基于气机升降理论辨治慢性脑缺血——中医脑病理论与临床实证研究(十四)

Differentiating and Treating Chronic Cerebral Ischemia Based on the Theory of Ascending and Descending of Qi Movement:Traditional Chinese Medicine Theory of Encephalopathy and Clinical Empirical Study(XIV)

脑顺应脏腑气机阴阳升降,脑供血与气机升降相关。慢性脑缺血病机特点以虚为主,虚实夹杂;脑部气血升降障碍,或与全身脏腑经脉气血升降障碍同病。升降失常,升降同病;血运失调,气血水同病。例举前循环大动脉狭窄型慢性脑缺血、后循环大动脉狭窄型慢性脑缺血、低灌注型慢性脑缺血3个医案,阐述慢性脑缺血复合治法临床应用体会,即调理大升降,调理小升降;升清降浊,调和气机;形神并调,脑脏同治。

The ascending and descending of Qi movement,Yin and Yang is responded by the brain,and blood supply to the brain is related to the ascending and descending of Qi movement.The pathogenesis of chronic cerebral ischemic is mainly characterized by deficiency,and the combination of deficiency and excess.The disorder of ascending and descending of Qi and blood in the brain is the same disease as the disorder of ascending and descending of Qi and blood in whole body viscera and meridians.Abnormal ascending and descending is the same disease as ascending and descending;blood dysregulation is the same disease as qi,blood and water.This paper cited 3 medical cases of anterior circulation hypertensive stenosis chronic cerebral ischemia,posterior circulation hypertensive stenosis chronic cerebral ischemia,and hypoperfusion chronic cerebral ischemia,and described the clinical application experience of combined treatment of chronic cerebral ischemia.That is to adjust the large ascending and descending,as well as the small one;elevating clear Qi to lower turbid Qi to regulate Qi movement;adjust the shape and mind,and treat both the brain and viscera.