王松龄基于肾脑相济理论治疗脊髓小脑性共济失调

Wang Songling Treating Spinocerebellar Ataxia Based on Theory of Kidney and Brain Aiding Each Other

肾脑相济理论是肾与脑关系更深层次的概括,指肾与脑在经脉系统上互相联属,在精髓化生上相滋互助,在精气神志上互通互用,二者关系密切,通过整体把握,合理调节二者之间的关系,可有效防治脑血管病。脊髓小脑性共济失调的主要病机为肾脑失济,肾亏髓空,机窍不利,虚风内动,痰瘀痹阻,筋脉失养,且肾虚髓亏为发病之本。治疗时应基于肾脑相济理论,以补肾养脑,益精生髓为要,兼顾祛除痰浊、瘀血,重视因人制宜,灵活化裁。

The theory of Kidney and brain aiding each other is the deeper generalization of the relationship between Kidney and brain,which means that Kidney and brain are connected with each other in the meridian system and mutually help each other in essence and metabolism,and interoperate with each other in Jing(Essence),Qi and Shen(Spirit).The two are closely related,and the relationship between them can be effectively prevented and treated through overall method and reasonable adjustment.The main pathogenesis of spinocerebellar ataxia is Kidney-brain ataxia,Kidney deficiency and marrow deficiency,unfavorable mechanism and orifices,which would cause deficiency Wind internal disturbing,stagnation of Phlegm and blood stasis as well as tendon and meridian dystrophy.Therefore,Kidney and marrow deficiency are the origin of the disease.The treatment should be based on the theory of combining Kidney and brain,with the emphasis on tonifying Kidney to nourish brain,benefiting Essence and promoting marrow,taking into account the elimination of Phlegm and blood stasis,attaching importance to adapting to different people and flexible conditions.