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浅析中风之"外风"学说OACSTPCD

Analysis of"External Wind"Theory in Treatment of Stroke

中文摘要英文摘要

"外风"学说源于《黄帝内经》,在唐宋以前为中风的主要病机理论,可被概括为"内虚邪中",即在机体营卫、脉络、气血、脏腑虚弱等内因的基础上,风邪、寒邪等外邪趁虚中人而引发中风."外风"学说自金元时期开始衰落,并逐渐被忽视.根据《黄帝内经》《伤寒杂病论》《诸病源候论》和《千金要方》等中医经典对"外风"学说的详细阐述,以及小续命汤对于中风的确切疗效,和寒冷刺激、感染等外在因素引发、加重中风的现代研究证实,"外风"说对于中风的临床防治尤其是精准预防仍有意义.建立基于"外风"学说的中风预警模型,或可为中风的精准预防提供更全面的参考.

The theory of"External Wind"is originated from Huang Di Nei Jing,which was the main pathogenesis theory of stroke before the Tang and Song dynasties.It can be summarized as"internal deficiency and outside evil factor injury",that is,on the basis of inter-nal weakness such as Ying Qi,Wei Qi,meridians,Qi and blood as well as Zang and Fu organ weakness,external evil factors such as Wind and Cold take advantage of the deficiency in human body to cause stroke.The theory of"External Wind""began to decline dur-ing the Jin and Yuan dynasties and gradually became overlooked.According to the detailed explanation of the theory of"External Wind"in traditional Chinese medicine classics such as Huang Di Nei Jing,Shang Han Za Bing Lun,Zhu Bing Yuan Hou Lun,and Qian Jin Yao Fang",as well as the precise therapeutic effect of Xiao Xuming Decoction on stroke and modern research on external fac-tors such as cold stimulation and infection that cause and worsen stroke,the theory of"External Wind"still has significance for clinical prevention and treatment of stroke,especially the precise prevention of it.Establishing a stroke warning model based on the theory of"External Wind"may provide a more comprehensive reference for precise prevention of stroke.

林隆杰;范小璇;封玉宁;刘可欣;李凯

陕西中医药大学第一临床医学院,陕西 咸阳 712000

中医学

中风;"外风";"内风";脉络学说;小续命汤;营卫理论

stroke;"External Wind";"Internal Wind";meridian and collateral theory;Xiao Xuming Decoction;Ying Wei theory

《中医学报》 2024 (001)

49-54 / 6

国家自然科学基金项目(81873288);中医药双链融合中青年科研创新团队项目(2022-SLRH-LJ-015);陕西省重点研发计划项目(2019ZDLSF04-06-01)

10.16368/j.issn.1674-8999.2024.01.010

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