基于通督调神理论探讨脾肾-督脉-脑轴论治脑卒中恢复期失语OA
Discussion on Treating Aphasia During Stroke Recovery Period Through the Spleen-Kidney-Du Meridian-Brain Axis Based on the Theory of Unblocking Du Meridian and Regulating Spirit
脑卒中后失语是常见并发症,具有低康复有效率的临床特点,严重影响患者社会功能回归,西医以言语康复训练为核心方案,对神经功能修复的干预存在局限.中医辨治具有独特优势,但现有研究多集中于急性期开窍醒神、活血化瘀治法,对恢复期以脾肾亏虚为核心的本虚病机,多停留在辨证层面,未形成系统的针药协同辨治体系.故基于张道宗教授"通督调神"学术思想,系统构建"脾肾-督脉-脑"轴的中医理论框架,厘清其生理联动关系,重构恢复期失语的完整病机链条,同时以脑肠轴、下丘脑-垂体-肾上腺轴为桥梁,以脑源性神经营养因子为核心靶点实现中西医理论的深度融合,最终提出"充督治本、通督利枢、开窍复语"的针药协同辨治方案,为脑卒中恢复期失语的治疗提供了系统的理论依据.
Post-stroke aphasia is a common complication characterized by low rehabilitation efficacy,severely affecting patients'social function reintegration.Western medicine takes speech rehabilitation training as the core regimen,but has limitations in intervening neurological function repair.Traditional Chinese medicine Syndrome Dif-ferentiation and treatment has unique advantages;however,existing studies mostly focus on inducing resuscitation and activating blood circulation in the acute phase,while the deficiency pathogenesis centered on Spleen-Kidney Deficien-cy in the recovery period mostly remains at the Syndrome Differentiation level without forming a systematic Acupunc-ture-Medicine collaborative treatment system.Therefore,based on Professor ZHANG Daozong's academic thought of"Unblocking Du Meridian and Regulating Spirit,"this paper systematically constructs the theoretical framework of the"Spleen-Kidney-Du Meridian-brain"axis for treating post-stroke aphasia during the recovery period.It elaborates the internal relationships among Spleen-Kidney Deficiency,Du Meridian obstruction,and brain spirit disorder,and pro-poses an integrated treatment strategy combining acupuncture and herbal medicine.This study provides new theoretical insights and clinical approaches for the rehabilitation of post-stroke aphasia.
黄子通;朱新汉
安徽中医药大学 安徽 合肥 230000安徽中医药大学附属铜陵市中医医院 安徽 铜陵 244000
医药卫生
通督调神脾肾-督脉-脑轴中风失语
Stroke recoveryAphasiaUnblocking Du Meridian and Regulating SpiritSpleen-Kidney-Du Meridi-an-Brain AxisAcupuncture and medicine
《中医药临床杂志》 2026 (9)
1751-1756,6
国家中医重点专科-铜陵市中医医院康复科(国中医药医政函[2012]86号)安徽省第二批区域中医康复中心(皖中医药函[2024]17号)铜陵市卫生健康委第三周期中医重点专科名单项目(铜卫[2022]9号)
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