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《金匮翼》"卒中八法"之调气通脉理法与启示OA

Theory and Implications of Regulating Qi and Unblocking Meridians in the"Eight Methods for Stroke"from Jin Gui Yi

中文摘要英文摘要

清代医家尤怡所著《金匮翼》,创立开关、固脱、泄大邪、转大气、逐痰涎、除热风、通窍隧、灸腧穴"卒中八法",为后世辨治中风之准则.尤怡从中风(卒中)病因病机立论,将中风分为真中风、类中风,气机失调是其核心病机,中风之脏腑经络病变有先后、浅深之异.本文具体分析了卒中八法理论、适应证候及其对当代中风临床救治的启发与指导,八法各具优势,其用有别,但调气却是八法之所同,皆以调气通脉为核心,目的总在于使阴阳和调、血脉和利.

"Eight methods for stroke"in Jin Gui Yi were established as the criteria for the syndrome differentiation and treatment of stroke in later generations,including opening and closing,stagnation and diarrhea,discharging great evil energy,transforming Qi,expelling phlegm and saliva,removing wind-heat evil,dredging orifices and tunnels,and moxibustion at acupoints.According to You Yi's theory on the etiology and pathogenesis of stroke,stroke is divided into true stroke and similar stroke.The core pathogenesis of stroke is the dysregulation of Qi.The lesions of viscera and meridians of stroke are different in order,shallow and deep.This article specifically analyzes the theory and the syndrome of the eight methods for stroke and their inspiration and guidance for the clinical treatment of contemporary stroke.Each of the eight methods has its own advantages,and its usage is different,but regulating Qi is the same of the eight methods.All of them take regulating Qi and unblocking meridians as the core,and the purpose is always to regulate Yin and Yang,promote blood circulation.

王瑾;胡春雨;徐胤聪;丁元庆

山东中医药大学,济南 250355山东中医药大学,济南 250355山东中医药大学,济南 250355山东中医药大学,济南 250355||山东中医药大学附属医院,济南 250014

医药卫生

《金匮翼》中风卒中八法气血逆乱调气通脉

Jin Gui YiStrokeEight methods for strokeDisorder of Qi and bloodRegulating Qi and unblocking meridians

《中国中医基础医学杂志》 2026 (8)

1651-1655,5

全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)山东省中医药高层次人才培育项目(鲁卫函[2024]416号)山东省中医药科技项目(2020M002)山东中医药大学继续教育教学研究项目(FXLZ2023-05)

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