从脾论治缺血性脑卒中的思考  

Thinking on treating ischemic stroke from spleen

作　　者：张月婵 张云云[1] 曹孟欣 梅家宁 甄晓敏[1] ZHANG Yuechan;ZHANG Yunyun;CAO Mengxin;MEI Jianing;ZHEN Xiaomin(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《上海中医药杂志》2023年第3期49-52,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市科委中医引导项目(19401934900);上海中医药大学附属岳阳中西医结合医院重点项目(2019YYZ09)。

摘　　要：从中医“脾脑相关”理论、中风病中医理论以及前期临床实践和研究方面,阐述从脾论治缺血性脑卒中的依据和策略。缺血性脑卒中病因病机复杂,涉及多个脏腑,“虽五脏相关,但脾为机要”。脾功能障碍引发缺血性脑卒中的机制主要为脾虚邪中,脑络闭阻;脾失健运,痰瘀阻络;脾不统血利脉,脑络郁滞;脾胃失和,气机逆乱。故健脾扶正法应贯穿于缺血性脑卒中防治的全过程。From the aspects of traditional Chinese medicine theory spleen-brain correlation and apoplexy,preliminary clinical practice and research,this article expounded the thinking of treating ischemic stroke from the spleen.The etiology and pathogenesis of ischemic stroke were complex,involving multiple zang-fu organs.“Although five zang-fu organs are related,the spleen is pivotal”.The mechanism of ischemic stroke caused by spleen dysfunction was mainly in pathogen excessiveness and spleen deficiency causing cerebral occlusion;spleen failing to transform properly,phlegm and blood stasis blocking collaterals;spleen failing to manage blood and vessel,brain collaterals stagnation;incoordination between spleen and stomach,qi movement disorder.Therefore,invigorating spleen and strengthening healthy energy should be applied the whole process of ischemic stroke prevention and treatment.

关 键 词：缺血性脑卒中 中风 脾 健脾扶正 中医药疗法 

分 类 号：R277.7[医药卫生—中医学]