以中医脾肾理论为核心内外兼并诊治肌萎缩侧索硬化  

Diagnosis and treatment of amyotrophic lateral sclerosis based on spleen and kidney as the core theory of Traditional Chinese Medicine

作　　者：吴菲菲[1] 李婷婷[2,3] 唐海燕[2,3] 荆玮 单悦童 魏赏雨 潘卫东[2,3,4] WU Feifei;LI Tingting;TANG Haiyan;JING Wei;SHAN Yuetong;WEI Shangyu;PAN Weidong(Department of Neurology,Shanghai Pudong New Area Gongli Hospital,Shanghai 200135,China;Department of Neurology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Encephalopathy laboratory,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 230031,China;First Department of Encephalopathy,Anhui Branch of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200135,China)

机构地区：[1]上海市浦东新区公利医院神经内科,上海200135 [2]上海中医药大学附属曙光医院神经内科,上海201203 [3]上海中医药大学附属曙光医院脑病研究室,上海201203 [4]上海中医药大学附属曙光医院安徽医院脑病一科,安徽合肥230031

出　　处：《神经病学与神经康复学杂志》2024年第3期92-97,共6页Journal of Neurology and Neurorehabilitation

基　　金：上海市浦东新区卫健委行业专项(PW2022E-03)

摘　　要：肌萎缩侧索硬化症(amyotrophic lateral sclerosis,ALS)是一种渐进进展、无有效治疗方法的神经退行性疾病,严重危害人类健康。中医药在治疗ALS有较好疗效,并且有基础研究验证了中医药治疗ALS的疗效机制,但目前仍无较明确揭示中医药治疗ALS理论机制的文章。本文从传统中医基础出发,基于先后天理论,以脾肾为核心阐释中医药治疗ALS的中医机制,结合现代医学科学研究,讨论ALS内外兼治的可行性和有效性,为今后中医药治疗ALS提供较好的理论依据。Amyotrophic lateral sclerosis(ALS)is a progressive neurodegenerative disease with no effective treatment and a serious threat to human health.Traditional Chinese Medicine(TCM)has a good curative effect on ALS,and some basic studies have verified the curative mechanism of TCM on ALS.At present,there is still no clear theoretical mechanism of TCM on ALS.This article started from the foundation of TCM,based on the theory of priori and the posterior,and explained the TCM of treating ALS with spleen and kidney as the core.Combined with modern medical scientific research,it discussed the feasibility and effectiveness of treating ALS both internally and externally,provided a good theoretical basis for the future treatment of ALS with TCM.

关 键 词：肌萎缩侧索硬化 先后天理论 脾肾为核心 内外兼治 诊断与治疗 

分 类 号：R277.7[医药卫生—中医学]