基于“脾肾为本”论治颤证

Analysis on the Treatment of Fibrillation Syndrome based on “Spleen and Kidney”

颤证指的是头或肢体拘痉、震颤,少动,颈背僵直等为主要临床症状的一种病症。轻者通常仅有引起头部或手足的局部微微颤动,重者则严重影响生活自理能力。颤证与肝、脾、肾三脏密切相关,病理因素多为风、痰、瘀等,临床治疗颇为困难。基于"见肝之病……当先实脾""精血同源",则可以着眼从脾肾治疗。颤证基本病机为肝风内动,依据"治病求本"理论,提出其核心病机为脾肾亏虚,故该文主要探析颤证依据"脾肾为本"思想治疗的临床思维。

Tremor syndrome refers to a type of main clinical symptoms such as head or limb constriction,tremor,lack of movement,and stiffness of the neck and back.Mild cases usually only cause local slight tremors of the head or hands and feet,while severe cases severely affect the ability to take care of themselves.Fibrillation syndrome is closely related to the liver,spleen,and kidneys.Pathological factors are mostly wind,phlegm,and blood stasis,and clinical treatment is quite difficult.Based on “seeing the disease of the liver...be the first to see the spleen” and “the same source of essence and blood”,you can focus on the spleen and kidney for treatment.The basic pathogenesis of tremor syndrome is internal movement of liver and wind.According to the theory of “seeking the root of disease”,it is proposed that its core pathogenesis is deficiency of spleen and kidney.Therefore,this article mainly explores the clinical thinking of tremor syndrome based on “spleen and kidney-based” thinking.