从脏腑气机角度探讨高血压脑小血管病  

To Study Hypertensive Cerebral Small-Vessel Disease from the Angle of Zang-Fu Qi Movement

作　　者：李汝彬 安晓芸 胡华 LI Rubin;AN Xiaoyun;HU Hua(The First Clinical College of Traditional Chinese Medicine,Hunan University of Traditional Chinese Medicine,Hunan Changsha 410007,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410007

出　　处：《中医药临床杂志》2024年第5期829-832,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：国家科学技术部国家重点研发计划(2018YFC1704904);湖南省自然科学基金面上项目(2020JJ4477);2021年中央财政中医药专项(rsk-019-03);湖南省“十四五”第一批中医药领军人才和学科带头人培养项目(湘中医药〔2022〕4号)。

摘　　要：高血压脑小血管病是一类由高血压引发的脑内小动脉及其远端分支、微动脉、毛细血管、微静脉和小静脉所导致的一系列临床、影像、病理综合征,其临床表现复杂多样,很难将其归类至中医的某一单一病种。气为人之根本,气机变化多端,脏腑气机异常可引起多种症状,故以此为切入点,从气机的角度探讨高血压脑小血管病的病机与治疗,认为心肾水火之气失交引起络病与髓病是该病的基本病机,治疗上从交通心肾入手,兼顾肝、肺、脾胃,标本兼治,疏通、平衡脏腑整体气机以达到恢复脑中正常气机运转的目的。Hypertensive cerebral small vessel disease is a series of clinical,imaging,and pathological syndromes caused by cerebral arterioles and their distal branches,arterioles,capillaries,venules,and venules caused by hypertension.The clinical manifestations are complex and diverse,and it is difficult to classify them into a single disease in traditional Chinese medicine.Qi is the foundation of human beings,and the Qi mechanism changes in many ways.Abnormalities in the Qi mechanism of the organs can cause a variety of symptoms.Therefore,we use this as an entry point to explore the pathogenesis and treatment of hypertensive cerebral small vessel disease from the perspective of Qi mechanism.It is believed that the relationship between heart,kidney,water and fire is Collateral disease and marrow disease caused by Qi loss are the basic pathogenesis of the disease.The treatment starts from communicating with the heart and kidneys,taking into account the liver,lungs,spleen and stomach,treating both the symptoms and the root causes,dredging and balancing the overall Qi function of the organs to restore the normal Qi function in the brain.purpose of operation.

关 键 词：高血压脑小血管病 气机理论 脏腑气机 病机 中医药治疗 

分 类 号：R743.2[医药卫生—神经病学与精神病学]