唐宋以前中风病证治规律研究

Differentiation and Treatment of Apoplexy Syndrome Before Tang and Song Dynasty

中风病病名从张仲景第一次正式提出后,在历代医家的潜心研究下,其病因病机及证治方药均取得了较大的成就。其病因病机上经过了从外风-内风-内外风3个时期。唐宋以前对中风的病因病机的认识,主要以“外风”立论。对于中风病病因的认识虽然以“外风”为主,但各医家对中风的具体病因病机、辨证规律及治则治法的研究也各不相同。本文试图从这一时期具有代表性医家的医论入手,分析“外风”立论时期各医家对中风发病规律的认识,并总结其规律,以期探讨病机变化规律,为治疗中风病提供广阔前景。

The apoplexy was first formally proposed by Zhang Zhongjing in TCM. After extensive study of the medical researchers, its on causes, pathogenesis, diagnosis and treatment and prescription were developed. The cause and pathogenesis covered three stages. The period of exopathic wind, endogenous wind and combination of internal and external wind. The knowledge of the cause and the pathogenesis of the apoplexy before Tang dynasty and Song dynasty focused on exopathic wind. The rep- resentative works are The Yellow Emperor＇ s Internal Classic, Treatise on Febrile and Miscellaneous Disease, Essential Prescription Worth a Thousand Gold, The Medical Secrets of Official, etc. However, detailed causes and pathogenesis, syndrome differentiation rule,the principles and methods of treatment were different according to different medical workers. The article reviews the medical researchers＇understanding of the apoplexy＇s pathogenic rule from the review on classical literatures of this period.