基于脑窍理论辨治非意识障碍神经病--中医脑病理论与临床实证研究(十五)

Syndrome Differentiation and Treatment of Non-Consciousness Disorder Neuropathy Based on Brain-Orifices Theory:Traditional Chinese Medicine Theory of Encephalopathy and Clinical Empirical Study(ⅩⅤ)

脑窍有广义和狭义之分,化生神机总统众神,调控一身之活动,窍闭乃非意识障碍神经病产生的主要病因病机。本文通过皮层下动脉硬化性脑病假性球麻痹、视神经脊髓炎、混合神经性耳聋、脑外伤后嗅觉味觉障碍、颈椎病舌体感觉异常5个医案,以脑窍理论为基础,认为治疗此类疾病需从病因病机出发,以通为用,开郁宣闭,调神导气,虚实分治,形神窍脏同治,同时配合调治奇经,目的在于恢复脑窍玄府开阖常度,从而使脏腑、形体、官窍、神明调和,神机得使。

Brain orifices is divided into broad and narrow senses.It transforms and generates vital activity and control every sprit,as well as regulates the activities of whole body.Orifices blockage is the main etiology and pathogenesis of non-consciousness neuropathy.This paper analyzed 5 medical cases of subcortical arteriosclerotic encephalopathy pseudobulbar palsy,optic neuromyelitis,mixed neurological deafness,olfactory and taste disorders after brain trauma,cervical spondylopathy tongue abnormality.Based on the theory of brain orifices theory,it is believed that the treatment of such diseases should start from etiology and pathogenesis.For the purpose of unblocking,expelling depression and ventilating blockage,regulating the spirit and guiding Qi,the deficiency and the excess should be treated separately,and the body,spirt and orifices are treated together.At the same time,regulating extra-channels to restore the regularity of the opening and closing of the brain orifice and fu-viscera of mental activity,so that the zang-fu organs,body,orifices,and spiritual mind are regulated and harmonized.