基于藏医白脉理论的中风病诊疗规律探析

Exploring the Rule of the Diagnosis and Treatment of Stroke Based on the Tibetan Medical Theory of White Meridian

藏医将人体的经脉分为黑脉和白脉。藏医认为因季节环境、饮食不当、瘟毒热邪侵入脉道,或外伤等损害白脉,导致三因素中的隆和血液紊乱而诱发白脉病。白脉病是藏医白脉系统遭受致病因素的影响后所致的一系列疾病的总称,临床上很多疾病归属于"白脉病"。中风病是藏医白脉病的一种,临症时需根据疾病的寒热属性、发病时间、病位及其三因素(赤巴、隆、培根)归属情况,据理选药、对治疾病,是藏医辨治白脉病的基本规律,临床时应按照藏医的诊疗规律、综合诊查病因、把握疾病证候变化规律来施治用药。

Meridians in human body were classified as white meridian and black meridian according to Tibetan medicine. Season and environment, improper diet, toxic heat and trauma were recognized as main reasons damaging the white meridian in Tibetan Medicine, leading to the emerge of white meridian disease induced by Long （one of the three factors） and blood disorder. White meridian disease in Tibetan medicine involved a series diseases, such as many clinical diseases, due to the damage of white meridian system caused by pathogenic factors. Stroke also belonged to white meridian disease. Drugs and treatments were selected based on the nature of disease such as cold and heat, onset, the location of disease and the three factors （Chi Ba, Long and Pei Gen）. It was the fundamental principle of the treatment rules of white meridian disease in Tibetan medicine, namely, prescribing medication with the rule of diagnosis and treatment, comprehensive analysis of the causes of diseases and mastering the change law of diseases and syndromes in clinic.