“神转不回,回则不转”理论治疗痫证临证探微  

Explore the Treatment of Epilepsy Based on“Normal Qi and Blood Flow Forward,Stagnation and Rebellion Will Lose Their Consciousness”Theory

作　　者：张世翼 杨泽 夏永良[2] 陈意 ZHANG Shiyi;YANG Ze;XIA Yongliang(The First Clinical School of Zhejiang Chinese Medical University,Hangzhou(310053),China;The First Affiliated Hospital of Zhejiang Chinese Medical University(Zhejiang Provincial Hospital of Chinese Medicine))

机构地区：[1]浙江中医药大学第一临床医学院,杭州310053 [2]浙江中医药大学附属第一医院(浙江省中医院)

出　　处：《浙江中医药大学学报》2024年第5期582-585,共4页Journal of Zhejiang Chinese Medical University

基　　金：陈意全国名中医传承工作室建设项目(国中医药办人教函﹝2022﹞245号);陈意全国名老中医药专家传承工作室建设项目(国中医药人教发﹝2011﹞41号);浙江省陈意国医名师传承工作室建设项目(浙中医药﹝2020﹞12号)。

摘　　要：[目的]探求“神转不回,回则不转”理论的内涵及其临床治疗痫证的运用。[方法]通过查阅《黄帝内经》及后世医药典籍等,分析“神转不回,回则不转”理论,依此阐释痫证病机及立法选方,分析典型案例以论述其理论。[结果]痫证是由神气逆乱、三焦不通而诱发,五脏不平、内生积滞致痫证不愈,神回不转,神机失用,痫证避无可避,方以柴胡加龙骨牡蛎汤为基础,整理三焦枢转五脏神气,荡平五脏积滞并解其标。所举验案为气机阻滞、痰火扰神之证,治以清肝泻火、豁痰醒神之法,方用柴胡加龙骨牡蛎汤合涤痰汤加减,辄收佳效。[结论]“神转不回,回则不转”说明人之神机、气血阴阳不能逆乱,应当在各脏间一以贯之流转,每脏间如环无端运转;痫证的治疗应以“通”字为法,方以柴胡加龙骨牡蛎汤加减,旨在通调使道,平治五脏,标本兼顾,恢复神机,并以言语宽慰,则可痫定神安。[Objective]To explore the connotation of the theory of“normal Qi and blood flow forward,stagnation and rebellion will lose their consciousness”and its clinical treatment of epilepsy.[Methods]Through consulting Huangdi Neijing and later medical classics,this paper analyzed the theoretical basis of“normal Qi and blood flow forward,stagnation and rebellion will lose their consciousness”,and explained the epilepsy mechanism and treatment rules and prescriptions according to this principle.[Results]The occurrence of epilepsy is related to the incompatibility of Qi and blood between the five organs and a stoppage of the circulation of tri-Jiao,while epilepsy's long course is due to the reversal of Qi and blood of each organ itself,that leads the production of stagnation.Prescriptions are based on Chaihu Jia Longgu Muli Decoction,which is added or subtracted herbs according to symptoms,while also comforting the patient that epilepsy can be treated.The attached medical record was identified as Qi blockage,pyrophlegm affecting the mind,the treatment was to clear heat from liver,eliminate phlegm for resuscitation.Modified Chaihu Jia Longgu Muli Decoction plus Ditan Decoction was used and good results were achieved.[Conclusion]This theory reveals the consciousness,Qi,blood,Yin and Yang of the human body cannot be reversed,and the truth that it flows sequentially between the organs,and that each organ runs like a headless ring.The principle of treatment is“unobstruct”,which aims to smooth the“Shidao”,restore the normal function of the five internal organs,treat both manifestation and root cause of disease,finally make the consciousness clear.Using modified Chaihu Jia Longgu Muli Decoction,and with words of relief,the epilepsy will be relieved.

关 键 词：神转不回 回则不转 内经 痫证 柴胡加龙骨牡蛎汤 医案 

分 类 号：R741[医药卫生—神经病学与精神病学]