基于“脑-脾胃-肠”轴理论的中风湿热证证治研究

Study on Syndrome Differentiation and Treatment of Stroke with Damp-heat Syndrome Based on “Brain-Spleen and Stomach-Intestine” Axis Theory

认为脾胃肠湿热是中风湿热证发病率升高的始动因素。基于“脑-脾胃-肠”轴理论,提出中风湿热证病位在脑,但与脾胃、大肠密切相关。湿热致中,易于蒙上,困遏清阳,阻滞气机;湿与热结,易犯中焦;湿热氤氲,易于流下。防治中风,应树立脾胃、大肠脏腑发病观,治以祛湿清热、通腑开窍,方用藿朴夏苓汤、三仁汤、菖蒲郁金汤等。

It is believed that damp-heat of spleen and stomach is the initial factor for the rising incidence of stroke with damp-heat syndrome.Based on“brain-spleen and stomach-intestine”axis theory,it is proposed that stroke with damp-heat syndrome is located in the brain,but closely related to the spleen,stomach and large intestine.Dampness and heat leading to stroke is easy to confuse the clear orifice and block qi move-ment.Dampness and heat accumulation is easy to invade the middle energizer.Dampness and heat mixing is easy to descend.For the prevention and treatment of stroke,the viewpoint of disease onset from the spleen,stomach and large intestine should be established.Treatment should be focused on removing dampness and clearing heat,relaxing bowels and promoting resuscitation,selecting prescriptions such as Huopu Xialing Decoction(藿朴夏苓汤),Sanren Decoction(三仁汤)and Changpu Yujin Decoction(菖蒲郁金汤).