黄启辉辨治缺血性脑卒中后运动障碍经验介绍  

Introduction of HUANG Qihui's Experience in Treating Dyskinesia After Ischemic Stroke

作　　者：朱敏 潘爱珍[1] 叶佳希 黄艳霞 黄启辉(指导)[1] ZHU Min;PAN Aizhen;YE Jiaxi;HUANG Yanxia(Instructor:HUANG Qihui11.Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou Guangdong 510120,China;Sun Yat-sen University,Guangzhou Guangdong 510275,China)

机构地区：[1]中山大学孙逸仙纪念医院,广东广州510120 [2]中山大学,广东广州510275

出　　处：《新中医》2024年第20期216-220,共5页New Chinese Medicine

摘　　要：介绍黄启辉教授治疗缺血性脑卒中后运动障碍的临床经验。黄启辉教授认为,临床上根据缺血性脑卒中后运动障碍的特点可分为硬瘫型、软瘫型。硬瘫型病机多为肝肾阴虚,肝阳上亢,内风旋动,气滞血瘀,治以滋补肝肾、平肝熄风、活血化瘀,常用天麻钩藤饮、六味地黄丸合桃红四物汤加减;软瘫型病机多为脾肾虚损,阳气失动,气滞血瘀,治以温肾助阳、益气健脾、活血通脉,以小续命汤加减。另外需重视药对的使用,根据临床辨证加减。This article introduces Professor HUANG Qihui's clinical experience in treating dyskinesia caused by ischemic stroke.According to Professor HUANG,clinically,dyskinesia after ischemic stroke can be categorized into spastic paralysis and flaccid paralysis.Spastic paralysis often caused by liver and kidney yin deficiency,ascendant hyperactivity of liver yang,internal wind whirling,and qi stagnation and blood stasis.The treatment focuses on nourishing the liver and kidney,pacifying the liver and extinguishing wind,and invigorating blood and dissolving stasis,commonly using modified Tianma Gouteng Decoction,Liuwei Dihuang Pills and Taohong Siwu Decoction.Flaccid paralysis often caused by spleen and kidney deficiency,loss of yang qi movement,and qi stagnation and blood stasis.The treatment focuses on warming the kidney and assisting yang,nourishing qi and strengthening the spleen,and invigorating blood and unblocking vessels,using modified Xiaoxuming Decoction.Additionally,the use of medicinal pairings should be emphasized,with modifications based on clinical differentiation.

关 键 词：缺血性脑卒中 运动障碍 硬瘫 软瘫 黄启辉 

分 类 号：R249[医药卫生—中医临床基础] R743.3[医药卫生—中医学]