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樊永平基于"肾主骨生髓通于脑"理论治疗多发性硬化经验OA

Fan Yongping's experience in the treatment of multiple sclerosis based on the theory of"kidney governing bone marrow generation to nourish the brain"

中文摘要英文摘要

樊永平认为,本病的病因病机是肾精亏虚.肾虚髓减是基础,痰瘀互结是关键.先天禀赋不足、肾精亏虚,是本病发病的主要内因;外感六淫、内伤七情、饮食不当、劳累过度或者外伤致损、产后百脉空虚等是其诱发因素.樊永平提出补肾益气、活血化瘀是本病的治疗原则.他在临证中以中医理论"补肾生髓通于脑"的基础,总结出以地黄为主药的验方补肾益髓方,处方常用熟地黄、生地黄、制首乌、山药、肉苁蓉,菟丝子等相合配伍以滋补肝肾.在治疗中樊永平还强调补虚与泻实相结合,在补肾的基础上加用活血化瘀通络之品,以达补而不腻,泻而不虚之效.在临床治疗中运用此法取得了较好的疗效.

Professor Fan Yongping holds that the pathogenesis of multiple sclerosis is deficiency of kidney essence,in which kidney deficiency and marrow depletion constitute its basis,while intermingled phlegm and stasis is its key.The innate deficiency of kidney essence features the main internal cause of this disease,while exogenous six pathogens,internal impairment of the seven emotions,improper diet,overwork,trauma,and emptiness of all meridians after childbirth are its inducing factors.Professor Fan Yongping puts forward that the treatment principles for this disease involve tonifying the kidney and replenishing qi,activating blood circulation and removing blood stasis.Based on the TCM theory of"tonifying the kidney to generate bone marrow to nourish the brain",he formulates the experimental prescription Bushen Yisui Decoction,with rehmannia root as the main ingredient,with processed rehmannia root,unprepared rehmannia root,prepared fleeceflower root,common yam rhizome,desertliving cistanche,dodder seed and so on to nourish the liver and kidney.In addition,he also emphasizes the combination of tonifying deficiency and purging excess.On the basis of tonifying the kidney,he adds the drugs for promoting blood circulation to remove blood stasis and activating collaterals,so as to achieve a balanced effect.He applies these methods in the clinical treatment of multiple sclerosis,achieving a good curative effect.

胡璘媛;樊永平;陈维

云南中医药大学第一附属医院脑病科,昆明 650021首都医科大学附属北京天坛医院中医科,北京 100070云南中医药大学第一附属医院脑病科,昆明 650021

医药卫生

多发性硬化肾主骨生髓樊永平

multiple sclerosiskidney governing bone marrow generationFan Yongping

《吉林中医药》 2026 (6)

708-712,5

云南省第一批中医临床优秀人才研修项目

10.13463/j.cnki.jlzyy.2026.06.007

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