从“脾主壅塞”论治卒中后运动功能障碍  

Treatment of Motor Dysfunction in Individuals with Stroke from the Perspective of “Spleen Governing Obstruction”

作　　者：曾阳 岳鹏 邱华安 胡国恒[1] Zeng Yang;Yue Peng;Qiu Huaan;Hu Guoheng(The First Affiliated Hospital of Human University of Chinese Medicine,Hunan,Changsha 410007,China.)

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]湖南中医药大学,湖南长沙410208

出　　处：《中国中医急症》2023年第10期1752-1754,1759,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：湖南省卫生计生委科研课题(20201617);湖南省教育厅科学研究项目(19A379);“全国名老中医药专家传承工作室”建设项目(国中医药人教函[2022]75号);2023年湖南中医药大学校级研究生创新课题(2023CX36)。

摘　　要：我国缺血性脑卒中发病率逐年升高,其后遗症严重降低卒中患者的生存质量。其中,卒中后运动功能障碍发病率高,对患者日常生活影响大,为家庭和社会带来较重负担。笔者团队从“脾主壅塞”思考,认为脾胃强健是脑清神明,肢体灵活的生理基础;脾虚湿滞,壅塞不通为卒中后运动功能障碍的重要病机。并据此提出健脾祛湿、固护脾阳的治法,方用调中醒脑汤加减,配合中医外治法,可取得较好疗效。The incidence rate of ischemic stroke in China is increasing year by year,and its sequelae seriously affect the quality of patients′ life.Among them,the incidence rate of motor dysfunction after stroke is high,which has a great impact on the daily life of patients and brings heavy burden to families and society.We thought from the view of“spleen governing obstruction”that the strong spleen and stomach is the physiological basis for the brain to clear the mind.Spleen deficiency,dampness stagnation and blockage are important pathogenesis of apoplexy sequelae.On this basis,we put forward the treatment method of strengthening the spleen and dispelling dampness,consolidating and protecting the spleen yang,and created Tiaozhong Xingnao Decoction.At the same time,combined with the external treatment of traditional Chinese medicine,it can achieve better results.

关 键 词：卒中后运动功能障碍 脾主壅塞 中气 中医外治法 

分 类 号：R743.9[医药卫生—神经病学与精神病学]