符为民教授精准辨治周围性面瘫经验撷菁

FU Weimin's Experience in Treating Peripheral Facial Paralysis Through Accurate Differentiation

[目的]总结江苏省老中医药专家符为民教授治疗周围性面瘫临证经验特色。[方法]通过跟师学习,整理符老诊治面瘫的医案,阐述符老以"整体观念"为经纬,以"精准辨证"为指导,病证结合分期论治周围性面瘫的经验。[结果]符老认为正气不足、脉络空虚、卫外不固是周围性面瘫的根本病机,脉络痹阻是周围性面瘫的病理特点,辨证首责之于风、痰、瘀阻及气血亏虚,按病程分期,强调精准辨证,用药独具匠心,彰显个人特色,并始终坚持以人为本,注重预防保健和心理疏导,有的放矢,效如桴鼓。[结论]符为民教授对周围性面瘫的病理机制、辨证分型和选方用药的临床经验具有系统化的认识,强调精准辨证结合分期论治,具有鲜明特色,其临床学术经验值得推广。

[Objective]To introduce the old Chinese medicine Professor FU Weimin ＇s experience in diagnosis and treatment of peripheral facial paralysis.[Methods]Firstly, analyze and summarize the relevant medical records. Secondly, to briefly elaborate that the professor FU Weimin believes the ＂overall concept＂,adheres to the ＂syndrome differentiation＂ as a guide, and how he treats peripheral facial paralysis by syndrome differentiation.[Results]He thinks that lack of righteousness, context is empty, Wei is not solid for the fundamental pathogenesis. More importantly, vein paralysis is a pathological feature. Treatment is from the wind, sputum, blood stasis and blood deficiency and clinical medication is unique. According to the course of staging,Professor FU stresses the precise discrimination and drugs have their own characteristics. Professor insists on people-oriented and makes a significant contribution.[Conclusion]Professor FU Weimin has a systematic understanding of the pathologic mechanism of peripheral facial paralysis, syndrome differentiation and clinical experience of prescription drugs and has made a good therapeutic effect in clinical application, which is worthy of popularizing.