基于髓海理论运用填精益髓法辨治中医脑病  

Clinical Application of Supplementing Essence and Boosting Marrow Method in the Treatment of Encephalopathy Based on the Marrow Sea Theory

作　　者：刘红喜 路梦颖 梁晓 魏竞竞 刘悦 陈云梦 迟显苏 付国静 张允岭 LIU Hongxi;LU Mengying;LIANG Xiao;WEI Jingjing;LIU Yue;Chen Yunmeng;CHI Xiansu;FU Guojing;ZHANG Yunling(Beijing University of Chinese Medicine,Beijing,100029;Xiyuan Hospital,China Academy of Chinese Medical Sciences;Guangdong Integrated Traditional Chinese and Western Medicine Hospital)

机构地区：[1]北京中医药大学,北京市100029 [2]中国中医科学院西苑医院 [3]广东省中西医结合医院

出　　处：《中医杂志》2023年第18期1877-1884,共8页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄学者)—国家中医药领军人才支持计划(2018年);国家中医药管理局中医药创新团队及人才支持计划(ZYYCXTD-C-202007);中国中医科学院中医药防治脑病传承创新团队(CI2021B006);中国中医科学院科技创新工程项目(CI2021A01301)。

摘　　要：髓海理论是中医脑病辨治的指导理论,具有重要的理论内涵与临证价值。整理近年发表的基于髓海理论辨治常见脑病的临床研究文献,从中风、眩晕、不寐、头痛、郁证、痴呆、颤证、痿证八方面对现有研究的治法、疗效进行总结,并结合相关基础研究,分析其可能的作用机制。认为髓海亏虚是中医脑病的共同病机,在填精益髓法的指导下运用填精益髓方药进行辨治,可有效改善疾病症状,延缓疾病病情进展,提高患者日常生活能力,改善患者生活质量。以髓海理论为指导,采用填精益髓,扶正祛邪的方法,可发挥中医药疗效优势,为脑病的中医诊疗和相关研究提供思路。As the guiding theory for the diagnosis and treatment of encephalopathy in traditional Chinese medicine(TCM),The marrow sea theory has important theoretical connotation and clinical value.This paper summarized the clinical research literature on the differentiation and treatment of common encephalopathy based on the marrow sea theory published in recent years,analyzed the treatment method and effects from eight aspects in terms of stroke,dizziness,insomnia,headache,constraint syndrome,dementia,tremor syndrome,and atrophy syndrome,and discussed the possible mechanism based on the relevant basic research.It is believed that marrow sea depletion is the common pathogenesis of encephalopathy in TCM.Guided by the method of supplementing essence and boosting marrow,the corresponding formulas and medicinals are recommended in accordance with differentiated syndromes,which can effectively improve the symptoms of the disease,delay the progression,increase the daily life ability of the patients,and improve the quality of life.Based on the marrow sea theory,the method of supplementing essence and boosting marrow,rectifying healthy qi and dispelling pathogen can be used to highlight the advantages of TCM and provide ideas for the diagnosis and treatment of encephalopathy in TCM.

关 键 词：脑病 神经系统疾病 髓海 填精益髓 中医药疗法 

分 类 号：R277.7[医药卫生—中医学]