河北中医学院,河北省石家庄市新石南路326号,050091
zhangzaikang88@163.com
收稿:2020-11-26,
修回:2021-08-30,
纸质出版:2021-11-02
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张雅雯,冯瑞雪,张紫微等.李士懋从湿热论治中风经验[J].中医杂志,2021,62(21):1846-1849.
ZHANG Yawen,FENG Ruixue,ZHANG Ziwei,et al.LI Shimao's Experience in Treating Stroke from the Perspective of Damp-heat[J].Journal of Traditional Chinese Medicine,2021,62(21):1846-1849.
张雅雯,冯瑞雪,张紫微等.李士懋从湿热论治中风经验[J].中医杂志,2021,62(21):1846-1849. DOI: 10.13288/j.11-2166/r.2021.21.002.
ZHANG Yawen,FENG Ruixue,ZHANG Ziwei,et al.LI Shimao's Experience in Treating Stroke from the Perspective of Damp-heat[J].Journal of Traditional Chinese Medicine,2021,62(21):1846-1849. DOI: 10.13288/j.11-2166/r.2021.21.002.
总结李士懋教授从湿热论治中风的临证经验。认为中风多与各种因素导致的脾胃湿热内蕴有关,提出从脾胃湿热内蕴论治中风的观点。脾胃湿热内蕴为中风的常见始动因素,湿热内蕴、脉络阻滞、肝风内动为湿热中风的主要病机,并且脾胃湿热常贯穿于中风病程的始终。在辨证诊治中强调化痰、解表、补虚,临证选用“薛氏4号方”化裁治疗湿热中风效果显著。
This paper summarized LI Shimao
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s experience in treating stroke from the perspective of damp-heat. The internal accumulation of damp-heat in the spleen and stomach is found to be the initiating factor of stroke, and usually goes through the whole process of the disease; therefore, it is believed that stroke is mostly associated with internal accumulation of damp-heat in the spleen and stomach caused by varied factors, and the main pathogenesis of stroke is internal accumulation of damp-heat, obstruction of vessels and collaterals, and internal stirring of liver wind. Accordingly, stroke should be treated from the perspective of spleen-stomach internal accumulation of damp-heat, and the method of dissolving phlegm, releasing the exterior and supplementing deficiency is recommended. Moreover, “Xue
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s Formula No.4” is usually used in clinical practice, which shows significant effect on stroke induced by damp-heat.
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