林珮琴辨治中风经验

LIN Peiqin idea of stroke disease treatment

林珮琴以《素问》《灵枢》为根坻,融会贯通仲景、叶桂等诸位名家论著,其根据个人心得与临床诊治经验,集各家之大成,著有《类证治裁》一书,书中每一病证均简要而清晰地论述了病因、病机、证候特点、脉象及选用的治法和方药,并附有医案,极具临床指导价值。归纳《类证治裁》中辨治中风的医案,为卒中昏迷,豁痰滋阴;麻木痿软,滋肾利湿;偏瘫便难,益火破结;口喎言謇,滋水潜阳。治疗原则,即对真中风宜先用通关,继则养血顺气,佐以消痰清火;对类中风则宜滋阴息风,濡养营络。

LIN Peiqin＇s idea builts on Su Wen（ Plain Questions） and Ling Shu,digests ZHANG Zhongjing and YE Gui＇s works,accords to personal insight and clinical experiences of diagnosis and treatment. The culmination of theories of different schools is her book-Classified Syndromes with Clear-Cut Treatments. In this book,all the diseases distinguished for pathogenesis,disease location,symptoms,therapy and prescription in Classified Syndromes with ClearCut Treatments,and accompanied by medical records,it has important clinic guidance meaning. Analyzes stroke cases in Classified Syndromes with Clear-Cut Treatments by LIN Peiqin,summarize clinical experience for reference.This paper mainly studied several stroke typical cases in this book,it can be summarized as： coma apoplectic,eliminating phlegm and nourishing Yin; paralysis and flaccidity,nourishing kidney and promoting dieresis; hemiplegia and constipation,tonifying fire and dissolving nodules; distorted mouth and difficult Enunciation,replenishing water and subsiding yang. In the treatment of stroke,LIN Peiqin used method in the ancient not old,clinical syndrome is flexible,according to different patient＇s condition,pathogenesis and disease,used corresponding method,prescription and pharmacy. Her principle of treat stroke is： towards stroke with wind should stimulate meridian points firstly,and then nourishing blood and guiding qi downward,dissolving phlegm and clear away fire; towards analogous apoplexy should nourish yin and extinguish wind,moistening and nourishing main and collateral channels.