基于玄府-络脉理论探析中枢神经系统脱髓鞘疾病的中医诊治思路  

Chinese Medicine Diagnosis and Treatment Ideas of Central Nervous System Demyelinating Diseases Based on Xuanfu-collateral Theory

作　　者：臧书晗 黄娟[1] 胡木 熊祎虹[1] 张学智[1] ZANG Shuhan;HUANG Juan;HU Mu;XIONG Yihong;ZHANG Xuezhi(International Hospital Affiliated to Peking University,Beijing China 102206)

机构地区：[1]北京大学国际医院,北京102206

出　　处：《中医学报》2025年第4期787-790,共4页Acta Chinese Medicine

摘　　要：中枢神经系统脱髓鞘疾病包括多发性硬化、视神经脊髓炎谱系疾病等,是一类神经系统疑难病,病因不明,症状多样。玄府为人体内广泛存在的极为微小的孔道,络脉是经脉支横别出的分支部分的统称,二者构成人体最基本的结构与功能单位。根据玄府-络脉理论可知,中枢神经系统脱髓鞘疾病以肝肾亏虚,玄府-络脉失养为发病基础;以内生痰瘀、外感毒邪,玄府-络脉失和为关键病机。治疗上应结合患者的体质和发病阶段进行精准辨证,在疾病缓解期平补肝肾,增强玄府-络脉之通利和抗邪的功能;疾病发病期在祛除毒邪、痰瘀的基础上固护脾胃。Demyelinating diseases of the central nervous system(CNS),including multiple sclerosis and optic neuromyelitis optica spectrum disorders,are a group of difficult neurological diseases with unknown etiology and diverse symptoms.Xuanfu is an extremely tiny orifice that exists widely in the human body,and collateral is a collective name for the branches of meridians,which constitute the most basic structural and functional units of the human body.According to Xuanfu-collateral theory,central nervous system demyelinating disease is based on the deficiency of Liver and Kidney as well as loss of nourishment in aspect of Xuanfu-collateral;endogenous Phlegm and stagnation,external Toxin evil factor as well as Xuanfu-collateral disharmony is the key disease mechanism.Treatment should be based on precise diagnosis of the patient′s constitution and the stage of disease onset,and in the period of remission,the Liver and Kidney should be tonified to enhance the function of the Xuanfu-collateral in smooth activity and in resistance to evil factors;in the period of disease onset,the Spleen and Stomach should be strengthened on basis of the elimination of Toxin evil factors as well as stagnant Phlegm and stasis.

关 键 词：中枢神经系统脱髓鞘疾病 玄府-络脉理论 平补肝肾 通玄和络 

分 类 号：R274.9[医药卫生—中西医结合]