper and middle energizers,and focus on recovering Long Lu and Huo Lu.According to the dynamic changes of the pathological products,the treatment methods such as strengthening the spleen and removing dampness,dredging the lungs and resolving phlegm,warming the kidneys and supporting Yang were adopted clinically to dredge Long Lu and Huo Lu and then cure the disease.

关 键 词：扶阳理论 龙路 火路 缺血性中风 治疗 

分 类 号：R255.2[医药卫生—中医内科学]