简述从“痉”论治癫痫

Discussion on treating epilepsy from ‘convulsive’

文章通过研究部分医家的论述,认为现代医学对癫痫病的定义比古代痫证定义的范围更广。因此,根据"痉"病症状特点,认为其当属现代癫痫病范畴之内。借以比较癫痫强直性发作与"痉"病的病因、病位、病机及症状的相似性,文章讨论了二者在病因、病机上的相关性,因此,提出以《金匮要略》中"痉"病的方证条文论治癫痫强直性发作的治法。再在分析条文的基础上,依据"痉"病的脉证论治方法,具体提出癫痫强直性发作不同证型的临床辨证用药方法。

By researching treatises of some physicians, we found that the definition of epilepsy in modern medicine was broader than it in traditional Chinese medicine. Accordingly, in view of its symptomatic features, symptoms of convulsive should be regarded as a kind of epilepsy. By comparing the similarities of etiology, disease location and pathogenesis of these two kinds of diseases, we discussed the correlation of etiological factors and pathogenesis of them. Thus this article put forward a treatment, including specific syndrome differentiation and treatment for different syndromes of TCM, of tonic-clonic seizure types of epilepsy according to clauses of convulsive in Synopsis of Golden Chamber.