张锡纯中风学术思想探讨

Analysis on apoplexy academic thinking of Zhang Xichun

本文较完整地分析了张锡纯治疗中风病的学术思想:中风可辨证分为脑充血、脑贫血两类,脑充血的病机特点为"血之与气,并走于上",而脑贫血的病机特点为"上气不足";在治疗上突出平肝熄风、引血下行的应用,独创镇肝熄风汤、建瓴汤等名方;重视预防,早期治疗,并提出了具体治疗方法。

This paper comprehensively analyzes Zhang Xichun＇s academic theories for apoplexy treatment. The main arguments and contributions of this paper include dialectically differentiating two types with cephalemia and the cerebral anemia; recognizing on the pathogenesis of cephalemia is that ＂both blood and qi is circulated on the top＂, however, the patho- genesis of cerebral anemia is that ＂Qi of the upper portion of the body being insufficient＂; the treatment method is empha- sized with the application of ＂calming the liver to stop the wind, and ensuring proper downward flow of the blood＂, and originally creating the famous prescriptions of Calming-liver and Stopping-wind Decoction and Jian Ling Decoction; pointing out that first principle are putting prevention and early treatment, and providing specific therapy methods.