从“络病辨证六要”论卒中后痉挛性偏瘫的病机证治

Discussion on the Pathogenesis,Syndrome and Treatment of Spastic Hemiplegia after Stroke from “Six Essentials of Syndrome Differentiation of Collateral Diseases”

卒中后痉挛性偏瘫为临床难治性疾病,该病属"筋痹"范畴,从络治痹具有一定优势,该病符合络病发病特点,因此可以从络病角度进行辨证论治。吴以岭院士提出络病辨证六要,认为络病辨证应从辨发病因素、辨病程久暂、辨阴阳表里、辨寒热虚实、辨气病血病、辨络形络色6个方面进行。本文从这6个方面出发,分析探讨卒中后痉挛性偏瘫的络病病机,以期为临床应用提供思路。

Spastic hemiplegia after stroke is a refractory disease in clinical,which belongs to the category of tendon-obstruction. It has certain advantages in treating Bi syndrom from collateral diseases,and because it accords with the characteristics of collateral disease,it can be treated by syndrome differentiation from the angle of collateral disease. Academician Wu Yiling put forward six essentials of syndrome differentiation of collateral diseases. He believes that the syndrome differentiation of collateral diseases should be carried out from six aspects:distinguishing pathogenic factors,distinguishing long duration of disease,distinguishing Yin and Yang exterior,distinguishing cold and heat with deficiency and excess,distinguishing Qi disease and blood disease,and distinguishing collateral forms and colours. This paper analyzes and discusses the pathogenesis of spastic hemiplegia after stroke from these six aspects,and guided the application in clinical.