基于“辨发病”探析中医脑病的诊疗思路  

Diagnosis and Treatment of Traditional Chinese Medicine for Encephalopathy Based on the Theory of“Identificating the Onset of Diseases”

作　　者：赵迪 徐榛敏 梁晓 刘红喜 张允岭 ZHAO Di;XU Zhenmin;LIANG Xiao;LIU Hongxi;ZHANG Yunling(Graduate School,Beijing University of Chinese Medicine,Beijing,100029;Xiyuan Hospital,China Academy of Chinese Medical Sciences)

机构地区：[1]北京中医药大学研究生院,北京市100029 [2]中国中医科学院西苑医院

出　　处：《中医杂志》2023年第22期2295-2299,共5页Journal of Traditional Chinese Medicine

基　　金：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);中国中医科学院科技创新工程创新团队(CI2021B006);中国中医科学院科技创新工程项目(CI2021A01301);中国中医科学院基本科研业务费(ZZ16-XRZ-013)。

摘　　要：中医脑病纷繁复杂,诊治面临诸多困难,亟须新的诊疗思路。发病是正邪交争的结果,常见的发病类型有卒发、徐发、伏发、继发、复发等,反映了正邪强弱、致病邪气、发病部位等信息。“辨发病”临床操作简单,可执简驭繁,有助于厘清中医脑病复杂的发展脉络。应用时应首辨缓急,主辨特点;把握病势,知病大体;抓同辨异,横向对比;精细洞察,动态认识。“辨发病”具有统括性、预后性的特点,可为辨证论治和“治未病”奠定基础。Brain diseases in traditional Chinese medicine were complex and difficult to diagnosis and treatment,and new diagnostic and therapeutic ideas are urgently needed.The onset of the disease was the result of the struggle between healthy qi and pathogenic qi.Common types of the onset of diseases included sudden onset,slow onset,latent onset,secondary onset,and recurrent onset,reflecting the strength of the healthy qi and pathogenic qi,the pathogenic qi that reduced diseases,the site of onset,and other informatin.“Identificating the onset of diseases”was simple and easy to operate,and helped to clarify the complex development of encephalopathy.When applying it,we should first identify urgency and importance,focus on the characteristics;grasp the tendency of diseases,and know the overall situation of the disease;compare similarities and differences horizontally;and carefully observe and dynami?cally understand the disease.“Identificating the onset of diseases”has the characteristics of comprehensiveness and prognosis,and can lay the foundation for pattern identification and treatment and“treating disease before its onset”.

关 键 词：神经系统疾病 脑病 发病 病势 

分 类 号：R277.7[医药卫生—中医学]