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裘昌林"四维辨治"诊治癫痫经验介绍OA

Experience Introduction of QIU Changlin in Treating Epilepsy with"Four-Dimension Syndrome Differentiation and Treatment"

中文摘要英文摘要

介绍裘昌林教授辨治癫痫的临床经验.裘昌林教授提出了痰-风-瘀-虚四维辨治模式以诊治癫痫病,认为痰浊为本、风动为标、瘀血为变、正虚为根是癫痫的核心病机,且以痰浊为核心,兼顾风、瘀、虚等多维度的病机,其中,痰浊亦为贯穿疾病始终的病理产物,故临证确立化痰贯穿始终,兼施熄风止痉、活血化瘀、补虚固本的动态辨治策略.在用药上善用虫类药搜剔通络、熄风止痉.常能收获良效.

This paper introduces Professor QIU Changlin's clinical experience in differentiating and treating epilepsy.Professor QIU Changlin has proposed the"phlegm-wind-stasis-deficiency"four-dimension syndrome differentiation and treatment model for epilepsy.He holds that the core pathogenesis of epilepsy is phlegm turbidity as the root cause,wind stirring up as the manifestation,blood stasis as the pathological change,and healthy qi deficiency as the foundation.Among them,phlegm turbidity is the core,and it also takes into account the multi-dimensional pathogenesis such as wind,stasis,and deficiency.Besides,phlegm turbidity is also the pathological product throughout the course of the disease.Therefore,in clinical practice,he establishes a dynamic syndrome differentiation and treatment strategy that focuses on resolving phlegm throughout the treatment,and simultaneously applies methods of calming wind to stop convulsions,promoting blood circulation to remove blood stasis,and tonifying deficiency to consolidate the foundation.In terms of medication,he is skilled in using insect herbs to search and dispel stagnation to unblock collaterals and calm wind to stop convulsions,which often achieves good curative effects.

张清奇;张青;裘昌林

浙江省中医院浦江分院,浙江 浦江 322200浙江省中医院神经内科,浙江 杭州 310006浙江省中医院神经内科,浙江 杭州 310006

医药卫生

癫痫四维辨治模式裘昌林

EpilepsyFour-dimension syndrome differentiation and treatment modelPhlegmWindStasisDeficiencyQIU Changlin

《新中医》 2026 (2)

153-157,5

浙江省裘昌林国医名师传承工作室项目(GZS2021007)

10.13457/j.cnki.jncm.2026.02.027

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