迟华基论治癫痫的理论特色和经验

Theoretical Feature and Experience of Professor CHI Huaji in Treating Epilepsy

迟华基教授基于对中医经典著作的研究认为,痫证的基本病机是本虚标实,本虚是脾肾亏虚、神机失用,标实是痰气上逆、清窍闭塞,其中脾虚痰浊是病机关键。因此,治疗应当立足于此病机关键,以益气化痰、开窍安神为基本治疗原则,拟定癫痫基本方,并结合疾病不同的发展阶段进行有针对性的治疗,急性期以化痰开窍、安神定惊治其标,缓解期以健脾化痰、补益肝肾治其本。并举例其治疗验案加以说明。

Professor CHI Huaji based on the study of traditional Chinese medicine（TCM） classics proposed that the pathogenesis of epilepsy is deficiency in root and excess in branch. The deficiency means the weak of spleen and kidney and the poor function of both spirit. Excess in branch means uprising of phlegm qi obstructing the clear orifices. The key factor of pathogenesis is spleen deficiency and phlegm turbidity.Therefore,the basic treatment principle is supplementing qi and resolving phlegm,opening orifices and tranquilizing mind. Based on this principle,a primary formula for epilepsy is established. Moreover,according to the different phases,different treatment is given. In the acute stage,patients were treated with resolving phlegm,opening orifices,tranquilizing mind and calming to treat the branch,while in the chronic stage,patients should be treated with invigorating spleen,resolving phlegm,tonifying kidney and liver. Also there are some cases treated with satisfactory effect.