何兴伟对中风病躯干运动功能障碍病机探索和治疗经验

HE Xingwei's exploration and experience in the pathogenesis and treatment of motor impairment of the trunk after stroke

介绍何兴伟教授对中风病躯干运动功能障碍病机的认识及临证经验。何教授认为中风病躯干运动功能障碍是影响中风病康复的重要因素;中风病躯干运动功能障碍因于脑髓损伤、神机失用所致;醒神通督是治疗该病症的基本立法:主要包括调神驭气、益气温阳、补肾填精和疏通督脉四法,临证时以一统四,四法并重,共奏醒神通督之效。治疗手段方面,则针灸、中药并重,同时注重心理疏导、康复训练相辅助。

In the paper,it is introduced professor HE Xingwei＇s recognition on the pathogenesis and professor HE＇s experience in the treatment of the motor impairment of the trunk after stroke.Professor He believes that the motor impairment of the trunk after stroke is the essential factor affecting the rehabilitation in stroke.The motor impairment of the trunk after stroke results from brain marrow damage and spiritual impairment.Hence,regaining the consciousness and promoting the circulation of the governor vessel are the basic principles of the treatment,named regulating the mind and controlling qi,benefiting qi and warming yang,tonifying the kidney and filling up the essence,and promoting the circulation of the governor vessel.Those four therapeutic methods are equally important.Acupuncture,moxibusiton and herbal medicine are applied in combination in the treatment.Additionally,the psychotherapy and rehabilitation are the accessory therapies.