基于“毒损脑络”理论探讨从阳明经论治中风病的可行性  

Exploring the feasibility of treating stroke from the perspective of Yangming meridian based on the theory of“Tox-ic Damage to the Cerebral Collaterals”

作　　者：何丽敏 王嘉麟 HE Limin;WANG Jialin(Beijing University of Chinese Medicine Second Clinical Medical College/Dong Fang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学第二临床医学院/北京中医药大学东方医院,北京100078

出　　处：《四川中医》2025年第4期58-63,共6页Journal of Sichuan of Traditional Chinese Medicine

基　　金：中央高校基本科研业务费专项资金(编号:2020-JYB-ZDGG-130)。

摘　　要：基于“毒损脑络”理论,探讨从阳明经论治中风病的可行性。“毒损脑络”理论认为中风病的基本病机为毒成络损,其通过气血化生、经络循行、脑肠互通与阳明经紧密联系在一起。从中风病病因病机的主次矛盾上看,其以气血亏虚为本,浊毒郁滞为标。基于此,提出调补阳明气血以养络脉,调节阳明气机祛浊毒,因人制宜定方案的基本治则,标本兼治,促进气血调和,经络畅通,以达到治疗中风病的目的。本文立足于“毒损脑络”理论,结合现代医学研究,试从阳明经论治中风病,以期为临床提供新的思路与方法。Based on the theory of“Toxic Damage to the Cerebral Collaterals”,the feasibility of treating stroke from Yang-ming meridian is discussed.According to the theory of“Toxic Damage to the Cerebral Collaterals”,the basic pathogenesis of stroke disease is that poison becomes collaterals damage,which is closely connected with Yangming meridian through qi and blood transformation,meridian circulation,and cerebral and intestinal intercommunication.From the primary and secondary contradictions of the etiology and pathogenesis of stroke,it is characterized by deficiency of qi and blood as the root cause and stagnation of turbid toxin as the symptom.Based on this,the basic treatment principle of tonifying yangming qi and blood to nourish the meridi-ans,regulating yangming qi to remove turbid toxins,and tailoring the program to the individual is proposed to treat both the symp-toms and the root cause of the disease and to promote the harmonization of qi and blood,and the smooth flow of the meridians and meridian,so as to achieve the purpose of treating stroke disease.This review is based on the theory of“Toxic Damage to the Cere-bral Collaterals”,combined with modern medical research,try to treat stroke disease from Yangming meridian,in order to pro-vide new ideas and methods for clinical.

关 键 词：毒损脑络 中风病 阳明经 病因病机 治疗 

分 类 号：R259[医药卫生—中西医结合]