中国中药杂志

2020, v.45(12) 2725-2734

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古代“中风”内涵及《千金要方》小续命汤治疗脑梗死、脑出血体会
Conotation of ancient "stroke" and Qianyin Yaofang Xiaoxuming Decoction treating cerebral infarction and cerebral hemorrhage

熊兴江;
XIONG Xing-jiang;Guang'anmen Hospital,China Academy of Chinese Medical Sciences;

摘要(Abstract):

《千金要方》小续命汤为治疗中风、风痱病的经典名方。在汉唐以前,小续命汤为历代医家所推崇,为"内科第一方",但在后世却被逐渐淹没,甚至历代医家弃而不用。之所以小续命汤会无人问津与历代医家对"中风"病机内涵认识变化有关。在古代,中风内涵极为广泛,除急性脑梗死、急性脑出血、脑出血后遗症等脑血管疾病之外,还包括面神经炎、不明原因的四肢无力、颈椎病、急性脊髓炎、急性神经根炎、格林巴利综合征、多发性硬化、重症肌无力、运动神经元病、皮肌炎、低钾麻痹、末梢神经炎等疾病。研究发现,该方在治疗脑梗死、脑出血时,能够显著缩短急性期病程,促进肢体偏瘫、言语不利等康复,其作用机制与现代医学治疗脑血管病的治疗原则一致。另外,该方禁用于脸红,心率快,血压高,大便不通,舌质红,苔黄,脉弦数或弦劲有力,直冲寸口者。
Xiaoxuming Decoction is the ancient classic herbal formulae for the treatment of stroke. Before the Han and Tang Dynasties, Xiaoxuming Decoction was highly praised by doctors of all dynasties as the "No.1 prescription of internal medicine". However, it was gradually declined in later generations and even abandoned by doctors of all dynasties. The reason why Xiaoxuming Decoction was anybody to care for it and the changes of physicians′ understanding of the pathogenesis of "stroke" in the ancient times. In ancient times, the connotation of stroke was very extensive, including facial neuritis, acute cerebral infarction, acute cerebral hemorrhage, sequelae of cerebral hemorrhage, unexplained weakness of limbs, cervical spondylosis, acute myelitis, acute radiculitis, Guillain Barre syndrome, multiple sclerosis, myasthenia gravis, motor neuron disease, dermatomyositis, hypokalemic paralysis peripheral neuritis. According to studies, in the treatment of cerebral infarction and cerebral hemorrhage, Xiaoxuming Decoction can significantly shorten the course of acute stage and promote the recovery of hemiplegia, and its mechanism is consistent with the treatment principle of modern medicine for cerebrovascular diseases. In addition, this prescription is forbidden for patients with red face, fast heart rate, high blood pressure, blocked stool, red tongue, yellow fur, rapid pulse string or strong pulse string, and strong pulse on the wrist.

关键词(KeyWords): 小续命汤;中风;《千金要方》;脑梗死;脑出血
Xiaoxuming Decoction;stroke;Qianjin Yaofang;cerebral infarction;cerebral hemorrhage

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目(81403375,81603479,81804084);; 中国科协青年人才托举工程项目(2017QNRC001);; 国家重点研发计划项目(2018YFC17044901);; 北京市自然科学基金项目(7194277);; 中国中医科学院育苗基金培育专项(ZZ11-073);中国中医科学院优秀青年科技人才项目(ZZ13-YQ-018)

作者(Author): 熊兴江;
XIONG Xing-jiang;Guang'anmen Hospital,China Academy of Chinese Medical Sciences;

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