基于“精-气-脉-神”探讨脑动脉粥样硬化之辨治  

Discussion on the Differentiation and Treatment of Cerebral Atherosclerosis Based on"Essence-Qi-Pulse-Spirit"

作　　者：王振[1] 刘志勇[1] 段成思 史兰云 赵梅娜 张盟苑 WANG Zhen;LIU Zhiyong;DUAN Chengsi;SHI Lanyun;ZHAO Meina;ZHANG Mengyuan(Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学,河南省郑州市450000

出　　处：《实用心脑肺血管病杂志》2025年第5期119-122,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：河南省中医药科学研究专项课题(20-21ZY1024)。

摘　　要：脑动脉粥样硬化(CAS)是脑部血管损伤致使血管壁内粥样斑块沉积,并导致神经元功能异常的神经系统疾病。本文以“精-气-脉-神”一体生命轴为理论基础,指出CAS的根本病机为精气虚损、髓消神昏,痰瘀互结、损脉伤神,临证当以补精益气、化痰祛瘀为法,以恢复“精-气-脉-神”一体生命轴,维持机体正常生理功能。Cerebral atherosclerosis(CAS)is a neurological disorder characterized by damage to cerebral blood vessels,leading to the deposition of atheromatous plaques within the vessel walls and affecting neuronal function.Based on the theoretical framework of the"Essence-Qi-Pulse-Spirit"integrated life axis,this article points out that the fundamental pathogenesis of CAS involves deficiency of essence and Qi,bone marrow exhaustion and mental confusion,intermingling of phlegm and blood stasis,and impairment of meridians and spirit.In clinical practice,the treatment should nourish essence and replenish Qi,resolve phlegm and eliminate blood stasis,thereby revitalizing the"Essence-Qi-Pulse-Spirit"integrated life axis and maintaining normal physiological function of the body.

关 键 词：颅内动脉硬化 精气亏虚 痰瘀互结 综述 

分 类 号：R743.1[医药卫生—神经病学与精神病学]