摘要
笔者通过研究筋的生理病理特点,历代医家的论述以及现代学者的研究,认为筋有着连接并约束关节,主持运动的功能,生理上与肝、肾、脾等脏腑及十二正经联系密切。当其在感受外邪,或体质虚弱,或过度劳损,或脏腑疾病,或饮食不节,或情志所伤,或失治误治等致病因素影响时,筋的生理功能发生异常,从而形成筋病,筋病主要有筋急与筋纵两种状态。笔者发现中风后痉挛性偏瘫患者的临床表现与筋急极为相似,所以笔者认为筋急的致病因素应当同样适用于中风后痉挛性偏瘫,在解除致病因素,使筋脉恢复濡养之后,其病理状态会得到改善。且有笔者的临床经验及诸多临床案例对笔者观点有着很好的支持。因此,笔者认为医者在治疗中风后痉挛性偏瘫时,可以“扶正祛邪,舒筋缓急”为治疗原则,准确辨证,采取相应的治疗方法,祛除致病因素,即可获得令人满意的疗效。
Through the study of the physiological and pathological characteristics of the tendons, the discussion of successive doctors and the research of modern scholars, the author thinks that the tendons have the function of connecting and restraining the joints, presiding over the movement, and are closely related to the liver, kidney, spleen and other viscera and the twelve meridians. When it is affected by pathogenic factors such as external pathogenic factors, or weak constitution, or excessive strain, or viscera disease, or eating disorders, or emotional injuries, or maltreatment, etc., abnormal physiological functions of tendons occur, thus forming tendons disease, which mainly consists of two states: tendons acute and tendons vertical. The author finds that the clinical manifestation of spasmodic hemiplegia after stroke is very similar to that of spasmodic hemiplegia, so the author believes that the pathogenic factor of spasmodic hemiplegia after stroke should be the same as that of spasmodic hemiplegia. After removing the pathogenic factor and restoring the recuperation of the spasmodic veins, the pathological state would be improved. And the author's clinical experience and a number of clinical cases have a good support for the author's view. Therefore, the author believes that when treating spasmodic hemiplegia after stroke, the medical practitioners can "strengthen the body resistance to eliminate pathogenic factors" and “relax the muscles and joints”, which should be the treatment principle, accurate dialectics combined with corresponding treatment methods could dispel the pathogenic factors and can obtain satisfactory curative effect.
作者
席志远
周鸿飞
Xi Zhiyuan;Zhou Hongfei
出处
《中医临床研究》
2019年第9期24-26,共3页
Clinical Journal Of Chinese Medicine
关键词
中风后痉挛性偏瘫
筋
筋急
致病因素
治疗原则
Spastic hemiplegia after stroke
Reinforcement
Tendons
Pathogenic factors
Therapeutic principles
