北京中医药大学东方医院,北京市丰台区方庄街道芳星园一区6号,100078
2.北京中医药大学东直门医院
zoulinbucm@163.com
收稿:2024-05-21,
修回:2024-12-26,
纸质出版:2025-02-17
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邹琳,孙田烨,阎明源等.刘金民运用阖阳明、复神机之法辨治癫痫经验[J].中医杂志,2025,66(04):344-348.
ZOU Lin,SUN Tianye,YAN Mingyuan,et al.Professor LIU Jinmin's Clinical Experience in Treating Epilepsy Based on the Method of Closing Yangming and Regaining Vital Activity[J].Journal of Traditional Chinese Medicine,2025,66(04):344-348.
邹琳,孙田烨,阎明源等.刘金民运用阖阳明、复神机之法辨治癫痫经验[J].中医杂志,2025,66(04):344-348. DOI: 10.13288/j.11-2166/r.2025.04.004.
ZOU Lin,SUN Tianye,YAN Mingyuan,et al.Professor LIU Jinmin's Clinical Experience in Treating Epilepsy Based on the Method of Closing Yangming and Regaining Vital Activity[J].Journal of Traditional Chinese Medicine,2025,66(04):344-348. DOI: 10.13288/j.11-2166/r.2025.04.004.
总结刘金民教授治疗癫痫的临证经验。认为阳明失阖、神机失灵是癫痫的主要病机,提出运用阖阳明、复神机之法治疗癫痫。实者泻实降气、通下醒神,阳明燥热为主者,治以通腑调神,降气降火,方用大承气汤加减;阳明痰火为主者,治以清热化痰,安神镇惊,方用清心温胆汤加减;阳明蓄血为主者,治以破血通下,逐瘀醒脑,方用桃核承气汤加减。虚者补虚升气、益胃养神,中气不足、清气下陷者,治以补中升提,充养神机,方用六君子汤加减;阴亏津伤者,治以益胃养阴,生津清神,方用麦门冬汤合益胃汤加减。临床虚实夹杂,当分清主次,补泻兼施,灵活应用各法。
To summarize the clinical experience of Professor LIU Jinmin in treatment for epilepsy. It is believed that main pathogenesis of epilepsy is
yangming
failure to close a
nd vital activity loss control, so a therapeutic approach focused on restoring the closure of
yangming
and regaining vital activity was proposed for the treatment of epilepsy. For excess syndrome, the treatment focuses on draining excess and descending
qi
, promoting purgation and restoring spirit. When
yangming
dryness-heat predominates, the approach involves unblock the bowels and regulating the spirit, descending
qi
and reducing fire, with modified
Chengqi Decoction
(承气汤) as prescription; when
yangming
phlegm-fire predominates, the treatment focuses on clearing heat and resolving phlegm, calming mind and suppressing fright, with modified
Qingxin Wendan Decoction
(清心温胆汤) as prescription; when
yangming
blood stasis predominates, the approach involves breaking up blood stasis and promoting purgation, eliminating stasis and awakening the mind, with
Taoren Chengqi Decoction
(桃核承气汤) as prescription. For deficiency syndrome, the treatment emphasizes tonifying deficiency and raising
qi
, strengthening the stomach and nourishing the spirit. When center
qi
deficiency and sinking of clear
qi
of the nutrients from food, the approach involves replenishing and uplifting
qi
while nourishing vital activity, with modified
Liujunzi Decoction
(六君子汤) as prescription; when
yin
deficiency and fluid consumption, the treatment focuses on nourishing stomach and tonifying
yin
, promoting fluid production and calming the spirit, with modified
Maimendong Decoction
(麦门冬汤) combined with
Yiwei Decoction
(益胃汤) as prescriptions. In clinical situations of deficiency-excess complex, it is essential to distinguish the primary condition from the secondary, applying both supplementing and draining methods flexibly to achieve optimal treatment.
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