摘要
多系统萎缩近年来发病率逐年上升,但其治疗领域一直缺少广泛认可的循证医学证据。齐向华教授在临证中借助自创“系统辨证脉学”精准辨识工具,发现心理紊乱状态是多系统萎缩的底层病机,其中以郁闷不舒状态多见。本文通过阐述郁闷不舒状态的多系统萎缩的病机,并对临床表现及脉象要素特征进行分析,从心理层面初步探析多系统萎缩的辨治,将血府逐瘀汤作为治疗的原发方剂并针对脾虚痰盛、气虚下陷、肝火犯肺、肝肾阴虚4种分型状态进行系统论治,为临床治疗提供新的思路方法。
The incidence of multiple system atrophy has been increasing year by year in recent years,but there has been a lack of widely recognized evidence-based medical evidence in the field of its treatment.Professor Qi Xianghua found that psychological disorder is the underlying pathogenesis of multiple system atrophy with the help of self-created the accurate identification tool of“systematic syndrome differentiation and pulse science”,among which depressed and uncomfortable state is more common.This paper discusses the pathogenesis of multiple system atrophy in depressed and uncomfortable state and analyzes the clinical features and pulse manifestation characteristics.From the psychological level,the differentiation and treatment of multiple system atrophy is preliminarily analyzed,and Xuefu Zhuyu Decoction is taken as the primary prescription for the treatment,and systematic treatment is carried out for the four classification states of spleen deficiency and phlegm excess,sinking of qi deficiency,liver fire invading lung,and yin deficiency of liver and kidney,providing a new way of thinking for clinical treatment.
作者
韩圣男
齐向华
滕晶
田好雨
丁晓
闫伟
HAN Shengnan;QI Xianghua;TENG Jing;TIAN Haoyu;DING Xiao;YAN Wei(The First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250013,China;the Second Department of Encephalopathy,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250011,China;College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Shandong Province,Jinan 250013,China)
出处
《中国医药导报》
CAS
2022年第11期169-172,共4页
China Medical Herald
基金
山东省科技创新基地专项项目(xnlczx-08)。
关键词
多系统萎缩
系统辨证脉学
郁闷不舒
辨证脉象
辨证论治
Multiple system atrophy
Systematic syndrome differentiation and pulse science
Depressed and uncomfortable
Syndrome differentiation and pulse manifestation characteristics
Treatment based on syndrome differentiation
