从“阴中求阳,阳中求阴”论治老年缺血性脑卒中  

Treatment of Senile Ischemic Stroke by the Principle of“Reinforcing Yang from Yin and Seeking Yin in Yang”

作　　者：叶慧柯 周慧凌 郭员宏 文雅 YE Huike;ZHOU Huiling;GUO Yuanhong;WEN Ya(Shanxi University of Traditional Chinese Medicine,Taiyuan 030024,China;Hospital of Integrated Chinese and Western Medicine Affiliated to Shanxi University of Traditional Chinese Medicine,Taiyuan 030013,China)

机构地区：[1]山西中医药大学,山西太原030024 [2]山西中医药大学附属中西医结合医院,山西太原030013

出　　处：《中国民族民间医药》2025年第7期17-20,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：缺血性脑卒中是指脑部血管狭窄或堵塞,部分脑组织血供不足而缺血坏死,以意识、感觉、运动障碍、眩晕、偏瘫等神经功能受损为主要表现。本病归属于中医学“中风”范畴,基本病机是阴阳失调,气血逆乱,上犯于脑,是为本虚标实之证。“阴中求阳,阳中求阴”是张景岳在阴阳互根理论下提出的治疗虚损类病症的原则,文章讨论从老年人体质出发,将这一理论应用在老年缺血性脑卒中的治疗中,虚实结合,调补阴阳以达到阴平阳秘。Ischemic stroke refers to the stenosis or blockage of cerebral blood vessels,and ischemic necrosis due to insufficient blood supply to some brain tissues.The main manifestations are impairment of nerve function such as consciousness,sensation and movement disorders,vertigo and hemiplegia.In traditional Chinese medicine,it is called stroke,the basic pathogenesis is Yin and Yang disorder,Qi and blood reverse disorder,resulting in brain problems.In fact,it is the evidence of deficiency in nature and deficiency in reality.It is Zhang Jingyue who put forward the principle of“reinforcing Yang from Yin and seeking Yin in Yang”under the theory of mutual rooting of yin-yang.Based on the constitution of the elderly,this paper applies this theory to treat the elderly patients with ischemic stroke,helping them achieve the equilibrium of yin and yang by regulating Yin and Yang and treating both deficiency and excess.

关 键 词：缺血性脑卒中 阴中求阳 阳中求阴 

分 类 号：R255.2[医药卫生—中医内科学]