王松龄治疗缺血性烟雾病诊疗思路与经验

Experience of Professor WANG Songling in the treatment of moyamoya disease complicated with ischemic stroke

王松龄教授认为缺血性烟雾病病因有先天禀赋不足,后天失养,或饮食失度伤及后天脾土,或劳损过度伤及先天肾精,故该病多属本虚标实。本虚多以脾肾为主,病久伤及心、肝,标实多以风、火、痰、瘀等为主,王松龄教授临床将缺血性烟雾病辨证分为:肝风内动、瘀热阻络证;脾胃虚弱、痰浊瘀滞证。自拟防治灵Ⅰ号方治疗肝风内动、瘀热阻络证,防治灵Ⅱ号方治疗脾肾虚弱、痰浊瘀滞证。

Professor WANG Songling thinks that the causes of moyamoya disease are congenital endowment deficiency,acquired deprivations,or improper diet that damages acquired spleen soil,or strain that excessively damages congenital kidney essence,so the disease is mostly based on deficiency and marked with excess.This deficiency is mainly caused by spleen and kidney,and the heart and liver are injured by the disease for a long time.The marked excess is mainly caused by wind,fire,phlegm and blood stasis.Professor WANG Songling clinically classifies moyamoya disease into the syndrome of internal movement of liver wind,blood stasis,heat resistance and collateral obstruction.Syndrome of weakness of spleen and stomach,phlegm turbidity and stasis.Self-made Zhongfengling Formulation I treats the syndrome of liver wind internal movement,blood stasis,heat resistance and collateral obstruction,while Zhongfengling Formulation II treats the syndrome of spleen and kidney weakness,phlegm turbidity and blood stasis.