王明杰基于玄府理论运用风药治疗脑病  

Wang Mingjie Treating Cerebral Disease with Wind-dispelling Medicine Based on Xuanfu Theory

作　　者：雷若兰 王倩 王明杰 江玉 LEI Ruolan;WANG Qian;WANG Mingjie;JIANG Yu(Department of Geriatrics,Affiliated TCM Hospital to Southwest Medical University,Luzhou Sichuan China 646000)

机构地区：[1]西南医科大学附属中医医院老年病科,四川泸州646000

出　　处：《中医学报》2025年第3期585-588,共4页Acta Chinese Medicine

基　　金：四川省中医药管理局科技项目(2024MS208);四川省科技计划项目(2022YFS0613);四川省重大科技项目(2022ZDZX0022)。

摘　　要：王明杰教授基于“论病着眼玄府,临证首重开通,百病疏风为先,顽症从风论治”的理念,认为玄府郁闭为脑病的重要病机,逐风开玄为治脑之要,治风之品是治脑良药,提出“风药开玄”“治血先治风”等见解。虫类风药能走善窜,功专搜剔,长于开通玄府,故临证用以搜风剔络逐邪、攻坚破积消瘀、开玄通窍达神。在中风、眩晕、头痛等多种脑病的治疗中,着力开郁闭之脑玄府,畅达气血津液精神,收效甚捷。Based on the concept of"focusing on Xuanfu in the discussion of disease,opening up of the Xuanfu in clinical practice,dispelling Wind being the first step in treating diseases as well as treating intractable disease from perspective of Wind",Prof.Wang Mingjie believes that Xuanfu depression and closure is the most important mechanism of cerebral disease,and that opening up the Xuanfu by dispelling the Wind is critical in treatment of brain disease,Wind-dispelling medicines are good for treating cerebral disease.He puts forward the principle of"opening Xuanfu with Wind-dispelling medicine"and"treating blood problem with Wind-dispelling medicine".Insect Wind-dispelling medicines are good at scurrying,specializing in searching and picking Wind evil factor,being effective in opening the Xuanfu,so they are used to searching,picking,and eliminating Wind evil factor,attacking and breaking the accumulation and eliminating blood stasis as well as opening the Xuanfu and orifices to improve spirit conditions.In the treatment of stroke,vertigo,headache,and other cerebral diseases,they are used to open the closed brain Xuanfu and to improve the Qi,blood,Fluid,and spirit conditions,with good clinical efficacy.

关 键 词：脑病 玄府 风药 王明杰 

分 类 号：R244.27[医药卫生—针灸推拿学]