基于象思维探析益肾解毒通络法治疗多发性硬化的理论基础

Analysis of the theoretical basis of Yishen Jiedu Tongluo Method in the treatment of multiple sclerosis based on image thinking

中医象思维是理解中医理论及指导临床应用的核心思维方法,运用象思维辨治多发性硬化(MS),是中医临床诊治和传承创新的发扬和延续。本文基于象思维对MS的发病机制及临床治疗进行分析,“观物取象”“取象比类”“象以尽意”,完整诠释象思维在MS的辨治中的应用;运用象思维总结MS症状及功能特点,提出中医学对MS的临床症状为“痿”,结合中医原创思维象思维,概括“毒”是MS的关键病机;以“痿”“毒”指导MS临床治疗,运用“益肾、解毒、通络”之法治疗,是辨证诊治的延伸和拓展,对于指导临床、促进理论研究和创新均有重要的意义。

Traditional Chinese medicine image thinking is the core thinking method to understand traditional Chinese medicine theory and guide clinical application.Using image thinking to distinguish and treat multiple sclerosis(MS)is the development and continuation of traditional Chinese medicine clinical diagnosis and treatment,inheritance and innovation.This paper analyzes the pathogenesis and clinical treatment of MS based on image thinking,and fully interprets the application of image thinking in the syndrome differentiation and treatment of MS,including“taking images abstracting from viewing”,“comparing images with categories”,and“taking images to understand the meaning”.Using the image thinking to summarize the symptoms and functional characteristics of MS,it is proposed that the clinical symptom of MS in traditional Chinese medicine is“flaccidity”.Combined with the original thinking of traditional Chinese medicine,it is concluded that“poison”is the key pathogenesis of MS.To guide the clinical treatment of MS with“flaccidity”and“poison”,and to use the method of“benefiting kidney,removing toxicity substance,and dredging collateral”is the extension and expansion of syndrome differentiation and diagnosis,which is of great significance to guide clinical practice and promote theoretical research and innovation.