张志远以调畅气血为主治疗中风后遗症经验  

ZHANG Zhiyuan's Experience in Treating Stroke Sequela with Focus on Regulating Qi and Blood

作　　者：李顺[1] 罗娟娟[2] 刘桂荣[1] LI Shun;LUO Juanjuan;LIU Guirong(Shandong University of Traditional Chinese Medicine,Jinan,250355;University Town Hospital,Affiliated Hospital of Shandong University of Traditional Chinese Medicine)

机构地区：[1]山东中医药大学,山东省济南市250355 [2]山东中医药大学附属大学城医院

出　　处：《中医杂志》2023年第24期2495-2499,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局国医大师传承工作室建设项目(国中医药人教发[2018]119号);国家中医药管理局重点学科建设项目(国中医药人教发[2012]32号);齐鲁医派中医学术流派传承项目(鲁卫函[2022]93号)。

摘　　要：总结张志远教授从调畅气血角度治疗中风后遗症的临证经验。认为中风后遗症的基本病机为气血失调,主张以调畅气血为基本治法。针对中风后遗症之半身不遂、认知功能减退、语言謇涩三大症状总结出有效经验方,半身不遂常用重塑起居汤以补中益气、活血通络,认知功能减退常用加味三化汤以化痰泻热、调补气血,语言謇涩常用资寿解语汤以温补阳气、祛风化痰。同时自拟治脑化瘀汤预防中风后遗症的发生,并善用风药或通腑攻下法调畅气血,促进疾病向愈。This parer summarized the clinical experience of Professor ZHANG Zhiyuan in treating stroke sequelae from the perspective of regulating qi and blood.It is believed that the basic pathogenesis of stroke sequelae is dishar⁃mony of qi and blood,and it is advocated that the basic treatment method is to regulate qi and blood.For the three major symptoms of stroke sequelae,including hemiplegia,cognitive dysfunction,and sluggish speech,the effec⁃tive formulas have been summarized.Hemiplegia is often treated with Chongsu Qiju Decoction(重塑起居汤)to tonify the center and replenish qi,activate blood and dredge collaterals.Cognitive dysfunction is often treated with modified San Hua Decoction(三化汤)to resolve phlegm and purge heat,regulate qi and tonify blood.And sluggish speech is often treated with Zishou Jieyu Decoction(资寿解语汤)to warm and tonify yang qi,expel wind and remove phlegm.Meanwhile,the self-made Zhinao Huayu Decoction(治脑化瘀汤)is used to prevent the occurrence of stroke sequelae,and to regulate the blood and qi by using wind medicinals and the method of relaxing and purging bowels to cure the disease.

关 键 词：中风后遗症 调畅气血 气血失调 名医经验 张志远 

分 类 号：R249[医药卫生—中医临床基础] R255.2[医药卫生—中医学]