从“煎厥”探析可逆性后部脑白质综合征中医病机  

On Pathogenesis of Reversible Posterior White Matter Syndrome in Traditional Chinese Medicine from Perspective of“Jianjue”

作　　者：宋纯东[1,2] 宋丹 代思雨 张相安[1] 王彩云 段凤阳[1] 郭婷[1] 王宁丽 张博[1] 杨濛[1] SONG Chundong;SONG Dan;DAI Siyu;ZHANG Xiang'an;WANG Caiyun;DUAN Fengyang;GUO Ting;WANG Ningli;ZHANG Bo;YANG Meng(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,Henan,China;School of Pediatlics,Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China;College of Acupuncture and Massage,Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China;The Thid Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China;Xinmi Hospital of Traditional Chinese Medicine,Zhengzhou 452370,Henan,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]河南中医药大学儿科医学院,河南郑州450046 [3]河南中医药大学针灸推拿学院,河南郑州450046 [4]郑州大学第三附属医院,河南郑州450052 [5]新密市中医院,河南郑州452370

出　　处：《中华中医药学刊》2023年第3期1-3,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：国家中医药管理局第四批全国中医优秀人才研修项目(国中医药办人教函141号);河南省中医药学科领军人才项目(豫卫中医函〔2021〕8号);河南省卫生健康委员会中医药青苗人才项目(豫卫中医函〔2021〕16号)。

摘　　要：目的探析可逆性后部脑白质综合征(reversible posterior leukoencephalopathy syndrome,RPLS)的中医病机,以期为中医辨治急重症提供理论依据。方法依据《素问·生气通天论篇第三》描述“煎厥”与RPLS临床表现极为相似及吻合,基于“煎厥”发于“阳气耗”“阴精亏”及“脏精绝”,分别从“脏腑”“阴阳”及“虚实”等方面分析RPLS中医病位及病机。结果中医理论认为二者病位均在肝肾,中医病机均属本虚标实,本虚为肝肾阴虚、肝阳上亢,标实为痰湿、瘀血内阻。结论用“煎厥”理论认识RPLS的病机,为中医药参与防治危急重症提供理论支撑。Objective To explore the TCM pathogenesis of reversible posterior white matter syndrome(RPLS),in order to provide theoretical basis for TCM syndrome differentiation and treatment.Methods According to the description of"Jianjue"in the third chapter of Suwen·Qitongtian Lun,the clinical manifestations of"Jianjue"and RPLS were very similar and consistent.The location and pathogenesis of TCM were analyzed from the aspects of"Zang-Fu organs","Yin and Yang"and"deficiency and excess".Results It is considered that the location of both diseases is in the liver and kidney,and the pathogenesis of TCM belongs to the deficiency of the origin and the excess of signs.The deficiency of the origin is the deficiency of liver and kidney Yin and the hyperactivity of liver Yang,and the signs include phlegm dampness,blood stasis and internal obstruction.Conclusion-Understanding the pathogenesis of RPLS with the theory of"Jianjue"provides theoretical support for the participation of TCM in the prevention and treatment of critical illness.

关 键 词：煎厥 可逆性后部脑白质综合征 中医病机 理论探讨 

分 类 号：R442.8[医药卫生—诊断学]