国医大师张志远治疗中风经验  

Experience in Treating Stroke by Chinese Medicine Master ZHANG Zhiyuan

作　　者：李顺 刘桂荣 LI Shun;LIU Guirong(Institute of Chinese Medicine Literature and Culture,Shandong University of Traditional Chinese Medicine,Ji′nan 250355,China;College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Ji′nan 250355,China)

机构地区：[1]山东中医药大学中医文献与文化研究院,济南250355 [2]山东中医药大学中医学院,济南250355

出　　处：《世界中医药》2024年第4期556-560,共5页World 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：国医大师张志远教授对中风治疗经验丰富,认为中风病因为内伤积损、情志所伤、气虚邪中,病机关键在于玄府闭塞、气血不通,故以开通玄府,畅行气血为治疗大法,主张分期、分证型论治:针对急性期与恢复期证属痰热腑实采用“三化汤”,恢复期证属气虚血瘀使用“救痪汤”,并自创验方“黄芪愈风汤”治疗恢复期属风痰阻络者。重视风药与虫药,以及黄芪、山楂,丹参、牡丹皮和半夏、橘红的配伍,均收显效。Professor ZHANG Zhiyuan,a master of Chinese medicine,has rich experience in the treatment of stroke and believes that the pathogenesis of stroke is due to internal injury,emotional injury,Qi deficiency,and evil,and the key lies in the blockage of Xuanfu and the obstruction of Qi and blood.Taking opening Xuanfu and unblocking Qi and blood as the treatment method,professor ZHANG Zhiyuan advocates the treatment by stages and syndrome types.For the acute and convalescent syndrome of phlegm,heat,and viscera excess,Sanhua Decoction was used,and the convalescent syndrome of Qi deficiency and blood stasis was treated with Jiuhuan Decoction.Professor ZHANG Zhiyuan created an empirical prescription Huangqi Yufeng Decoction to treat those with wind phlegm obstructing collaterals in the convalescent period and paid attention to the combination of wind medicine and insect medicine,as well as Astragalus membranaceus,Fructus Crataegi,Salvia miltiorrhiza,Cortex Moutan(Radicis),Rhizoma Pinelliae,and Citrus reticulata Blanco,which have achieved remarkable results.

关 键 词：@张志远 国医大师 中风 中风分期 半身不遂 风药 玄府 名医经验 

分 类 号：R249.2/.7[医药卫生—中医临床基础]