有关肺与中风病机问题的商榷

Discussion on correlations between lung and pathogenesis of stroke

中风的病位在脑,病机为肝肾阴虚,肝阳上亢,气血逆乱,直冲犯脑,其发生与肝、肾、心、脾、胃关系密切,但是在中风的发病机制中,肺的宣发与肃降也起着至关重要的作用。中风病本质上是一种气机病,而肺主气司呼吸,又能朝百脉主治节,无一不说明肺失宣降在中风发病气机逆乱病机中的重要作用。中风的发生也与外风有一定的关系。

The disease location of stroke is the brain, and the pathogenesis of stroke is that yin deficiency of liver and kidney leads to upper hyperactivity of liver yang, and then disorder of qi and blood affronts the brain eventually. The occurrence of stroke is closely associated with liver, kidney, heart, spleen and stomach. However, the diffusion and descending function of the lung also play a vital role in the pathogenesis of stroke. Stroke is a disease caused by disorder of qi-movement essentially. Lung governing qi, controlling breathing, connecting all vessels, and governing management, and all of these illustrat that the disfunction in diffusion and descending governed by lung is of great importance in the pathogenesis of disorder of qi-movement in the stroke. There is a certain relationship between pathogenesis of stroke and exogenous wind.