王晓峰教授运用中医经鼻开窍疗法治疗脑出血后意识障碍的经验探析OA
An analysis of Professor Wang Xiaofeng's experience in using traditional Chinese medicine to treat consciousness disorder after cerebral hemorrhage
脑出血后意识障碍是临床重症,治疗棘手,预后往往不佳.王晓峰教授团队基于中医"鼻通于脑"理论,结合现代医学对鼻腔-脑通路的认识,历经多年实践,逐步形成了一套理法方药完备的中医经鼻开窍诊疗体系.文章旨在系统总结该团队在理论构建、方药研发、技术创新及临床应用等方面的关键经验,重点阐述其提出的"痰瘀闭窍、清阳不升"核心病机及"涤痰化瘀、升清开窍"治疗原则,以及据此创制的核心方剂"醒脑通窍方"与配套给药技术.临床观察表明,该疗法起效相对较快、靶向性强,为脑出血后中、重度意识障碍,特别是早期患者,提供了一种值得关注的中医外治方案,为相关临床与研究工作提供参考.
Disorder of consciousness after intracerebral hemorrhage(ICH)is a clinical severe condition,challenging to treat,and often with poor prognosis.Based on the traditional Chinese medicine(TCM)theory of"the nose connecting to the brain"and combined with modern medical understanding of the nasal-brain pathway,Professor Wang Xiaofeng's team has gradually developed a comprehensive TCM diagnostic and therapeutic system for opening orifices through the nose after years of practice.This article aims to systematically summarize the key experiences of the team in theoretical construction,prescription development,technological innovation,and clinical application,focusing on the core pathogenesis of"phlegm and blood stasis obstructing orifices,and clear yang failing to ascend",the therapeutic principle of"eliminating phlegm and resolving blood stasis,ascending clear yang to open orifices",as well as the core prescription"Xingnao Tongqiao Prescrip-tion"and supporting medication techniques created based on this principle.Clinical observations indicate that this therapy is relatively fast-acting and highly targeted,providing a noteworthy external treatment option for moderate to severe disorders of consciousness after ICH,especially for early-stage patients,and offering a reference for related clinical and research work.
雷彪;范小璇;杨若琳;乔育;王丽娜;倪芸鹏;陈杰;于蓬勃;李银太;王晓峰
宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001陕西中医药大学,陕西 咸阳 712046宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001宝鸡市中医医院/陕西省中医脑病临床医学研究中心分中心,陕西 宝鸡 721001
医药卫生
中医经鼻开窍疗法脑出血意识障碍
traditional Chinese medicinetransnasal orifice therapycerebral hemorrhageconsciousness disorders
《现代中医药》 2026 (2)
26-29,4
陕西省中医脑病临床医学研究中心建设项目(陕科社发[2017]176号)宝鸡市中医药管理局科研课题(2023-13)宝鸡市卫生健康委员会科研课题(2024-008)
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