新安医家吴楚辨治中风特色探析  

Characteristics of difffferentiating and treating apoplectic diseases by Wu Chu

作　　者：张玉[1,2] 胡建鹏[1,2] ZHANG Yu;HU Jianpeng(School of Traditional Chinese Medicine,Anhui University of Chinese Medicine,Hefei 230012,China;Xin'an Wang's Internal Medicine Inheritance Studio,Anhui University of Chinese Medicine,Hefei 230038,China)

机构地区：[1]安徽中医药大学中医学院,合肥230012 [2]安徽中医药大学新安王氏内科流派工作室,合肥230038

出　　处：《吉林中医药》2024年第9期1002-1005,共4页Jilin Journal of Chinese Medicine

基　　金：安徽省高校自然科学研究重点项目(2023AH050801);安徽省自然科学基金(2208085MH265)。

摘　　要：整理分析《宝命真诠》《吴氏医验录》及相关文献,探讨吴楚治疗中风病的特色。吴楚主张将中风分为真中风和类中风两大类,认为内虚风中是真中风的基本病机特点,主张从脏腑、血脉、闭脱三方面进行辨别,并以汗、下、养血顺气三法进行论治。对于类中风的治疗,吴楚认为其基本病机特点为元阳虚衰、痰火内动,主张采用八因素法辨别,重视采用攻痰祛积,甘温补虚法治疗。This paper discusses the characteristics of Wu Chu's treatment of apoplectic diseases by summarizing and analyzing his works of Baoming Zhenquan,Wu's Medical Records and other related literature.Wu Chu advocates that apoplectic diseases should be divided into two categories:apoplexy and parapoplexy.He believes that wind affection due to internal deficiency is the basic pathogenesis of apoplexy,advocating differentiating the disease from three aspects:zang viscera or fu viscera,blood or vessels,with a blocking syndrome or with a apoplectic collapse,and treating it with three methods:diaphoresis,purgation,nourishing blood and promoting qi circulation.For the treatment of parapoplexy,Wu Chu believes that its basic pathogenesis features the deficiency of kidney yang and the internal movement of phlegm fire,advocating the use of eight-factor method to differentiate it,and paying attention to the use of removing phlegm and amassment,and tonifying deficiency with sweet and warm herbs.

关 键 词：新安医家 真中风 类中风 吴楚 

分 类 号：R249[医药卫生—中医临床基础]