调气护脉指导中风预防的理论与实践  

Theory and Practice of Regulating Qi and Protecting Vessels to Guide Stroke Prevention

作　　者：唐赛雪[1,2] 丁元庆[1] 高振梅[2] 李雪君 于成 李佳静 徐向青[2] TANG Saixue;DING Yuanqing;GAO Zhenmei;LI Xuejun;YU Cheng;LI Jiajing;XU Xiangqing(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医药大学学报》2025年第2期164-168,174,共6页Journal of Shandong University of Traditional Chinese Medicine

基　　金：丁元庆全国名老中医药专家传承工作室建设项目(批文号:国中医药人教函[2022]75号);国家中医药管理局科技项目(编号:GZY-KJS-2023-018);齐鲁医派中医药特色技术整理推广项目(批文号:鲁卫函[2021]45号);山东中医药大学教育教学研究课题(编号:ZYY2022061);山东中医药大学科学研究基金项目(编号:KYZK2024Q03);山东中医药大学附属医院“朝阳人才”培育工程(批文号:省中人字[2024]38号)。

摘　　要：以《黄帝内经》“气脉常通”“调气使平”无伤血脉的理论为指导原则,基于“郁损六经血脉”是中风发病前核心病机,提出以调气为主导,以杜绝与解除诸郁为手段,以保护血脉预防中风为目标,构建调气护脉预防中风理论与临床方案。强调全生命周期管理与防护,未病调气护脉,以调整生活方式为主;既病调气护脉,生活方式与药物治疗并重,临证察虚实、分郁类,提出具体治法方药。Guided by the theory of“activating qi and vessels”and“regulating qi to maintain balance”without damaging blood vessels in the Inner Canon of Huangdi,and based on the core pathogenesis of“depression damaging six meridians and blood vessels”before the onset of stroke,we establish the theory and clinical plan of regulating qi and protecting vessels to prevent stroke,which is led by regulating qi,taking resolving depression as the means,and aiming at protecting the blood vessels to prevent stroke.It emphasizes the management and protection in the whole life cycle,regulates qi and protects vessels for the prevention of diseases,and mainly adjusts life style.Those who are already ill should be treated with regulating qi and protecting vessels,attaching equal importance to lifestyle and medication treatment.The specific treatment methods,formulas,and herbs should be based on the deficiency,excess,and classification of depression in clinical practice.

关 键 词：中风预防 气脉常通 郁损六经血脉 调气护脉 通调营卫 

分 类 号：R255.2[医药卫生—中医内科学]