基于《金匮要略》“正虚感邪,外风致中”理论论感染性卒中  

Discussion on infectious stroke based on the theory of"external wind causing stroke due to deficient vital qi"in Synopsis of the Golden Chamber

作　　者：陈俊龙 刘金民[1] 王苏妹[1] 汤阳 周玉嘉[1] 王文鑫 张帆[1] 姜俊辰 张元馨 刘佳霖[1] CHEN Junlong;LIU Jinmin;WANG Sumei;TANG Yang;ZHOU Yujia;WANG Wenxin;ZHANG Fan;JIANG Junchen;ZHANG Yuanxin;LIU Jialin(Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京中医药大学中医学院,北京102488

出　　处：《吉林中医药》2024年第11期1261-1265,共5页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金项目(81774277);北京中医药大学2020年度基本科研业务项目(2020-tsxk-001);北京中医药大学2020年度重点攻关项目(2020-JYB-ZDGG-131);全国第七批老中医学术继承工作项目(国中医药办人教发〔2021〕272号)。

摘　　要：感染是诱发卒中的危险因素之一。中医视域下,感染与卒中在病机上同属“正虚感邪,外风侵袭”,通过深度剖析“正虚感邪,外风致中”理论的历史渊源、理论内涵及理论应用,从中医角度分析感染与卒中之间关系,阐述感染性卒中以“正虚”为本,“受风”为渐,“脏腑经络气血阴阳失衡”为著的病机演变规律,强调“正虚”与“外风”具有相因积损,恶性往复的特点,以期能从“外风致中”角度为中医药防治感染性卒中提供新的思路与方法,丰富“外风致中”理论的现代内涵。Infection is one of the risk factors for stroke.From the perspective of Traditional Chinese Medicine(TCM),both infection and stroke share a similar pathophysiological mechanism,characterized by"deficiency of the vital qi leading to susceptibility to pathogens,with external wind invasion."This paper delves into the historical origins,theoretical connotations,and practical applications of the"deficiency of the vital qi,susceptibility to pathogens,and external wind leading to stroke"theory.By analyzing the relationship between infection and stroke from a TCM viewpoint,it explores how infectious stroke is primarily rooted in"deficiency of the vital qi,"progresses through"wind invasion,"and evolves through the imbalance of the organs,meridians,qi,blood,and yin-yang.The paper emphasizes the cyclical,deleterious interaction between"deficiency of the vital qi"and"external wind,"which often leads to a malignant recurrence.This study aims to provide new insights and methods for the prevention and treatment of infectious stroke from the"external wind leading to stroke"perspective,thereby enriching the modern interpretation of this TCM theory.

关 键 词：感染性卒中 感染 卒中 中医理论 

分 类 号：R255.2[医药卫生—中医内科学]